SILVA-XAVIER, Esther Almeida da; POLEJACK, Larissa    SEIDL, Eliane Maria Fleury. Communication of difficult news: integrative review on teaching strategies in medical education. Rev. Psicol. Saúde []. 2020, 12, 3, pp.46-61. ISSN 2177-093X.  https://doi.org/10.20435/pssa.vi.1045.

Difficult news are informations that seriously affect an individual's view of their future. In health, they are medical assignments in situations of diagnostic communication of serious clinical conditions, in the prognosis and/or unfavorable treatment of irreversible conditions or without modifying treatment (deaths, sequelae, palliative care). This study carried out an integrative review of teaching strategies for this type of communication in medical education. PsycINFO, the Virtual Health Library, and PubMed were accessed from 2014 to May 2019. We found fifty-nine abstracts, and after applying the exclusion criteria, we analyzed 13 empirical articles. Diversity in the use of teaching strategies was identified, with simulation (with actors or trained people) being the most described. Other strategies (peer discussion, reflective writing, shared meeting with patients, case videos, and use of digital technologies) were also reported. The combined use of these teaching-learning strategies is of paramount importance in contemporary professional training.

: medical education; difficult news; teaching-learning.

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