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Dr S Gameiro, Prof J Boivin
No more applications being accepted
Competition Funded PhD Project (Students Worldwide)
About the Project
Bad news is a daily event in health care. At fertility clinics sharing bad news (e.g., infertility diagnosis, treatment failure, miscarriage) is a daily task for staff, but evidence-based guidance on how to do so is lacking. We will work with the largest NHS Welsh fertility clinic (Wales Fertility Institute) and patients to co-develop a training programme to improve fertility staff skills in sharing bad news (SBN) with their patients. Bad news is a daily event in health care. At fertility clinics sharing bad news (e.g., infertility diagnosis, treatment failure, miscarriage) is a daily task for staff, but evidence-based guidance on how to do so is lacking. We will work with the largest NHS Welsh fertility clinic (Wales Fertility Institute) and patients to co-develop a training programme to improve fertility staff skills in sharing bad news (SBN) with their patients.
Aims
1) Develop e-learning training to improve fertility staff skills in SBN.
2) Assess the acceptability and fidelity of the training among fertility staff and patients.
Methods
The PhD candidate will follow state-of-the-art methods and guidance to develop the training programme. They will
1. conduct primary quantitative and/or qualitative research (as appropriate) to develop understanding of fertility staff needs and patients’ preferences in SBN and to identify effective mechanisms of change
2. develop the underlying theory (logic model), learning objectives, content and features of the training programme and co-produce a prototype.
3. design an acceptability and feasibility study to be implemented at the Wales Fertility Institute, whereby fertility staff will be offered the training programme and observed while SBN with their patients before and after receiving the training. Assessment will focus on staff’s perceived confidence and behavioural performance while SBN, their views of the training programme, patients’ experiences and satisfaction with care, their trust in staff and willingness to continue treatment at the clinic.
Outputs will be the training programme and scientific publications regarding its development and evaluation of its acceptability by fertility staff and patients and the feasibility of its implementation.
Partners: NHS Wales Fertility Institute
Funding Notes
Full awards are open to UK Nationals, and EU students who can satisfy UK residency requirements. To be eligible for the full award, EU Nationals must have been in the UK for at least 3 years prior to the start of the course for which they are seeking funding, including for the purposes of full-time education.
References
About sharing bad news:
Baile, W.F., et al., SPIKES - A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist, 2000. 5(4): p. 302-311.
Groh, C.J. and C. Wagner, The art of communicating ART results An analysis of infertile couples' experience. Journal of Reproductive and Infant Psychology, 2005. 23(4): p. 333-346.
Johnson, J. and M. Panagioti, Interventions to improve the breaking of bad or difficult news by physicians, medical students, and interns/residents: A systematic review and meta-analysis. Academic Medicine, 2018. 93(9): p. 1400-1412.
Leone, D., et al., Breaking bad news in assisted reproductive technology A proposal for guidelines. Reproductive Health, 2017. 14: p. 87.
Pash, L. A. and K. T. Sullivan (2017). Stress and coping in couples facing infertility. Current Opinion in Psychology 13: 131-135.
About fertility care:
Boivin, J. 2019. How does stress, depression and anxiety affect patients undergoing treatment? Current Opinion in Obstetrics and Gynecology 31(3), pp. 195-199. (10.1097/GCO.0000000000000539)
Boivin, J.et al. 2017. Perceived challenges of working in a fertility clinic: a qualitative analysis of work stressors and difficulties working with patients. Human Reproduction 32(2), pp. 403-408. (10.1093/humrep/dew326)
Boivin, J. and Gameiro, S. 2015. Evolution of psychology and counselling in infertility. Fertility and Sterility 104(2), pp. 251-259.
Gameiro, S. 2015. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction—a guide for fertility staff. Human Reproduction 30(11), pp. 2476-2845. (10.1093/humrep/dev177)
Gameiro, S., Boivin, J. and Domar, A. 2013. Optimal IVF in 2020 should reduce treatment burden and enhance care delivery for patients and staff. Fertility and Sterility 100(2), pp. 302-309. (10.1016/j.fertnstert.2013.06.015)
Gameiro, S.et al. 2012. Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Human Reproduction Update 18(6), pp. 652-669. (10.1093/humupd/dms031)
Baile, W.F., et al., SPIKES - A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist, 2000. 5(4): p. 302-311.
Groh, C.J. and C. Wagner, The art of communicating ART results An analysis of infertile couples' experience. Journal of Reproductive and Infant Psychology, 2005. 23(4): p. 333-346.
Johnson, J. and M. Panagioti, Interventions to improve the breaking of bad or difficult news by physicians, medical students, and interns/residents: A systematic review and meta-analysis. Academic Medicine, 2018. 93(9): p. 1400-1412.
Leone, D., et al., Breaking bad news in assisted reproductive technology A proposal for guidelines. Reproductive Health, 2017. 14: p. 87.
Pash, L. A. and K. T. Sullivan (2017). Stress and coping in couples facing infertility. Current Opinion in Psychology 13: 131-135.
About fertility care:
Boivin, J. 2019. How does stress, depression and anxiety affect patients undergoing treatment? Current Opinion in Obstetrics and Gynecology 31(3), pp. 195-199. (10.1097/GCO.0000000000000539)
Boivin, J.et al. 2017. Perceived challenges of working in a fertility clinic: a qualitative analysis of work stressors and difficulties working with patients. Human Reproduction 32(2), pp. 403-408. (10.1093/humrep/dew326)
Boivin, J. and Gameiro, S. 2015. Evolution of psychology and counselling in infertility. Fertility and Sterility 104(2), pp. 251-259.
Gameiro, S. 2015. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction—a guide for fertility staff. Human Reproduction 30(11), pp. 2476-2845. (10.1093/humrep/dev177)
Gameiro, S., Boivin, J. and Domar, A. 2013. Optimal IVF in 2020 should reduce treatment burden and enhance care delivery for patients and staff. Fertility and Sterility 100(2), pp. 302-309. (10.1016/j.fertnstert.2013.06.015)
Gameiro, S.et al. 2012. Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Human Reproduction Update 18(6), pp. 652-669. (10.1093/humupd/dms031)
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