Adapting a communication coaching intervention for obstetric sonographers delivering unexpected news: A qualitative study

Essie Kaur, Jane Arezina, Louise Bryant, Kathryn I Pollak, Gill Harrison, Ruth Bender Atik, Jen Coates, Natasha K. Hardicre, Roxanne Sicklen, Karen Horwood, Teresa Lardner, Jon Arnold, Rebecca Wallace, Judith Johnson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Introduction: Despite widespread recognition that communicating unexpected news during obstetric ultrasound examinations is challenging, there is a dearth of research investigating how to teach evidence-based communication to sonographers. Communication Coaching is a supportive, positive method that has previously been associated with improvements in communication, patient satisfaction, and reduced burnout in clinicians. However, to date, no study has coached sonographers. This study explored stakeholders’ views on a proposed Communication Coaching intervention and used these data to adapt the intervention for use with qualified obstetric sonographers.

Methods: Semi-structured interviews were conducted with people who have a vested interest in unexpected news delivery and thematic analysis was conducted on the data. Eight sonographers, six people with lived experience of receiving unexpected news and six representatives from third-sector organisations who support expectant parents were recruited (18 women; 2 men, aged between 21 and 75 years).

Results: Participants viewed the planned Communication Coaching intervention favourably and suggested adaptations. The two main themes were (1) the practicalities of coaching, and (2) content. The first theme had four subthemes: (a) brief and flexible structure, (b) online modality, (c) sensitive and positive coach and (d) organisational awareness. The second theme had three subthemes: (a) specific language and behaviour recommendations, (b) adaptable to different service-users and situations and (c) confer relevant emotional skills and techniques.

Conclusions: Communication Coaching could be a feasible and acceptable intervention for qualified sonographers if specific, limited adaptations are made as recommended by the stakeholders. Further evaluation of the intervention in practice is necessary.
Original languageEnglish
Pages (from-to)273-283
Number of pages11
JournalUltrasound
Volume31
Issue number4
Early online date28 Jan 2023
DOIs
Publication statusPublished - Nov 2023

Bibliographical note

Funding:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research was supported by the Sir Halley Stuart Trust (Reference: 2422). The views expressed are those of the authors and not necessarily those of the Sir Halley Stuart Trust.

Keywords

  • pregnancy
  • ultrasound
  • breaking bad news
  • workforce
  • burnout
  • Communication

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