Despite the development and implementation of team training models in geriatrics palliative care, little attention has been paid to nature process teamwork. Geriatrics care clinical setting offer an interdisciplinary approach structured meet comprehensive needs a patient his or her family. Fellowship members geriatric participated semistructured interviews. Team represented social work, chaplaincy, psychology, nursing, medicine. A functional narrative analysis revealed four themes: voice...

This study builds upon existing protocols for breaking bad news (BBN), and offers an interaction-based approach to communicating comfort patients their families. The goal was analyze medical students' (N = 21) videotaped standardized patient BBN interactions after completing instructional unit on a commonly used protocol, known as SPIKES. Through post hoc interviews with the student, patients, faculty member unit, we revealed discrepancies between clinicians' idealized actual delivery...

Curricular changes to palliative care communication training are needed in order accommodate a variety of learners, especially lieu the projected national shortage hospice and medicine physicians nurses.This study assessed utility curriculum offered through an online platform also examined health professionals' clinical experiences related topics.Four seven modules COMFORT were made available online, participant assessments knowledge skills measured.Modules completed by 177 participants,...

The COVID-19 pandemic brought a disruption to nurse education for both nursing faculty and students as all non-clinical courses worldwide moved distance or online learning. sudden shift meant the loss of traditional activities learn communication skills creating critical demand open educational resources faculty. Tools support development teaching are nearly non-existent pedagogical content knowledge is needed.The purpose this study was test two COMFORT Communication Modules (PPE...

Although quality communication has been identified as a necessary component to cancer care, skills training programs have yet focus on the unique role of nurses. This study explored barriers reported by seven nurse managers better identify needed for oncology nurses practice patient-centered care. Thematic analysis transcripts was used patient and family desirable nursing skills. Overall, that experience difficulties result inconsistent messages patients from other healthcare staff....

Nurses have opportunities to engage in goals of care conversations that can promote palliative communication. The purpose this study was describe nurses' experiences communication as summarized the literature and present a conceptual model pathways for nurses.

Abstract Purpose There are over 18 million cancer survivors in the U.S., with a projected increase of 24.4% next decade. Currently, little is known about relationship between survivor’s caregiving responsibility and their psychological distress. This study examines whether who assume role informal caregivers (surviving caregivers) experience greater distress than without responsibilities. Methods Data were drawn from National Cancer Institute’s Health Information Trends Survey (HINTS5,...

Objectives Family caregivers of cancer patients have a vital role in facilitating and sharing information about cancer, revealing need to develop caregiver health literacy skills support communication. The goal this study was investigate print materials assess new communication resource titled A Communication Guide for CaregiversTM. Methods Using model six domains skills, education were collected evaluated support. also developed assessed by healthcare providers. Caregivers reviewed content...

The aim of this study is to illustrate an evidence-based and theoretically informed mhealth resource (smartphone app) designed provide communication support for informal cancer caregivers (friends or family members).

When family caregivers are involved in patient care, both patients and experience better clinical outcomes. However, communication difficulties as they navigate a complex health care system interact with providers. Research indicates that burden can result topic avoidance distress; however, little is known about how stemming from providers relates to caregiving outcomes.To investigate caregiver influence quality of life anxiety.Data were collected cross-sectional online survey 220 resulting...

For the current study, clinical observations of communication between patients, families, and clinicians during chronic, serious, or terminal illness in a cancer care trajectory were examined for patterns trends. Five characteristics concluded, which informed typology journeys experienced by patients with their families. The isolated journey characterizes an path about prognosis end-of-life options are not present; is restricted curative-only approach to diagnosis as well structure medical...

The quality of communication between the patient and family caregiver impacts life well-being for two; however, providers have few tools to understand patterns assess needs preferences caregivers. aims this study were examine among oncology patients their caregivers identify common characteristics four different types caregivers.Nurses recruited patient-caregiver dyads through a large cancer treatment center in Southeast. Patients separated from one another interviewed during...

Little attention has been paid to the specific communication training needs of nurses in palliative care. A narrative-based approach communication, or narrative nursing, is proposed as a framework for developing holistic preparation nurses. Building on clinical and nonclinical research hospice, care, medical education settings, authors present COMFORT initiative an outline tenets nursing. acronym orientation opportunity, mindfulness, family, oversight, reiterative radically adaptive...

Oncology nurses consistently exhibit distress when communicating about end-of-life topics with patients and families. Poor communication experiences processes correlate emotional distress, moral work-related stress. The National Consensus Project (NCP) for Quality Palliative Care developed clinical practice guidelines to establish quality standards the of palliative care. NCP's are expressly intended as an interdisciplinary document representative inherent nature Communication's value...

Due to an absence of communication training, provider responses patient/family spiritual distress are highly variable. Assessing and forgiveness concerns important ensuring quality holistic care.Cross-sectional survey data were collected from providers attending 1 2 continuing education courses. The measured the frequency initiation about spirituality with patients/families, perceived difficulty in across topics, preparation resources for these discussions.Most participants (n = 124) nurses...

Despite increased attention to communication skill training in palliative care, few interprofessional programs are available and little is known about the impact of such training.This study evaluated a curriculum offered care teams examined longitudinal training.Interprofessional, hospital-based team members were competitively selected participate two-day using COMFORT(TM SM) (Communication, Orientation options, Mindful communication, Family, Openings, Relating, Team) Communication for...