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Communication between simulated patients and nurses in an oncology setting.
Kruyver, I., Kerkstra, A., Bensing, J., Wiel, H. van de, Holtkamp, C., Wind, R. Communication between simulated patients and nurses in an oncology setting. Patient Education and Counseling: 1998, 34(Suppl.1), S21
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Introduction. From literature, it is well known that communication between health care providers and cancer patients is complicated by emotional issues. In this study, we investigated the communication skills of ward nurses during interactions with simulated cancer patients. This study is part of a large study in which the effect of a communication training for nurses is being evaluated by means of videotaped admission conversations of nurses with actual cancer patients as well as with simulated patients. Methods. In total, 55 ward nurses of different medical disciplines have been recruited for participation. The medical disciplines included: gynaecology, urology, surgery, internal medicine/ haematology and, the ear-nose-throat diseases. Each nurse had a videotaped admission conversation with an actor who played a recently diagnosed cancer patient who arrived on the ward for admission. The actor was instructed to play a cancer patient according to the script we developed specifically for this study. For each nurse, the script was standard, but small adaptions were made for each medical discipline. The participating nurses were instructed to have the admission conversation with the simulated patient as they were used to have on the ward with actual patients. The 55 videotaped admission conversations with simulated patients were observed using an adapted version of Roter’s Interaction Analysis System, in which a divisionis made between instrumental and affective categories. Results. The results show that nurses predominantly use technical behaviours and discuss biomedic topics reflected in the instrumental clusters of the RIAS, relative to facilitating behaviours, reflected in the affective clusters of the RIAS. Conclusions. We will present results and draw conclusions about nurses’ communication skills concerning interactions with simulated patients in general, as well as nurses skills hereabout within the different mentioned medical disciplines. (aut. ref.)
Introduction. From literature, it is well known that communication between health care providers and cancer patients is complicated by emotional issues. In this study, we investigated the communication skills of ward nurses during interactions with simulated cancer patients. This study is part of a large study in which the effect of a communication training for nurses is being evaluated by means of videotaped admission conversations of nurses with actual cancer patients as well as with simulated patients. Methods. In total, 55 ward nurses of different medical disciplines have been recruited for participation. The medical disciplines included: gynaecology, urology, surgery, internal medicine/ haematology and, the ear-nose-throat diseases. Each nurse had a videotaped admission conversation with an actor who played a recently diagnosed cancer patient who arrived on the ward for admission. The actor was instructed to play a cancer patient according to the script we developed specifically for this study. For each nurse, the script was standard, but small adaptions were made for each medical discipline. The participating nurses were instructed to have the admission conversation with the simulated patient as they were used to have on the ward with actual patients. The 55 videotaped admission conversations with simulated patients were observed using an adapted version of Roter’s Interaction Analysis System, in which a divisionis made between instrumental and affective categories. Results. The results show that nurses predominantly use technical behaviours and discuss biomedic topics reflected in the instrumental clusters of the RIAS, relative to facilitating behaviours, reflected in the affective clusters of the RIAS. Conclusions. We will present results and draw conclusions about nurses’ communication skills concerning interactions with simulated patients in general, as well as nurses skills hereabout within the different mentioned medical disciplines. (aut. ref.)