Interventions to Improve Nurse Therapeutic Communications in the Context of Palliative Care: Literature Review
Keywords:
Nurse; communication skills; training; palliative careAbstract
Aims: The aim of this research is to obtain evidence of what research has been done and to know the effect of the training.
Methods: Through a review using 3 databases, namely Ebsco, ScienceDirect, PubMed, and other sources with the keywords “nurse; communication skills; training; palliative care”. From 2001 to 2021, the type of research consisted of RCT, experiment, randomization of pre-test – post-test, randomized trial, implementation, and curriculum development.
Results: Obtained a review of 7 articles in this study from 495 results found from several pieces of training carried out including psychological training, workshops, module preparation, role play or simulations, and audio-visual training. In general, the direct effect of communication training on nurses can increase communication competence, while in patients it affects the quality of life, patient satisfaction increases, and symptoms of psychological distress in patients can decrease.
Conclusions: Communication training for nurses is very important. To improve nurses' communication skills, it is expected that self-development through various other types of research to increase competence so that it can be applied to nursing services.
References
Sudarsa, IW (2020). Palliative Comprehensive Care: Airlangga University Press.
Teoli, D., & Kalish, VB (2020). Palliative Care. In StatPears. Treasure Island (FL): StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.
Transyah, CH, & Toni, J. (2018). The Relationship between the Application of Nurse Therapeutic Communication and Patient Satisfaction. Journal of Endurance, 3(1). doi:10.22216/jen.v3i1.2487
Chan, EA, Tsang, PL, Ching, SSY, Wong, FY, & Lam, W. (2019). Nurses' perspectives on their communication with patients in busy oncology awards: A qualitative study. PloS one, 14(10), e0224178-e0224178. doi:10.1371/journal.pone.0224178
Fuoto, A., & Turner, KM (2019). Palliative Care Nursing Communication: An Evaluation of the COMFORT Model. J Hosp Palliat Nurs, 21(2), 124-130. doi:10.1097/njh. 0000000000000493
Wittenberg, E., Ferrell, B., Goldsmith, J., Ragan, SL, & Buller, H. (2017). COMFORT™(SM) communication for oncology nurses: Program overview and preliminary evaluation of a nationwide train-the-trainer course. Patient Educ Couns, 101(3), 467-474. doi:10.1016/j.pec.2017.09.012
Milton, AC, Mullan, B., MacCann, C., & Hunt, C. (2018). An evaluation of communication barriers and facilitators at the time of a mental health diagnosis: a survey of health professional practices. Epidemiology and psychiatric sciences, 27(4), 357-368. doi:10.1017/ S204579601600 1153
Buller, H., Virani, R., Malloy, P., & Paice, J. (2019). End-of-Life Nursing and Education Consortium Communication Curriculum for Nurses. J Hosp Palliat Nurs, 21(2), E5-e12. doi:10.1097/ njh.0000000000000540
Crawford, T., Candlin, S., & Roger, P. (2015). New perspectives on understanding cultural diversity in nurse–patient communication. Collegian, 24(1), 63-69. doi:10.1016/j.colegn.2015.09.001
Orford, NR, Milnes, S., Simpson, N., Keely, G., Elderkin, T., Bone, A., . . . Corke, C. (2019). Effect of communication skills training on outcomes in critically ill patients with life-limiting illness referred to intensive care management: a before-and-after study. BMJ Supportive & Palliative Care, 9(1), e21-e21. doi:10.1136/bmjspcare-2016-001231
Banerjee, SC, Manna, R., Coyle, N., Shen, MJ, Pehrson, C., Zaider, T., . . . Bylund, CL (2016). Oncology nurses' communication challenges with patients and families: A qualitative study. Nurse Educ Pract, 16(1), 193-201. doi:10.1016/j.nepr.2015.07.007
Snyder, H. (2019). Literature Review as a Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333-339.
