![]() ![]() All trials found at least one statistically significant improvement for nurses' communication skills.Įducational interventions to enhance nurses' capacity to communicate with patients show promise. Five trials focused on communication with cancer patients using simulated patients. Training programs varied significantly in duration, structure, location and use of outcome measurement tools. Of the 7811 papers identified, seven trials met the eligibility criteria. The heterogeneity of the included studies prohibited meta-analysis. Trial quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Data were extracted regarding study design and effectiveness on nurses' communication skills. The Preferred reporting Items for Systematic reviews and Meta-Analyses guided the review. Studies were included if they reported an educational intervention to enhance nurses' communication with patients and contained an objective measure of communication skills and/or patient outcome measures. Randomised controlled trials published in English from 1998 to 2018, identified in five computerised databases (Medline, Cinahl, Embase, Psychinfo and Cochrane Database). The objective of this systematic review was to identify, critically appraise and synthesise evidence for the effectiveness of communication skills training interventions in nursing practice. Although results outline PTP efficacy, they indicate the need to design PTP, amplifying the transfer of learned CS to clinical practice. No training effect was observed on nurses' satisfaction levels, but a positive training effect was found on patients' satisfaction levels (P</=0.01). ![]() Less positive training effects were found regarding interviews with a cancer patient: a significant increase in educated guesses (P</=0.001) was noticed. Positive training effects were found on CS used during the simulated interview: a significant increase in facilitative behaviours (open questions: P</=0.001 evaluative functions: P</=0.05) and a significant decrease in inhibitory behaviours (inappropriate information: P</=0.01 false reassurance: P</=0.05). Compared to controls, trained nurses reported positive changes on their stress levels (P</=0.05) and on their attitudes (P</=0.05). Trained (TG) and control (CG) groups were compared at baseline, after 3 months (just following training for TG) and after 6 months (3 months after the end of training for TG). Stress was assessed with the Nursing Stress Scale, attitudes with a Semantic Differential Questionnaire, CS used during one simulated and one actual patient interview with the Cancer Research Campaign Workshop Evaluation Manual, and satisfaction with the nurses' CS with a questionnaire completed by the patients and the nurses. A total of 115 oncology nurses were randomly assigned to a 105-h PTP or to a waiting list. The present study was designed to assess the impact of a PTP on HCP stress, attitudes and CS, and on HCP and patients' satisfaction with HCP communication skills in a randomised study. Testing the efficacy of PTP will allow to define their optimal content. Psychological training programs (PTPs) may be useful to acquire the needed CS. ![]() There is today a wide consensus regarding the need to improve communication skills (CS) of health-care professionals (HCPs) dealing with cancer patients.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |