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Communicating difficult news in pediatric radiology

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Abstract

Effective communication is an important aspect of providing quality healthcare. Radiology staff may be called upon to communicate results, even when it is difficult. Simple, efficient communication models can be learned to reduce clinician distress and support patients and families through stressful times. These practical tips ensure essential communication elements are met, including assessing patient and family perspectives, clearly delivering medical information, responding with empathy, and collaborating around next steps. Models such as “Ask-Tell-Ask,” “SPIKES,” and “NURSE” can be used to disclose results, communicate serious news, and respond to emotion. Lastly, clinicians can also utilize “I wish… I worry… I wonder” statements to align with a patient’s hopes and acknowledge a family’s concerns, ultimately allowing healthcare professionals to support and guide families through challenging situations.

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Data sharing is not applicable as no data was generated or analyzed for in the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Pediatrics, Divisions of Pediatric Hematology/Oncology and Palliative Care, Emory University, 2015 Uppergate Drive, Suite 400, Atlanta, GA, 30322, USA

    Jonathan S. Ebelhar & Katharine E. Brock

  2. Aflac Cancer & Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, GA, USA

    Jonathan S. Ebelhar & Katharine E. Brock

Authors
  1. Jonathan S. Ebelhar
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  2. Katharine E. Brock
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Contributions

The overall concept for this manuscript was developed by Dr. KEB. Drs. JSE and KEB equally contributed to the theoretical framework of the review, collection of supportive reference materials, and drafting and approval of the final manuscript.

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Correspondence to Jonathan S. Ebelhar.

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Ebelhar, J.S., Brock, K.E. Communicating difficult news in pediatric radiology. Pediatr Radiol 54, 663–670 (2024). https://doi.org/10.1007/s00247-024-05861-4

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