Ambulatory care nurses responding to depression

2017 ◽  
Author(s):  
Anthony De La Cruz ◽  
Richard F. Brown ◽  
Steve Passik
Keyword(s):  
Cancer Patients ◽  
Communication Skills ◽  
Healthcare Providers ◽  
Skills Training ◽  
Communication Skills Training ◽  
Common Occurrence ◽  
Treatment Of Depression ◽  
Patient’S Experience ◽  
Patients At Risk ◽  
Risks Factors

Depression is a common occurrence among cancer patients; however, it goes undetected by healthcare providers in about 50% of cases. Ambulatory nurses are in a key position to identify and respond to a patient’s emotional distress and aid in the detection of patients at risk for or suffering from depression. Programmes in communication skills training have been shown to help nurses detect and respond to patient depression. A model of core communication components consisting of strategies, skills, and process tasks is presented. This model will enable nurses to gain an understanding of the patient’s experience and assist in the recognition and treatment of depression. The results of a pilot programme utilizing this model and skills will also be presented. An overview of the nature of depression and risks factors and barriers to the identification of depression is presented.

scholarly journals Communication skills training for the radiotherapy team to manage cancer patients’ emotional concerns: a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025420 ◽  
Author(s):  
Mara Myrthe van Beusekom ◽  
Josie Cameron ◽  
Carolyn Bedi ◽  
Elspeth Banks ◽  
Gerald Humphris
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Cancer Patients ◽  
Communication Skills ◽  
Skills Training ◽  
Well Being ◽  
Repeated Measurements ◽  
Communication Skills Training ◽  
Patient Anxiety ◽  
Positive Effect

ObjectivesMany cancer patients experience high levels of anxiety and concern during radiotherapy, often with long-lasting effects on their well-being. This systematic review aims to describe and determine the effectiveness of communication skills training (CST) for the radiotherapy team (RT) to improve conversations in this setting and to support patients with emotional concerns.DesignSystematic review.InterventionsCST for RT members.Data sourcesOn 17 April 2018, databases Medline, Embase, Scopus and PsycNET were searched.Eligibility criteria, Population, Intervention, Comparison, Outcome(PICO)Quantitative and/or qualitative articles were included that evaluate the effect of a CST for RT members (vs no CST) on communication behaviours and patients’ emotional concerns.Data extraction and synthesisArticles were appraised using the mixed-methods appraisal tool, and a narrative synthesis was performed.ResultsOf the nine included articles, five were randomised controlled trials, three were mixed-methods and one used repeated measurements. Four of the five different CST programmes managed to increase emotional communicative behaviour from the RT, and all studies measuring patient communicative behaviour found an improvement in at least one of the hypothesised outcomes. Two studies examining patient anxiety and concerns found a positive effect of the CST, although one found a negative effect; two other studies without a positive effect on mood made use of both empathic CST and tools.ConclusionsThere are promising indications that CST can be successfully introduced to improve emotional conversations between RT members and patients. With the right support, the RT can play an important role to help patients cope with their emotional concerns. Future work is necessary to confirm initial promising results and to ensure the learnt communication skills are sustained.

Discussing the transition to palliative care: Evaluation of a brief communication skills training program for oncology clinicians

2010 ◽  
Vol 8 (4) ◽  
pp. 441-447 ◽  
Author(s):  
Michelle N. Grainger ◽  
Sue Hegarty ◽  
Penelope Schofield ◽  
Vicki White ◽  
Michael Jefford
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Communication Skills ◽  
Health Professionals ◽  
Skills Training ◽  
Simulated Patients ◽  
Communication Skills Training ◽  
Anti Cancer ◽  
Practical Information ◽  
Care Evaluation

AbstractObjective:Discussing the transition from active anti-cancer treatment to palliative care can be difficult for cancer patients and oncology health professionals (OHP). We developed a brief communication skills workshop to assist OHP with these conversations, and examined satisfaction with the workshop and perceived confidence regarding these discussions.Method:Interactive workshops were conducted by trained facilitators and included cognitive, behavioral, and experiential components. The major component of the workshop involved role-plays with trained actors (simulated patients). Participants completed an evaluation questionnaire.Results:Sixty-two OHP participated in workshops. Overall, participants were highly satisfied with the workshop content and format. All participants felt the workshop provided relevant practical information, and >80% thought that participation benefited their work. Over 98% said that the workshop had increased confidence in their communication skills.Significance of results:Participants were very satisfied with the workshop, and thought that participation increased confidence in communicating about the transition to palliative care. Dissemination of this model of communication skills training seems warranted.

scholarly journals Factors influencing physicians' detection of cancer patients' and relatives' distress: can a communication skills training program improve physicians' detection?

2008 ◽  
Vol 17 (3) ◽  
pp. 260-269 ◽  
Author(s):  
Isabelle Merckaert ◽  
Yves Libert ◽  
Nicole Delvaux ◽  
Serge Marchal ◽  
Jacques Boniver ◽  
...  
Keyword(s):  
Training Program ◽  
Cancer Patients ◽  
Communication Skills ◽  
Skills Training ◽  
Communication Skills Training ◽  
Factors Influencing

Enrolment in clinical trials

2017 ◽  
Author(s):  
Richard F. Brown ◽  
Terrance Albrecht
Keyword(s):  
Clinical Trials ◽  
Communication Skills ◽  
Information Flow ◽  
Healthcare Providers ◽  
Skills Training ◽  
Cancer Clinical Trials ◽  
Communication Skills Training ◽  
Shared Decision ◽  
Participation Rates ◽  
Cancer Treatments

Cancer clinical trials are conducted to progress the efficacy of cancer treatments. The success of such clinical trials is dependent on enrolling cancer patients. However, enrolments rates remain low, and lower participation rates are reported in minority patients. The goal of this chapter is to outline issues involved in recruitment to clinical trials and to describe the ethical principles underlying informed consent. A model of communication skills training is presented to provide suggested strategies to aid communication between healthcare providers and patients about clinical trials. The programme involves training in shared decision-making, information flow, and the disclosure of information. The results of a pilot programme utilizing this model and skills are also presented.

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