The SPIKES Protocol

The SPIKES Protocol is a guide for healthcare professionals to deliver bad news compassionately and effectively. It stands for Setting, Perception, Invitation, Knowledge, Empathy, and Summary. First, they prepare a private, comfortable environment. Next, they gauge the patient’s understanding of their condition. Then, they ask how much information the patient wants. They share the diagnosis clearly and honestly, while showing empathy and understanding. Finally, they summarize the next steps and answer questions. This approach helps patients receive difficult news with compassion, promoting understanding and emotional support.