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Table 4 Factors associated with full adherence to the SPIKES Protocol

From: Breaking bad news: a cross-sectional study assessing SPIKES protocol adherence and other methods employed among medical doctors in Nigeria

Variables

SPIKES Adherence

Incomplete adherencea

(n = 67)

(%)

Full adherenceb (n= 178) (%)

Total (n= 245)

X2

p-value

Age (years)

 < 35

34 (26.6)

94 (73.4)

128

0.083

0.776

 ≥ 35

33 (28.2)

84 (71.8)

117

  

Gender

 Male

43 (27.6)

113 (72.4)

156

0.010

0.999

 Female

24 (27.0)

65 (73.0)

89

  

Clinical Position

 House officer

9 (19.6)

37 (80.4)

46

15.131

0.002

 Medical officer

13 (16.7)

65 (83.3)

78

  

 Resident doctor

34 (42.5)

46 (57.5)

80

  

 Consultant

11 (26.8)

30 (73.2)

41

  

Years of Practice (years)

 < 7

31 (24.0)

98 (76.0)

129

1.508

0.252

 ≥ 7

36 (31.0)

80 (69.0)

116

  

Type of Health Facility

 Public tertiary HF

55 (32.70

113 (67.3)

168

10.952

0.004F

 Public secondary & primary HF

9 (23.1)

30 (76.9)

39

  

 Private HF

3 (7.9)

35 (92.1)

38

  

Specialty

 General Practice#

21 (22.3)

73 (77.7)

94

12.305

0.030

 Paediatrics

10 (58.8)

7 (41.2)

17

  

 Obstetrics & Gynaecology

10 (34.5)

19 (65.5)

29

  

 Medicine

5 (16.7)

25 (83.3)

30

  

 Surgery

15 (29.4)

36 (70.6)

51

  

 Others*

6 (25.0)

18 (75.0)

24

  

Feel Competent about BBN

 No

18 (37.5)

30 (62.5)

48

3.097

0.103

 Yes

49 (24.9)

148 (75.1)

197

  

Education/Training

 No

30 (36.10)

53 (63.9)

83

4.890

0.034

 Yes

37 (22.8)

125 (77.2)

162

  

Bad Experience due to BBN

 No

42 (26.1)

119 (73.9)

161

0.375

0.549

 Yes

25 (29.8)

59 (70.2)

84

  

Awareness

 No

30 (34.1)

58 (65.9)

88

3.144

0.100

 Yes

37 (23.6)

120 (76.4)

157

  
  1. aSPIKES score < 6, bSPIKES score = 6, X2: Chi-square test, F: Fischer’s exact test, HF: Health facility, BBN: Breaking bad news, # General practice/Community medicine/Family medicine/General outpatient department and primary health care, *: Emergency medicine/Mental Health/Dental Surgery