Communication patterns in nurse-led chemotherapy clinics: A mixed-method study
AffiliationThe Christie NHS FT, Withington, Manchester, UK.
MetadataShow full item record
AbstractOBJECTIVE: 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 . 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  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.
CitationFarrell C, Chan EA, Siouta E, Walshe C, Molassiotis A. Communication patterns in nurse-led chemotherapy clinics: A mixed-method study. Patient Educ Couns. 2020.
JournalPatient Education and Counseling
- Communicative constructions of person-centred and non-person-centred caring in nurse-led consultations.
- Authors: Siouta E, Farrell C, Chan EA, Walshe C, Molassiotis A
- Issue date: 2019 Jun
- Are nurse-led chemotherapy clinics really nurse-led? An ethnographic study.
- Authors: Farrell C, Walshe C, Molassiotis A
- Issue date: 2017 Apr
- Nurse-patient communication in cancer care: does responding to patient's cues predict patient satisfaction with communication.
- Authors: Uitterhoeve R, Bensing J, Dilven E, Donders R, deMulder P, van Achterberg T
- Issue date: 2009 Oct
- Prepared for surgery - Communication in nurses' preoperative consultations with patients undergoing surgery for colorectal cancer after a person-centred intervention.
- Authors: Pettersson ME, Öhlén J, Friberg F, Hydén LC, Wallengren C, Sarenmalm EK, Carlsson E
- Issue date: 2018 Jul