The goal is to promote knowledge on how successfully engaging in difficult communication and involves one 6-hour session based on:
a) lesson on clinical and ethical principles of difficult communication with sharing of strategies and resources useful in clinical practice, including the booklet that provides guidance in difficult communication;
b) brainstorming session on good and bad examples of communication;
c) video on Mr. Carlo’s clinical case model; Mr. Carlo has advanced dementia and is institutionalized.
The video addresses three challenging situations:
i) Dealing with emotions (suffering and crying) and offering support;
ii) Exploring the level of awareness;
iii) Supporting in the search for meaning of the illness.
d) small group discussion.
The goal is to improve relational and communication skills in complex situations. Specifically, the course aims to:
accommodate emotions and silence;
deescalate conflicts;
explore and accommodate curative-oriented care preferences;
respond to unrealistic or ambivalent care expectations;
promote residents’/family carers’ awareness on the disease trajectory;
communicate bad news (e.g. prognosis/worsening);
support residents and/or their family carers in the decision-making process;
support residents and their family carers in processing the illness/loss/mourning (e.g. denial, acceptance, search for meaning).
The course is 16 hours in length, runs over a three months period, and offers highly experiential education:
a) a Forum-theater workshop, i.e. a form of theater where professionals being trained are initially spectators and then are called to intervene and seek solutions by replacing the actors;
b) a simulation workshop on difficult communication scenarios;
c) in the field family care conferences followed by a colleague’s feedback that acted as an external observer and a guided reflection;
d) a community of practice where professionals have the opportunity to share the problems that emerged during the family care conferences and the strategies they adopted;
e) online asynchronous self-educational activities based on videos with good and bad examples of communication accompanied by a commentary guide; a discussion forum moderated by a communication expert is also available.