SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer¶
Baile. (2000). SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer: Application to the Patient with Cancer. The Oncologist.
Cited by¶
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Domain-specific¶
- Interpersonal Communication
- Therapy and counseling — Rogerian active listening, motivational interviewing, and family therapy, where the relational layer and repair work are the explicit object. Healthcare provider-patient communication — shared decision-making, breaking bad news (the SPIKES protocol), and informed consent, multi-channel and relationally embedded
This sourceThe source of the SPIKES protocol, whose final step also assigns shared responsibility for treatment decisions to the patient; informed consent is outside its scope. The training protocol behind the described practice: assess the patient's perception first, deliver knowledge in small increments with comprehension checks, and answer emotion with an empathic response before returning to information.
- Therapy and counseling — Rogerian active listening, motivational interviewing, and family therapy, where the relational layer and repair work are the explicit object. Healthcare provider-patient communication — shared decision-making, breaking bad news (the SPIKES protocol), and informed consent, multi-channel and relationally embedded
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