Cue-responding behaviours of oncology nurses in video-simulated interviews.
Authors
Uitterhoeve, RuudDe Leeuw, Jacqueline
Bensing, Jozien
Heaven, Cathy
Borm, George
Demulder, Pieter
Van Achterberg, Theo
Affiliation
Centre for Quality of Care Research, Nursing Science, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. r.uitterhoeve@cis.umcn.nlIssue Date
2008-01
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AIM: This paper is a report of a study to describe nurse-patient interactions, i.e. nurses' cue-responding behaviour in encounters with actors playing the role of patients. BACKGROUND: Patients with cancer seldom express their concerns directly but express cues instead. Few studies empirically investigated nurses' cue-responding behaviour and the subsequent influence of disclosure of cues and concerns. METHODS: In this descriptive observational study, conducted from April to June 2004, five oncology nurses interviewed an actor playing the role of a patient with cancer. Each nurse performed seven different interviews (n = 35); these were videotaped and subsequently rated for cue-responding using the Medical Interview Aural Rating Scale. Mixed model analysis was used to investigate the relation between cues and cue-responding. FINDINGS: Half of the patients' cues were responded to with distancing behaviours. The other half of the cues were either explored (33%) or acknowledged (17%). In 16% of these responses, nurses used open directive questions. One out of four open directive questions were used as a distancing response, suggesting that open directive questions are not used to explore or acknowledge cues of patients. Cue-responding influenced subsequent expression of concerns and emotions, i.e. disclosure of a concern is two times higher after exploration or acknowledging of a preceding cue than after a distancing response. CONCLUSION: Cue-responding is a valuable concept which can contribute to our understanding of optimal ways of communicating. Cue-responding behaviour facilitates the disclosure of worries and concerns of patients. Further research is needed to assess the clinical relevancy of cue-responding.Citation
Cue-responding behaviours of oncology nurses in video-simulated interviews. 2008, 61 (1):71-80 J Adv NursJournal
Journal of Advanced NursingDOI
10.1111/j.1365-2648.2007.04467.xPubMed ID
18034816Type
ArticleLanguage
enISSN
0309-2402ae974a485f413a2113503eed53cd6c53
10.1111/j.1365-2648.2007.04467.x
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