SKIPS: A Simple Modification of a Prior Simulation Tool for Difficult Patient Discussions

Author Info

Julie Marshall Michael S. Brown Marty Runyan Dena Higbee

Corresponding Author

Julie Marshall
Associate Professor, Department of Anaesthesiology and Perioperative Medicine, University of Missouri, One Hospital Drive, Columbia, Missouri, USA

A B S T R A C T

Patient communication during ethical or difficult treatment decisions is a complex interaction. We present our initial experience with a structured framework for discussion, SKIPS (setting, knowledge, invitation, perception and strategy), as a modification to a previously reported tool for breaking bad news, SPIKES. Our new framework emphasizes patient beliefs and wishes in the setting of a discussion requiring ethical considerations or treatment decisions. Initial evaluations of the SKIPS tool were favourable by resident and faculty, with faculty reporting a greater chance of utilizing SKIPS than the residents.

Article Info

Article Type

Short Report

Publication history

Received: Sat 06, Jun 2020
Accepted: Tue 30, Jun 2020
Published: Mon 13, Jul 2020

Copyright

© 2023 Julie Marshall. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.ACR.2020.01.05