SPIKES: A Six-step Strategy for Delivering Bad News
To facilitate sharing information about prognosis with the patient during end-of-life care discussions, clinicians can use the "SPIKES" process (Setting up, Perception, Invitation, Knowledge, Emotions, and Strategy and Summary).
Registered Nurses’ Association of Ontario. (2011). SPIKES: A Six Step Strategy for Delivering Bad News (Baile et al., 2000, p. 305-307) of End-of-Life Care During the Last Days and Hours.Toronto, Canada: Author. p 30.
Related resources
External linkRNAO coaches can help
Through collaborations with LTC homes, our team of coaches work towards improving resident care and promoting positive workplaces by implementing RNAO’s clinical and healthy work environment best practice guidelines.
Identify where you can improve
Use RNAO's gap (opportunity) analysis tool to help identify where evidence-based best practice recommendations can improve your organization's current practice.
