Nurse-Perceived Communication Challenges and Roles on Interprofessional Care Teams

Wittenberg, Elaine; Goldsmith, Joy; Neiman, Tammy

doi:10.1097/njh.0000000000000160

Cited by 16 publications

(8 citation statements)

References 13 publications

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“…We provide examples of how nurses communicate in an attempt to mediate transitions patients and caregivers experience during home hospice care (i.e., negotiating transitions surrounding loss of independence). These examples of what types of communication occurs and may be demanded of nurses in home hospice care may be useful for developing communication skills training to address the management of family conflict, a skill often lacking in basic curricula and where some nurses lack confidence (Wittenberg et al, 2015). These findings can guide and inform communication interventions informed to improve facilitation of communication between nurses, caregivers, and patients during the hospice care continuum.…”

Section: Discussionmentioning

confidence: 99%

Addressing cancer patient and caregiver role transitions during home hospice nursing care

et al. 2018

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A secondary, qualitative analysis was conducted on transcripts. Using an iterative process of constant comparison, coders inductively categorized nurse, caregiver, and patient communication behavior into overarching themes. Participants were home hospice nurses and cancer patient/spouse caregiver dyads; participants were >45 years of age, English speaking, and cognitively able to participate. Research took place in the home during nurse visits.ResultNineteen unique home hospice visits were analyzed. Patient-caregiver conflict occurred in two major content themes (1) negotiating transitions in patient independence and (2) navigating caregiver/patient emotions (e.g., frustration, sadness). Nurse responses to transition conflict included problem-solving, mediating, or facilitating discussions about conflicts. Nurse responses to emotional conflict included validation and reassurance.Significance of resultsOur findings provide insight into the topics and processes involved in patient and caregiver transitions in home hospice and the role hospice nursing communication plays in mediating potential conflict. Nurses are often asked to take on the role of mediator, often with little conflict resolution communication education; results can be used for nursing education.

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Section: Discussionmentioning

confidence: 99%

Addressing cancer patient and caregiver role transitions during home hospice nursing care

et al. 2018

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“…Communication challenges in EOL care have been identified in the literature (Blackhall, Erickson, Brashers, Owen, & Thomas, 2014;Boyle, Miller, & Forbes-Thompson, 2005;Reinke et al, 2011;Wittenberg, Goldsmith, & Neiman, 2015) and may be due to how little interprofessional education nurses and physicians receive (Blackhall et al, 2014). In order to improve communication in EOL care situations, instructional time should be increased and the topic offered more frequently.…”

Section: Research Questionmentioning

confidence: 99%

A Comparison of Educational Approaches to the End-of-Life-Nursing Education Consortium (ELNEC) Course

Bodine¹

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A COMPARISON OF EDUCATIONAL APPROACHES TO THE END-OF-LIFE NURSING EDUCATION CONSORTIUM (ELNEC) COURSE Purpose: The purpose of this project was to compare the effectiveness of two different educational approaches to teaching the End of Life Nursing Education Consortium course. Background: Terminally ill patients frequently visit the emergency department for palliative care. However, various references show that staff does not have the knowledge base necessary to provide quality end-of-life care in the emergency setting.Method: Participants from the emergency department at a Level I Trauma Center were recruited. A quantitative, cross-sectional pilot study was conducted to investigate whether lecture or lecture with simulation was more effective in increasing the knowledge base of participants regarding end-of-life care. Results:The lecture only and lecture with simulation groups were compared and showed no statistical significance between groups. However, when modules were examined individually, statistical significance was achieved in both groups for varying modules. Conclusion:As terminally ill patients continue to use the emergency department for pain and symptom management and end-of-life care, emergency staff must be provided with educational opportunities and resources regarding end-of-life care. The ELNEC course is one method for increasing the end-of-life knowledge base for nurses.

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“…The lack of clarity regarding the definition of PC can generate different understandings of work in this modality of care. This notion of PC should be worked not only in hospital context but also in the training processes of healthcare students, in order for them to overcome the conflicts in the professional context when they become workers in the sector (14,21) . A study conducted with six members of the multidisciplinary team, seeking to know their experience in palliative care in hospital context, points out that, among the challenges for performance in PC, were described conflicts and needs of training of the team to identify the difficulties in dealing with the end-of-life process.…”

Section: Discussionmentioning

confidence: 99%

Cuidado paliativo e enfermeiros de terapia intensiva: sentimentos que ficam

et al. 2016

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Objective: to know the feelings of nurses regarding palliative care in adult intensive care units. Method: qualitative study, which adopted the theoretical framework of Social Representations, carried out with 30 nurses of the state of Santa Catarina included by Snowball sampling. Data were collected through semi-structured interviews conducted from April to August 2015, organized and analyzed through the Collective Subject Discourse. Results: the results showed how central ideas are related to feelings of comfort, frustration, insecurity and anguish, in addition to the feeling that the professional training and performance are focused on the cure. Conclusion: the social representations of nurses regarding the feelings related to palliative care are represented mainly by negative feelings, probably as consequence of the context in which care is provided. Descriptors: Palliative Care; Nursing Care; Nursing; Social Perception; Intensive Care Units. RESUMO Objetivo: conhecer os sentimentos dos enfermeiros acerca dos cuidados paliativos em unidades de terapia intensiva de adultos. Método: estudo qualitativo, cujo referencial teórico adotado foi o das Representações Sociais, realizado com 30 enfermeiros do estado de Santa Catarina incluídos por amostragem Bola de Neve. Os dados foram coletados por meio de entrevistas semiestruturadas realizadas de abril a agosto de 2015, organizados e analisados por meio do Discurso do Sujeito Coletivo. Resultados: os resultados apontaram como ideias centrais estão relacionadas aos sentimentos de conforto, frustração, insegurança e angústia, além do sentimento de que a formação e atuação profi ssional estão voltados para o curativo. Conclusão: as representações sociais dos enfermeiros acerca dos sentimentos relacionados aos cuidados paliativos estão representadas principalmente por sentimentos negativos, provavelmente consequentes ao contexto em que se dá o cuidado. Descritores: Cuidados Paliativos; Cuidados de Enfermagem; Enfermagem; Percepção Social; Unidades de Terapia Intensiva. RESUMENObjetivo: conocer los sentimientos de los enfermeros sobre los cuidados paliativos en unidades de cuidados intensivos para adultos. Método: estudio cualitativo que adoptó el marco teórico de las representaciones sociales, y se llevó a cabo con 30 enfermeros en el estado de Santa Catarina que fueron incluidos por muestreo tipo bola de nieve. Los datos fueron recolectados a través de entrevistas semiestructuradas realizadas entre abril y agosto de 2015, organizados y analizados utilizando el Discurso del Sujeto Colectivo. Resultados: los resultados mostraron que las ideas centrales están relacionadas con sentimientos de comodidad, frustración, inseguridad y angustia, y la sensación de que la actividad profesional y la formación se centran en la curación. Conclusión: las representaciones sociales de los enfermeros sobre los sentimientos relacionados con los cuidados Palliative care and the intensive care nurses: feelings that endure Natyele Rippel Silveira

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Nurse-Perceived Communication Challenges and Roles on Interprofessional Care Teams

Cited by 16 publications

References 13 publications

Addressing cancer patient and caregiver role transitions during home hospice nursing care

Addressing cancer patient and caregiver role transitions during home hospice nursing care

A Comparison of Educational Approaches to the End-of-Life-Nursing Education Consortium (ELNEC) Course

Cuidado paliativo e enfermeiros de terapia intensiva: sentimentos que ficam

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