Breaking Bad News: the SPIKES protocol
The challenge
Clinicians know the SPIKES protocol but avoid the emotional weight of delivering bad news.
The instructional solution
A behaviour-change simulation with a dynamic trust meter across the 6 steps, decisions with real consequences, and silence used as a deliberate design element. Grounded in Baile et al. (2000), Sweller and Mayer: reflective practice over memorization.
Tools
Storyline 360 · advanced variables and states · SCORM
