A clinical review of communication training for haematologists and haemato‐oncologists: a case of art <i>versus</i> science

Christie, Deborah; Glew, Sarah

doi:10.1111/bjh.14606

Cited by 13 publications

(14 citation statements)

References 67 publications

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“…As far as we know, few training courses in communication are addressed to haematologists and thus focus on their specific communication needs [63]. At the same time, communication remains a challenge for haematologists.…”

Section: Discussionmentioning

confidence: 99%

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

et al. 2020

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Background There is widespread agreement about the importance of communication skills training (CST) for healthcare professionals caring for cancer patients. Communication can be effectively learned and improved through specific CST. Existing CSTs have some limitations with regard to transferring the learning to the workplace. The aim of the study is developing, piloting, and preliminarily assessing a CST programme for hospital physicians caring for advanced cancer patients to improve communication competences. Methods This is a Phase 0-I study that follows the Medical Research Council framework; this paper describes the following sections: a literature review on CST, the development of the Teach to Talk training programme (TtT), the development of a procedure for assessing the quality of the implementation process and assessing the feasibility of the implementation process, and the pilot programme. The study was performed at a 900-bed public hospital. The programme was implemented by the Specialized Palliative Care Service. The programme was proposed to 19 physicians from 2 departments. Results The different components of the training course were identified, and a set of quality indicators was developed. The TtT programme was implemented; all the physicians attended the lesson, videos, and role-playing sessions. Only 25% of the physicians participated in the bedside training. It was more challenging to involve Haematology physicians in the programme. Conclusions The programme was completed as established for one of the two departments in which it was piloted. Thus, in spite of the good feedback from the trainees, a re-piloting of a different training program will be developed, considering in particular the bed side component. The program should be tailored on specific communication attitude and believes, probably different between different specialties.

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Section: Discussionmentioning

confidence: 99%

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

et al. 2020

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“…Our study interviewees also reported variation in haematologists' confidence in commencing ‘difficult’ discussions. A recent UK review reports varying levels of satisfaction among haemato-oncologists with their communication skills training and little evidence of consistency in teaching beyond medical school and specialist training (Christie and Glew, 2017). Such interventions are recommended, however, if the communication challenges faced by haematologists are to be met (Dharmarajan et al, 2016; Odejide et al, 2016; Christie and Glew, 2017).…”

Section: Discussionmentioning

confidence: 99%

Haematology nurses' perspectives of their patients' places of care and death: A UK qualitative interview study

McCaughan

Roman

Smith

et al. 2019

European Journal of Oncology Nursing

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PurposePatients with haematological malignancies are more likely to die in hospital, and less likely to access palliative care than people with other cancers, though the reasons for this are not well understood. The purpose of our study was to explore haematology nurses' perspectives of their patients’ places of care and death.MethodQualitative description, based on thematic content analysis. Eight haematology nurses working in secondary and tertiary hospital settings were purposively selected and interviewed. Transcriptions were coded and analysed for themes using a mainly inductive, cross-comparative approach.ResultsFive inter-related factors were identified as contributing to the likelihood of patients’ receiving end of life care/dying in hospital: the complex nature of haematological diseases and their treatment; close clinician-patient bonds; delays to end of life discussions; lack of integration between haematology and palliative care services; and barriers to death at home.ConclusionsHospital death is often determined by the characteristics of the cancer and type of treatment. Prognostication is complex across subtypes and hospital death perceived as unavoidable, and sometimes the preferred option. Earlier, frank conversations that focus on realistic outcomes, closer integration of palliative care and haematology services, better communication across the secondary/primary care interface, and an increase in out-of-hours nursing support could improve end of life care and facilitate death at home or in hospice, when preferred.

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“…As reported by previous studies, today's socio-cultural expectations require physicians to understand patients' feelings and show empathy [24]. This issue would be a challenge for physicians believing that they should maintain a professional distance with their patients in terms of emotions [25].…”

Section: Discussionmentioning

confidence: 99%

Reinforcing Factors Influencing Patient-physician Relationships: A Content Analysis Study

Bagheri

Somi

Ghaffarifar

2021

Preprint

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Background: Building an effective patient-physician relationship is a vital component of a successful health care. Therefore, educating and preparing students to communicate effectively with patients has always been critical. Such a criticism needs to evaluate the current situation and the socio-cultural context in which the communications are built. The aim of this study was to analyze the status of patient-physician relationship and explore factors influencing communication in Tabriz University of Medical Sciences (TUoMS) from the perspective of patients, students and faculty members.Methods: In this content analysis study, data were gathered using focus groups, semi-structured interviews and observations in the field, based on purposive sampling until the data saturation was achieved.Findings: Content analysis resulted in emerging five categories, affecting patient-physician relationship. They included factors related to: physician, patient, environment, socio-cultural context and health care system. Participants related their stratifying experiences of the PPR to 36 factors in five different categories. Among them, the factors related to the physician played the most significant role. Most students stated that they did not receive any practical or theoretical training in a form of a predefined formal program to improve their communication skills.Conclusion: The findings of this study indicated that the current situation of patient-physician relationship at TUoMS is not satisfying and serious and comprehensive interventions are needed to improve the PPR.

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A clinical review of communication training for haematologists and haemato‐oncologists: a case of art versus science

Cited by 13 publications

References 67 publications

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

Haematology nurses' perspectives of their patients' places of care and death: A UK qualitative interview study

Reinforcing Factors Influencing Patient-physician Relationships: A Content Analysis Study

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