کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2647527 1139047 2015 8 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Improving communication with palliative care cancer patients at home – A pilot study of SAGE & THYME communication skills model
ترجمه فارسی عنوان
بهبود ارتباط با بیماران سرطانی با مراقبت تسکینی در خانه؛ یک مطالعه آزمایشی مدل مهارت ارتباطات SAGE و THYME
کلمات کلیدی
پرستار منطقه؛ مراقبت تسکینی؛ مهارت های ارتباطی
District Nurse; Palliative care; Communication skills
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

PurposeTo pilot an evidence-based communication skills model (SAGE & THYME) with UK District Nurses (DNs) who visit patients with advanced cancer early in the dying trajectory. Evidence suggests that DNs lack confidence in communication skills and in assessing cancer patients' psycho-social needs; also that they lack time. SAGE & THYME is a highly structured model for teaching patient centred interactions. It addresses concerns about confidence and time.MethodMixed methods. 33 DNs were trained in SAGE & THYME in a three hour workshop and interviewed in focus groups on three occasions: pre-training, immediately post-training and two months post-training. Questionnaires measuring perceived outcomes of communication, confidence in communication and motivation to use SAGE & THYME were administered at the focus groups.ResultsSAGE & THYME provided a structure for conversations and facilitated opening and closing of interactions. The main principle of patient centeredness was reportedly used by all. Knowledge about communication behaviours helpful to patients improved and was sustained two months after training. Increased confidence in communication skills was also sustained. Motivation to use SAGE & THYME was high and remained so at two months, and some said the model saved them time. Challenges with using the model included controlling the home environment and a change in style of communication which was so marked some DNs preferred to use it with new patients.ConclusionTraining DNs in SAGE & THYME in a three hour workshop appears to be a promising model for improving communication skills when working with cancer patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Oncology Nursing - Volume 19, Issue 5, October 2015, Pages 465–472
نویسندگان
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