Improving communication with palliative care cancer patients at home – A pilot study of SAGE &amp; THYME communication skills model

Griffiths, Jane; Wilson, Charlotte; Ewing, Gail; Connolly, Michael; Grande, Gunn

doi:10.1016/j.ejon.2015.02.005

Cited by 38 publications

(30 citation statements)

References 37 publications

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“…Communication skills guidelines and strategies for structuring these conversations may be one source of support, with examples including the Australian PREPARED guidelines23 and the British SAGE & THYME model 48 49. Both are formed of evidence-based components, which, when used as a whole, have been found to improve clinicians’ confidence with end-of-life care conversations 48 50. If the concern is more regarding knowledge of palliative and end-of-life care, rather than confidence in communication skills, more general education programmes have again been successful in improving clinicians' knowledge of this field 51–53…”

Section: What Can We Do To Improve End-of-life Care Communication?mentioning

confidence: 99%

Communication in palliative care: talking about the end of life, before the end of life

Brighton

Bristowe

2016

Postgraduate Medical Journal

260

232

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Increasing evidence demonstrates the benefits of early end-of-life care discussions with patients with lifethreatening illness and their families. However, these conversations often do not occur. This review explores some of the many barriers faced by clinicians in relation to end-of-life care discussions, including prognostic uncertainty, fear of causing distress, navigating patient readiness and feeling unprepared for these conversations. The value of core clinical communication skills, potential strategies for improvement and areas for future research are also discussed. It is essential that clinicians offer patients facing life-threatening illness, and those close to them, the opportunity to discuss end-of-life issues in line with their information and decision-making preferences. With a growing and ageing global population, supporting both generalist and specialist providers of palliative care in this task is key. With careful preparation, fears of undertaking these discussions should not be a barrier to initiating them.

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Section: What Can We Do To Improve End-of-life Care Communication?mentioning

confidence: 99%

Communication in palliative care: talking about the end of life, before the end of life

Brighton

Bristowe

2016

Postgraduate Medical Journal

260

232

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“…The SAGE and THYME model helps to guide the nurses through the active cycle of empathetic listening to identify and address the key concerns of patients living with advanced cancer [7]. Table 1 shows the SAGE and THYME model.…”

Section: The Sage and Thyme Communication Modelmentioning

confidence: 99%

“…As for 'THYME', it prompts the nurses to ask the patients whether is there anyone they have Talk to regarding their concerns?, does it Help after talking to them?, is there any solutions that the patients (You) believe would help?, and is there anything that they would like the nurses (Me) to help? followed by summarizing their concerns to End the conversation [7].…”

Section: The Sage and Thyme Communication Modelmentioning

confidence: 99%

Promoting Effective Nurse-Patient Communication in Palliative Care Using the SAGE and THYME Model: Can it be Implemented Cross-Culturally?

Ang¹

2019

TONURSJ

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Effective communication in palliative care is essential in making optimal health care decisions that align with the interests of the patients and empowering them to be involved in their care planning. However, many Asian nurses lacked the prerequisite communication skills required to assess and address the informational needs of advanced cancer patients. These nurses often adopt a routinized approach of giving information to patients to overcome their inadequacies in eliciting patients’ concerns. Thus, this opinion paper seeks to understand whether the SAGE and THYME model can be utilised widely by nurses across different cultural contexts to facilitate more effective communication and to develop therapeutic relationships with advanced cancer patients who are receiving palliative care.

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“…So skizziert das SPIKES-Protokoll (4) wesentliche Kommunikationsschritte bei der Überbringung einer schwerwiegenden Diagnose ("breaking bad news"). Modelle wie NURSE (5,6) oder SAGE&THYME (7,8) fokussieren auf den Umgang mit starken Emotionen und geben grundlegende Hinweise zur Gesprächsführung mit emotional belasteten Patienten.…”

Section: Introductionunclassified

„Das heißt, ich muss sterben?!” Training kommunikativer Fertig keiten in der Onkologie und Palliativmedizin

Neuderth¹,

Thierolf²,

Wolf³

et al. 2017

Onkologische Welt

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ZusammenfassungDas Überbringen schlechter Nachrichten wird von Ärzten oft als Herausforderung empfunden. Hinweise zum kompetenten Umgang mit solchen Gesprächssituationen sind daher zunehmend in die ärztliche Aus- und Weiterbildung implementiert worden, die entsprechenden Fertigkeiten nehmen im Nationalen Kompetenzbasierten Lernzielkatalog Medizin (NKLM) einen wichtigen Stellenwert ein. Das in diesem Beitrag vorgestellte Praxisbeispiel ermöglicht es Medizinstudierenden, das überbringen schlechter Nachrichten am übergang zu einem palliativen Behandlungsansatz im Rollenspiel mit einer Simulationspatientin zu üben. Aufgabe der Studierenden in der Arztrolle ist es, den Befund (metastasierter Brustkrebs, palliative Situation) und - sofern möglich - die Behandlungsoptionen zu besprechen. Am Universitätsklinikum Würzburg wird das Szenario im Querschnittsbereich „Interdisziplinäre Onkologie” im 7. Semester verwendet. Die besonderen Herausforderungen dieser Fallvignette sind die emotionalen Reaktionen der Patientin und ihre Situation als junge Mutter, die das Aufwachsen ihres Kindes mit hoher Wahrscheinlichkeit nicht mehr erleben wird. Die Evaluationsergebnisse der Veranstaltung sprechen für einen hohen Realitätsgehalt der Rollenspiele und eine breite Akzeptanz bei den Studierenden.

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Improving communication with palliative care cancer patients at home – A pilot study of SAGE & THYME communication skills model

Cited by 38 publications

References 37 publications

Communication in palliative care: talking about the end of life, before the end of life

Communication in palliative care: talking about the end of life, before the end of life

Promoting Effective Nurse-Patient Communication in Palliative Care Using the SAGE and THYME Model: Can it be Implemented Cross-Culturally?

„Das heißt, ich muss sterben?!” Training kommunikativer Fertig keiten in der Onkologie und Palliativmedizin

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