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Emergency Medicine Clinician Experiences Addressing Uncertainty in First-Trimester Bleeding
Garrison A Nord1, Amanda Mb Doty1, Andrew J Monick1
1Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Journal of Patient Experience
|December 1, 2022
Summary
Emergency Department clinicians often face challenges communicating pregnancy uncertainty during first-trimester bleeding (FTB). Many desire additional training to improve these sensitive patient conversations.
Area of Science:
- Emergency Medicine
- Obstetrics & Gynecology
- Medical Education
Background:
- Communicating uncertainty in healthcare is crucial for patient trust and outcomes.
- First-trimester bleeding (FTB) presents unique communication challenges for clinicians due to uncertain pregnancy outcomes.
Purpose of the Study:
- To explore Emergency Department (ED) clinicians' experiences with communicating uncertainty regarding FTB.
- To assess the need for enhanced training in this communication skill among ED providers.
Main Methods:
- A cross-sectional survey was distributed to a national sample of attending physicians and advanced practice providers (APPs).
- The survey utilized quantitative and qualitative questions to gather data on clinician challenges, comfort, training, and interest in further education.
Main Results:
- Over half (54%) of the 402 respondents reported encountering challenges at least sometimes when discussing uncertain FTB outcomes.
- While most clinicians felt prepared by existing training (84%), a significant portion (39%) expressed a strong or moderate need for additional training.
- Clinicians frequently encountered challenges in communicating with pregnant patients about FTB.
Conclusions:
- A notable need for enhanced training exists for ED clinicians in communicating uncertainty related to FTB.
- Improving communication skills in this area can potentially enhance patient care and satisfaction during a vulnerable period.
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