Communication patterns in nurse-led chemotherapy clinics:A mixed-method study

Farrell, Carole and Chan, E Angela and Siouta, Eleni and Walshe, Catherine and Molassiotis, Alex (2020) Communication patterns in nurse-led chemotherapy clinics:A mixed-method study. Patient Education and Counseling, 103 (8). pp. 1538-1545. ISSN 0738-3991

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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.

Item Type:
Journal Article
Journal or Publication Title:
Patient Education and Counseling
Additional Information:
This is the author’s version of a work that was accepted for publication in Patient Education and Counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Patient Education and Counseling, 103, 8, 2020 DOI: 10.1016/j.pec.2020.02.032
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700
Subjects:
ID Code:
141984
Deposited By:
Deposited On:
11 Mar 2020 13:50
Refereed?:
Yes
Published?:
Published
Last Modified:
01 Aug 2020 07:21