Communicating difficult news: a medical perspective in the context of neurology

Abstract

This study investigated the challenges faced by neurologists in communicating difficult news in an
oncology hospital. A descriptive, quantitative-qualitative methodology was adopted, and the study was
conducted from August to October 2024, after approval by two Research Ethics Committees. In total,
12 physicians participated, including neurologists, neurosurgeons, and resident doctors from the Ophir
Loyola Hospital in Belém, who responded to a questionnaire on the communication of difficult news.
The results revealed differences in how specialist doctors and residents engaged with the topic,
especially during their academic training. Although participants positively assessed their preparedness
to handle difficult communications, challenges persist, particularly a lack of communication skills,
inadequate environments, and insufficient team support. The study highlighted that communication
protocols and clinical experience are important allies in promoting humanized care.