摘要：Background & Objective: Physician-patient communication requires specific communication skills specially while transmitting bad news. Inadequate communication and lack of appropriate education in that matter can cause irreparable discomfort to patients and their companions. Therefore, this study aimed to assess the effectiveness of educational programs for transmitting bad news. Materials and Methods: 40 emergency medical students in the Iran University of Medical Sciences in 2019 were entered to study. Participants were divided with couple and odd method to in-person (lecture, group discussion) and non- attendance (receiving training packages, slides, and video) training groups with SPIKES. The Questionnaire of performance and attitude based on the strategy of the SPIKES was used to assess of how to transfer bad news. The results of pre-test and post-test in both groups were compared. Results: The mean scores before and after the training in the in-person group were 121.75 and 119.5 in attitude and in the performance approach 52.8 and 63.45, and in non-attendance group were respected 117.45 and 115.6 for attitude and 50.85 and 62.70 in performance. The attitude scores of the study groups increased after the intervention, but there was no statistically significant difference between the educational programs. (P> 0.05). Conclusion: This study showed that training, both in-person and non-attendance programming, can help to improve the breaking bad news skills of emergency medicine assistants, as training is effective in raising the attitude score of participants.
关键词：Breaking Bad News;Performance;Attitude;Em ergency Medicine Assistance;Com m unication skills