Delvaux, N., Razavi, D., Marchal, S., Brédart, A., Farvacques, C., & Slachmuylder, JL (2004). Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomized study. Br J Cancer, 90(1), 106-114. doi:10.1038/sj.bjc.6601459
Fukui, S., Ogawa, K., Ohtsuka, M., & Fukui, N. (2008). A randomized study assessing the efficacy of communication skill training on patients' psychologic distress and coping: nurses' communication with patients just after being diagnosed with cancer. Cancer, 113(6), 1462-1470. doi:10.1002/cncr.23710
Wittenberg, E., Goldsmith, J., Ferrell, B., & Platt, CS (2015). Enhancing Communication Related to Symptom Management Through Plain Language. J Pain Symptom Manage, 50(5), 707-711. doi:10.1016/j.jpainsymman.2015.06.007
Gerhart, J., O'Mahony, S., Abrams, I., Grosse, J., Greene, M., & Levy, M. (2016). A pilot test of a mindfulness-based communication training to enhance resilience in palliative care professionals. Journal of Contextual Behavioral Science, 5(2), 89-96. two:https://doi.org/10.1016/j.jcbs.2016.04.003
Curtis, JR, Back, AL, Ford, DW, Downey, L., Shannon, SE, Doorenbos, AZ, . . . Engelberg, RA (2013). Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. Jama, 310(21), 2271-2281. doi:10.1001/jama.2013.282081
Brown, CE, Back, AL, Ford, DW, Kross, EK, Downey, L., Shannon, SE, . . . Engelberg, RA (2018). Self-Assessment Scores Improve After Simulation-Based Palliative Care Communication Skill Workshops. Am J Hosp Palliat Care, 35(1), 45-51. doi:10.1177/1049909116681972
Kruijver, IP, Kerkstra, A., Kerssens, JJ, HoItkamp, CC, Bensing, JM, & van de Wiel, HB (2001). Communication between nurses and simulated patients with cancer: evaluation of a communication training programme. Eur J Oncol Nurs, 5(3), 140-150; discussion 151-143. doi:10.1054/ejon.2001.0139
Petursdottir, AB, & Svavarsdottir, EK (2019). The effectivness of a strengths-oriented therapeutic conversation intervention on perceived support, well-being and burden among family caregivers in palliative home-care. J Adv Nurs, 75(11), 3018-3031. doi:10.1111/jan.14089
Araújo, Monica Martins Trovo de, & Maria Julia Paes da Silva. (2012). Communication strategies used by health care professionals in providing palliative care to patients.
Hejazi, F., Bahrami, M., Keshvari, M., & Alavi, M. (2017). The Effect of a Communicational Program on Psychological Distress in the Elderly Suffering from Cancer. Iran J Nurs Midwifery Res, 22(3), 201-207. doi:10.4103/1735-9066.208158
Granek By Leeat, P., Monika K. Krzyzanowska, MD, MPH, Richard Tozer, MD, and Paolo Mazzotta, MD. (2013). Oncologists' Strategies and Barriers to Effective Communication About the End of Life.
Gijsberts, MHE, Liefbroer, AI, Otten, R., & Olsman, E. (2019). Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature. Med Sci (Basel), 7(2). doi:10.3390/ medsci7020025
Reblin, M., Otis-Green, S., Ellington, L., & Clayton, MF (2014). Strategies to support spirituality in health care communication: a home hospice cancer caregiver case study. J Holist Nurs, 32(4), 269-277. doi:10.1177/0898010114531856
Gramling, R., Stanek, S., Ladwig, S., Gajary-Coots, E., Cimino, J., Anderson, W., . . . Unroe, KT (2016). Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting. J Pain Symptom Manage, 51(2), 150-154. doi: 10.1016/j.jpainsymman.2015.10.018
Granek Leeat, & Monika K. Krzyzanowska, M., MPH, Richard Tozer, MD, and Paolo Mazzotta, MD. (2013). Oncologists' Strategies and Barriers to Effective Communication About the End of Life