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Related Concept Videos

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Therapeutic Communication01:30

Therapeutic Communication

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Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
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Role of Communication in the Nursing Process I: Assessment and Diagnosis01:25

Role of Communication in the Nursing Process I: Assessment and Diagnosis

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The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
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Data Collection II01:29

Data Collection II

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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Related Experiment Video

Updated: Dec 27, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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

Carole Farrell1, E Angela Chan2, Eleni Siouta3

  • 1The Christie NHS FT, Withington, Manchester, UK.

Patient Education and Counseling
|March 5, 2020
PubMed
Summary

Nurses effectively address informational needs but struggle with psychosocial cues in chemotherapy clinics. Longer consultations increase patient cues but do not improve nurse responses, highlighting communication challenges.

Keywords:
Continuity of careCue-responding behavioursFamily dynamicsNurse-led chemotherapy clinicsNurse-patient communicationPatient-centred carePsychosocial needs

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Last Updated: Dec 27, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Area of Science:

  • Oncology Nursing
  • Communication Studies
  • Healthcare Quality

Background:

  • Effective nurse-patient communication is crucial for addressing informational and psychosocial needs in cancer care.
  • Nurse-led chemotherapy clinics present unique communication dynamics and challenges.
  • Understanding these dynamics is key to enhancing person-centred care experiences.

Purpose of the Study:

  • To investigate nurse-patient communication patterns in fulfilling patients' informational and psychosocial needs.
  • To examine the impact of consultation length and operational factors on person-centred care.
  • To identify challenges and opportunities in communication within nurse-led chemotherapy settings.

Main Methods:

  • A mixed-method design involving secondary analysis of nurse-patient communication transcripts from UK nurse-led chemotherapy clinics.
  • Purposive sampling of 13 nurses and non-participant observation of 61 consultations.
  • Qualitative content analysis of transcripts and quantitative analysis using the Medical Interview Aural Rating Scale.

Main Results:

  • Nurses responded positively to informational cues but not psychosocial cues.
  • Longer consultations were associated with increased informational and psychosocial cues but not improved nurse cue-responding behaviours.
  • Key themes included communication challenges in biomedical contexts, patient's "life world" vs. the "medical world," and implications of care continuity.

Conclusions:

  • Challenges and opportunities for cue-responding exist in nurse-led chemotherapy clinics, impacting informational and psychosocial support.
  • Transitioning from a purely biomedical to a biopsychosocial focus in communication remains a significant challenge.