Communicating with terminally ill cancer patients and their families

Hjörleifsdóttir, Elísabet; Carter, Diana E.

doi:10.1054/nedt.2000.0483

Cited by 20 publications

(19 citation statements)

References 22 publications

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“…). Student nurses also identified a lack of support and guidance related to care of patients with cancer in the clinical setting, despite the lectures provided at universities (Hjörleifsdóttir & Carter ).…”

Section: Literature Reviewmentioning

confidence: 99%

‘It stays with me’: the experiences of second- and third-year student nurses when caring for patients with cancer

King-Okoye

Arber

2013

Eur J Cancer Care (Engl)

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Little is known about student nurses experiences of nursing patients with cancer in the UK. With the increasing survival of people with cancer and with cancer no longer seen as a terminal illness it is useful to understand student nurses clinical experience when nursing those with cancer. This study takes a phenomenological approach involving three focus group interviews with twenty student nurses from the second and third year of their course in one centre in the UK. All the students had experience of caring for patients with cancer. The key themes emerging from the study were: Communication, Impact on Self, Lack of Support and End-of-Life-Care. Students emphasized the need to have more knowledge and support in relation to cancer care. They describe how they lack communication skills and found it difficult to handle their emotions. A number of students found the whole experience of caring for patients with cancer emotionally distressing and draining and they describe avoiding contact with these patients by using distancing and avoidance strategies. Student nurses need additional support through demystifying cancer, using reflective practice and good mentoring in the clinical area to enable students to feel supported, and develop confidence in their capacity for care for people with cancer.

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Section: Literature Reviewmentioning

confidence: 99%

‘It stays with me’: the experiences of second- and third-year student nurses when caring for patients with cancer

King-Okoye

Arber

2013

Eur J Cancer Care (Engl)

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“…Even as undergraduate nursing students can be successfully taught reflective skills integrating knowledge and practice of how to talk to patients about death and dying, they are not able to critically apply those skills without support, guidance and experience (Wilkinson et al 1999;Duke & Appleton 2000;Hjorleifsdottir & Carter 2000). Even as undergraduate nursing students can be successfully taught reflective skills integrating knowledge and practice of how to talk to patients about death and dying, they are not able to critically apply those skills without support, guidance and experience (Wilkinson et al 1999;Duke & Appleton 2000;Hjorleifsdottir & Carter 2000).…”

Section: Engagement With Existential Distressmentioning

confidence: 99%

Alleviating existential distress of cancer patients: can relational ethics guide clinicians?

Leung

Esplen

2010

European Journal of Cancer Care

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Most people have a heightened awareness of death at the moment they receive a cancer diagnosis. Medical treatment attempts to demystify and manage death, yet surprisingly, care that alleviates existential distress is the least provided psychosocial care. A review of empirical research [quantitative and qualitative studies (n = 85) and seven literature reviews] was conducted to explore the experiences of clinicians (primarily nurses) working with cancer patients who experience existential distress. This paper summarizes clinicians' experiences with cancer patients who face the threat of mortality. Given that the majority of literature was found to be in nursing, emphasis in this paper tends to be on nurses' experiences. However, findings are suggested to have implications for other clinicians who deal with similar concerns. A lens of relational ethics was inductively found to organize and highlight problems and gaps that originate from interpersonal concerns. This paper describes four themes requiring further research and education related to existential distress: engagement, embodiment, environment and mutual respect. Implications for oncology care are suggested at the micro-, meso- and macro-levels to encourage clinicians to ethically respond to patients' existential distress needs.

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“…Lack of communication skills can diminish patient disclosure, increase patient anxiety, and decrease satisfaction with care. Communication difficulties are also a recognized stress and emotional burnout factor among healthcare professionals (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

The Relations Between Perceived Stress, Communication Skills and Psychological Symptoms in Oncology Nurses

Onan¹,

Barlas²,

Karaca³

et al. 2015

MUSBED

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Onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiler Amaç: Bu çalışmanın amacı onkoloji hemşirelerinde algılanan stres, iletişim becerileri ve psikolojik semptomlar arasındaki ilişkiyi incelemektir. Yöntem: Çalışma İstanbul'da onkoloji birimlerinde çalışan 102 hemşireyle gerçekleştirilmiştir. Veriler Bilgi Formu, Algılanan Stres Ölçeği (ASÖ), İletişim Becerilerini Değerlendirme Ölçeği (İBDÖ) ve Kısa Semptom Envanteri (KSE) kullanılarak toplanmış ve tanımlayıcı istatistiksel analiz ve sperman korelasyon analizi kullanılarak değerlendirilmiştir. Bulgular: Hemşirelerin ASÖ puan ortalaması 16.85 (SD=6.08), İBDÖ puan ortalaması 73.34 (SD=23.28) ve KSE puan ortalaması 32.68 (SD=33.13) bulunmuştur. Hemşirelerin %84.3'ü öfkeli ve ajite hastalarla iletişimde güçlük yaşadıklarını ifade etmiştir. ASÖ ile İBDÖ arasında (r=-0.28; p<0.01) ve ASÖ ile KSE toplam puan (r=0.50; p<0.01) ve alt boyutları arasında pozitif bir korelasyon saptanmıştır. Sonuç: Onkoloji birimlerinde çalışan hemşirelerin iletişim becerilerini güçlendirmek ve algıladıkları stres düzeylerine yönelik girişimde bulunmak hem hemşirelerin kendi psikolojik sağlıklarına hem de hasta ve ailelerle yaşadıkları iletişim güçlüklerini azaltmaya ve dolayısıyla sunulan hizmetin kalitesine olumlu katkıda bulunabilir. Anahtar sözcükler: onkoloji hemşiresi, iletişim, algılanan stres, psikolojik semptom ABS TRACT The relations between perceived stress, communication skills and psychological symptoms in oncology nursesObjective: This study aims to determine the correlation between perceived stress, communication skills and psychological symptoms in oncology nurses. Methods: The study was conducted in collaboration with 102 nurses working in oncology departments of hospitals in Istanbul. The data was collected through Questionnaire Form, Perceived Stress Scale (PSS), Communication Skills Assessment Scale (CSAS) and Brief Symptom Inventory (BSS). Descriptive statistical analysis and spearman correlation analysis were used to evaluate the data. Results: Nurses received 16.85 (SD=6.08) points from PSS, 73.34 (SD=23.28) points from CSAS, and lastly 32.68 (SD=33.13) points from BSI. 84.3% of the nurses reported experiencing communication problems with angry and agitated patients. There was a negative correlation between PSS and CSAS (r=-0.28; p<0.01). A positive correlation was found between PSS and BSI total scores (r=0.50; p<0.01) and all the other sub-dimensions. Conclusion: Improving communication skills of oncology nurses and the interventions for their perceived stress levels may have effects as promoting their own psychological health as well as decreasing communicational difficulties with the patients and their families; and thus, it may affect the quality of care.

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Communicating with terminally ill cancer patients and their families

Cited by 20 publications

References 22 publications

‘It stays with me’: the experiences of second- and third-year student nurses when caring for patients with cancer

‘It stays with me’: the experiences of second- and third-year student nurses when caring for patients with cancer

Alleviating existential distress of cancer patients: can relational ethics guide clinicians?

The Relations Between Perceived Stress, Communication Skills and Psychological Symptoms in Oncology Nurses

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