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Communication patterns in nurse-led chemotherapy clinics: A mixed -method study
Farrell, Carole Siouta, E. Walshe, C. Molassiotis, A. Chan, E A
Farrell, Carole
Siouta, E.
Walshe, C.
Molassiotis, A.
Chan, E A
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Abstract
Objective: To determine patterns of nurse-patient communication in fulfilling patients' informational/psychosocial needs, effects of longer consultation/operational aspects on person-centred care experiences.
Methods: Mixed-method design; secondary analysis of transcripts of nurse-patient communication within nurse-led chemotherapy clinics in UK [3]. Purposive sampling (13 nurses); non-participant observations (61 consultations). Qualitative content analysis of audio-recorded transcripts. Quantitative analysis using the Medical Interview Aural Rating Scale [14] to compare mean differences in the number of cues and level of responding using one-way ANOVA, and correlational analyses of discursive spaces.
Results: Nurses responded positively to informational cues, but not psychosocial cues. Longer consultations associated with more informational and psychosocial cues (p < .0001), but not nurses' cue-responding behaviours. Four main themes emerged: challenges/opportunities for person-centred communication in biomedical contexts; patients' "life world" versus the "medical world"; three-way communication: nurse, patient and family; implications of continuity of care.
Conclusions: The challenges/opportunities for cue-responding in nurse-led chemotherapy clinics were evident for informational and psychosocial support of patients. Shifting from a biomedical to biopsychosocial focus is difficult.
Practice implications: Further evaluation is needed to integrate biopsychosocial elements into communication education/training. Careful planning is required to ensure continuity and effective use of time for person-centred care.
Keywords: Continuity of care; Cue-responding behaviours; Family dynamics; Nurse-led chemotherapy clinics; Nurse-patient communication; Patient-centred care; Psychosocial needs.
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Date
2020
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Article
Citation
Farrell C, Chan EA, Siouta E, Walshe C, Molassiotis A. Communication patterns in nurse-led chemotherapy clinics: A mixed-method study. Patient Educ Couns. 2020;103(8):1538-45.