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The Acknowledge-Normalize-Partner (ANP) Framework: A novel empathic communication tool for oncology nurses
Dana Kramer1, Kimberly Chow1, Mary Elizabeth Davis2
1Supportive Care Service, Memorial Sloan Kettering Cancer Center, New York, NY.
A new empathic communication tool significantly improved nurse-patient discussions about personal values in cancer care. Patients reported more frequent and higher-quality communication, enhancing their overall experience.
Area of Science:
- Oncology Nursing
- Palliative Care Communication
- Patient Experience Enhancement
Background:
- Effective nurse-patient communication is crucial for high-quality palliative care.
- Oncology nurses play a key role in facilitating sensitive discussions.
- A need exists for efficient, evidence-based communication tools for nurses.
Purpose of the Study:
- To develop and implement a novel tool to enhance nurse-patient communication.
- To equip oncology nurses with skills for discussing patient values empathically.
- To improve the patient experience in a major academic cancer center.
Main Methods:
- Designed an evidence-based empathic communication tool and educational program.
- Evaluated the tool through nurse focus groups and pre/post-course assessments.
- Assessed patient-reported outcomes via questionnaires.
Main Results:
- Nurses reported satisfaction with the program and tool effectiveness.
- Patients experienced significantly more discussions about personal values (97% vs. 58%, p < 0.0001).
- Patients reported higher quality clinician communication (7.18 vs. 5.04, p = 0.001).
Conclusions:
- The developed tool and training are effective for oncology nurses.
- This approach enhances empathic communication and patient-centered care.
- The tool facilitates important discussions about patient values, improving care quality.
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