Awareness and practice of “Spikes” protocol among post-graduate residents in delivering bad news – A cross-sectional study

Abstract

Background: Communication skills significantly contribute to good clinical practice. A systematic approach to delivering bad news could avoid unfavorable workplace circumstances. SPIKES protocol has been incorporated into clinical practice in many countries to deliver bad news systematically to build a better doctor–patient relationship. Objectives: To assess post-graduate residents' awareness and practice of SPIKES protocol and to determine the need for training/education for delivering bad news. Methods: A cross-sectional study among 96 post-graduates from various medical and dental clinical departments was done using a self-directed questionnaire consisting of four sections (i.e. socio-demographic data, awareness and adherence, practice, and need for training/education). The questionnaire was circulated through online platforms, and responses were tabulated. Results: About 55% of the participants were aware of the SPIKES protocol. About 90% felt that the protocol was simple, easy, and practical. 92% felt that adequate training is required for delivering bad news. Also, 90% of the participants expressed a willingness to attend training sessions to improve their communication skills. Conclusion: Only half of the study population was aware of the SPIKES protocol; among them, a fair adherence to the protocol was noted.

Keywords

• communication barriers
• physician–patient relations
• truth disclosure