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Palliative care communication in oncology nursing
Joy Goldsmith1, Betty Ferrell, Elaine Wittenberg-Lyles
1Department of Communication, Young Harris College, Georgia, USA. jgoldsmith@yhc.edu
Clinical Journal of Oncology Nursing
|March 30, 2013
Summary
Oncology nurses experience distress discussing end-of-life care. The COMFORT communication curriculum offers a resource to improve these challenging interactions, aligning with National Consensus Project guidelines for quality palliative care.
Area of Science:
- Palliative Care Nursing
- Clinical Communication Strategies
- Healthcare Professional Well-being
Background:
- Oncology nurses frequently experience distress during end-of-life (EOL) communication with patients and families.
- Poor communication in EOL care is linked to emotional distress, moral distress, and work-related stress for nurses.
- The National Consensus Project (NCP) for Quality Palliative Care provides guidelines for high-quality palliative care.
Purpose of the Study:
- To present the COMFORT communication curriculum as a resource for oncology nurses.
- To address the challenges in EOL communication faced by oncology nurses.
- To integrate communication strategies within the framework of NCP's quality palliative care domains.
Main Methods:
- The study introduces the COMFORT communication curriculum, a holistic model for narrative clinical communication.
- It utilizes practice case examples to illustrate communication strategies.
- The curriculum is contextualized within the eight domains of quality palliative care established by the NCP.
Main Results:
- The COMFORT curriculum provides a structured approach to enhance communication skills for oncology nurses.
- It aims to mitigate distress associated with EOL discussions.
- The curriculum supports interdisciplinary palliative care practices.
Conclusions:
- The COMFORT communication curriculum is a valuable resource for oncology nurses navigating difficult EOL conversations.
- Effective communication strategies can improve patient care and reduce nurse distress.
- Adherence to NCP guidelines, supported by communication training, enhances palliative care quality.
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