The European Donor Hospital Education Programme (EDHEP): Enhancing Communication Skills with Bereaved Relatives

Abstract

Intensive care medical and nursing staff self-rate their communication skills as improved following attendance at the European Donor Hospital Education Programme (EDHEP) workshop. A prospective study was conducted to determine what impact EDHEP has on communication skills. Doctor-nurse pairs from 10 experimental and 10 control Intensive Care Units undertook two standardized simulated relative encounters (Breaking Bad News and Donation Request) at three measurement points (pre, post and follow-up).

Nurses showed no change in communication skills. Experimental group doctors showed significant improvement in breaking bad news and requesting donation; most of these improvements were not maintained. Control group doctors showed some improvement in breaking bad news, indicating that participating in measurement by itself initiates some transient change in communication skills.

Attendance at EDHEP does lead to significant improvement in some, but not all, communication skills essential in breaking bad news and requesting donation. Further research is necessary to determine what factors additional to EDHEP will contribute to enduring change in these particular skills.

Keywords

BEREAVEMENT: communication communication skills EDHEP education intensive care training

References

Stein

, Hope

, Baum

J.D.

Organ Transplantation: approaching the donor's family.

BMJ 1995; 310: 1149–1150.

Wakeford

R.E.

, Stepney

Obstacles to organ donation.

Br J Surg 1989; 76: 435–439.

Painter

L.M.

, Lainglands

J.M.

, Walker

J.I.

Donor families experience of organ donation: A New Zealand study.

NZ Med J 1995; 108: 295–296.

Pearson

I.Y.

, Bazeley

, Spencer-Plane

, Chapman

J.R.

, Robertson

A survey of families of brain dead patients: their experiences, attitudes to organ donation and transplantation.

Anaesth Intensive Care 1995; 23: 88–95.

Wight

, Jager

, Blok

G.A.

, van Dalen

, Cohen

Overview of the European Donor Hospital Education Programme.

Transplant Proc 1996; 28: 422–428.

Blok

G.A.

, van Dalen

, Jager

. The European Donor Hospital Education Programme (EDHEP): Addressing the training needs of doctors and nurses who break bad news, care for the bereaved, and request donation. Transplant Int 1999; 21: 161–167.

van Dalen

, Blok

G.A.

, Kranenburg

, Haase

European Donor Hospital Education Programme.

Transplant Proc 1996; 28: 398–399.

van Dalen

, Blok

G.A.

, Morley

M.J.

. Participants’ judgements of the European Donor Hospital Education Programme (EDHEP), an international comparison. Transplant Int 1999; 21: 182–187.

Muthny

F.A.

Fortbildungprogramm zur Gesprächsführung mit den Angehörigen plötzlich Verstorbener als Beispiel von Kommunikationstraining und affektiv-emotionalen Lernzielen in der ärztlichen Ausbildung.

Medizinische Ausbildung 1996; 13: 57–64.

10.

Cook

T.D.

, Campbell

D.T.

Quasi-experimentation.

Design and analysis issues for field settings. Houghton Mifflin, Boston 1979; 103–112.

11.

van der Vleuten

, Swanson

D.B.

Assessment of clinical skills with standardised patients: state of the art.

Teaching and Learning in Medicine 1990; 2: 58–76.

12.

N.V.

, Barrows

H.S.

Use of standardized patients in clinical assessments: Recent developments and measurement findings.

Educ Res 1994; 23: 23–30.

13.

Rethans

J.J.

, Sturmans

, Drop

, van der Vleuten

, Hobus

Does competence of General Practitioners predict their performance? Comparison between examination setting and actual practice.

BMJ 1991; 303: 6814.

14.

Sutton

R.B.

Supporting the bereaved relative.

Medical Education 1998; 32: 622–629.

15.

Garrison

, Bentley

F.R.

, Raque

G.H.

. There is an answer to the shortage of organ donors. Surg Gynecol Obstet 1991; 173: 391–396.

16.

van Thiel

, Kraan

H.F.

, van der Vleuten

Reliability and feasibility of measuring medical and interviewing skills: the revised Maastricht History-Taking and Advice Checklist.

Med Educ 1991; 25: 224–229.

17.

van Dalen

, Prince

CJAH

, Scherpbier

AJJA

, van der Vleuten

C.P.M.

Evaluating communication skills.

Adv Health Sciences Educ 1998; 3: 187–195.

18.

Ptacek

J.T.

, Eberhardt

T.L.

Breaking bad news. A review of the literature.

JAMA 1996; 276: 496–502.

19.

Ong

L.M.L.

, de Haes

C.J.M.

, Hoos

A.M.

, Lammes

F.B.

Doctor-patient communication: A review of the literature.

Soc Sci Med 1995; 40: 903–918.

20.

Brennan

R.L.

Elements of generalisability theory. ACT Publications, Iowa 1983.

21.

Wright

Sudden Death. Churchill Livingstone, London 1991; 91.

22.

Maguire

, Booth

, Elliott

, Jones

Helping health professionals involved in cancer care acquire key interviewing skills— The impact of workshops.

Eur J Cancer 1996; 9: 1486–1489.

23.

Novack

D.H.

, Suchman

A.L.

, Clark

, Epstein

R.M.

, Najberg

, Kaplan

Calibrating the physican: personal awareness and effective patient care.

JAMA 1997; 13: 502–509.

24.

Gask

, Goldberg

, Boardman

Training general practitioners to teach psychiatric interviewing skills: an evaluation of group training.

Med Educ 1991; 25: 444–451.

25.

Joint Report of the Standing Medical Advisory Committee and Standing Nursing and Midwifery Advisory Committee. The Principles and Provision of Palliative Care. HMSO, London 1992.

26.

British Association for Accident and Emergency Medicine and The Royal College of Nursing Bereavement Care in A and E Departments. Royal College of Nursing, London 1995.

27.

Royal College of Physicians of London.

Improving Communication Between Doctors and Patients. A report of a working party. London 1997.

28.

Birkeland

S.A.

, Christensen

A.K.

, Kostelijanetz , Svarre

H.M.

Rise in organ donations.

Lancet 1997; 349: 1558.