SPIKES: A 6-Step Protocol for Delivering Bad News
SPIKES: A Six-Step Protocol for
Delivering Bad News
Release Date: 06/04/2020
Expiration Date: 06/04/2022
Format: Enduring Online Material
This activity is intended for physicians, physician assistants, physical therapists, nurse practitioners, ambulatory clinic nurses, pharmacists, social workers, licensed professional counselors, and public health professionals.
Statement of Need
Healthcare providers will potentially deliver bad news to patients many times throughout their careers. Disclosing bad news is inherently negative and can contribute to stress and anxiety. When practitioners are uncomfortable giving bad news, they may avoid discussing distressing information or convey unwarranted optimism. Having a strategy to increase confidence during this patient interaction, has been demonstrated to reduce anxiety and burnout.
Upon completion of this activity, participants should be able to:
- Define "bad news" and how it relates to clinical outcomes;
- Identify barriers and strategies to disclosing “bad news”; and
- Apply the six-step protocol of disclosing information that adversely affects a patients' perception of their future and quality of life.
Valerie Agena, DO, FACOI
University of North Texas Health Science Center at Fort Worth, Assistant Professor, Texas College of Osteopathic Medicine, Department of Internal Medicine, Geriatrician, Center for Geriatrics
Donnell McKenzie, MA, INCEDO
Brenda Wilson, MS, INCEDO
In accordance with the appropriate accrediting bodies, all planners, teachers, and authors with control over activity content are required to disclose to the provider any relevant financial relationships (those held by the planner or significant other, currently or within the last 12 months) with commercial interests. Accredited providers are required to provide this information to learners before the start of an activity.
The UNT Health Science Center INCEDO office planning team nor the subject matter experts have anything to disclose.
The University of North Texas Health Science Center is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
This knowledge-based activity has been assigned 0845-0000-20-054-H04-P and will award .75 contact hour (0.75 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.
Statements of participation will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity. Credit will be uploaded to CPE Monitor, and participants may print a statement of credit or transcript from their NABP e-profile. UNTHSC complies with the Accreditation Standards for Continuing Pharmacy Education.
The University of North Texas Health Science Center is accredited by the American Osteopathic Association to award continuing medical education to physicians.
The University of North Texas Health Science Center has requested that the AOA Council on Continuing Medical Education approve this program for .75 hours of AOA Category 1B CME credits. Approval is currently pending.
The University of North Texas Health Science Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The University of North Texas Health Science Center designates this enduring material for a maximum of 1 AMA PRA Category .75 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Interpersonal and communication skills
Provide patient-centered care
UNT Health Science Center is accredited by the Texas Physical Therapy Association, Provider 1810035TX.
This activity is approved for .75 CCU for PTs and PTAs. For successful completion, a participant must attend the program, complete the evaluation, and request credit online at the conclusion of the activity. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
UNT Health Science Center is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. (06/04/2020 to 06/29/2020)
This activity provides up to .75 contact hours.
Learning Outcome: Nurses will increase knowledge of the 6-step SPIKES protocol to improve patient communication when disclosing information that adversely affects a patient's perception of the future and quality of life.
Statements of participation will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity.
Successful completion includes completing the activity, its accompanying evaluation, posttest (score 70% or higher), and requesting credit online at the conclusion of the activity.
Nursing- California Board of Nursing
UNT Health Science Center is approved by the California Board of Registered Nursing, Provider # 16274. This activity is approved for .75 Contact Hours. (06/29/2020 to 06/04/2022)
This activity is approved for a maximum of .75 Clock Hours for Social Workers.
Licensed Professional Counselors
University of North Texas Health Science Center certifies that this meets the requirements for continuing education under the Texas Administrative Code. This activity provides .75 CEU credits.
Certified Public Health Professionals
This activity is approved for .75 credit(s) accepted by the National Board of Public Health Examiners' Certified Public Health (CPH) recertification program.
Certificate of Attendance
The University of North Texas Health Science Center certifies this activity for .75 hours of participation.
All information contained within this activity is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained in this site. No single reference or service can take the place of medical training, education, and experience. This website does not define a standard of care, nor is it intended to dictate an exclusive course of management. This information should not substitute for a visit or consultation with a health care provider.
Institutional Review Board
Data collected as part of this activity may be analyzed as part of educational research to study the effectiveness of interventions. This project is included under UNTHSC IRB protocol #2017-056.
This project is supported by grant funding from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28735. The contents are solely the responsibility of the authors and do not necessarily represent the official view of the Health Resources and Services Administration or the U.S. Department of Health and Human Services. No commercial support was received for this activity.