Skip to main content
Erschienen in: Supportive Care in Cancer 12/2014

01.12.2014 | Original Article

Improving communication in cancer pain management nursing: a randomized controlled study assessing the efficacy of a communication skills training program

verfasst von: Delphine Canivet, Nicole Delvaux, Anne-Sophie Gibon, Cyrielle Brancart, Jean-Louis Slachmuylder, Darius Razavi

Erschienen in: Supportive Care in Cancer | Ausgabe 12/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Effective communication is needed for optimal cancer pain management. This study assessed the efficacy of a general communication skills training program for oncology nurses on communication about pain management.

Methods

A total of 115 nurses were randomly assigned to a training group (TG) or control group (CG). The assessment included the recording of interviews with a simulated cancer patient at baseline for both groups and after training (TG) or 3 months after baseline (CG). Two psychologists rated the content of interview transcripts to assess cancer pain management communication. Group-by-time effects were measured using a generalized estimating equation.

Results

Trained nurses asked the simulated patient more questions about emotions associated with pain (relative rate [RR] = 4.28, p = 0.049) and cognitions associated with pain treatment (RR = 3.23, p < 0.001) and used less paternalistic statements about cancer pain management (RR = 0.40, p = 0.006) compared with untrained nurses.

Conclusions

The general communication skills training program improved only a few of the communication strategies needed for optimal cancer pain management in nursing. General communication skills training programs should be consolidated using specific modules focusing on communication skills related to cancer pain management.
Literatur
1.
Zurück zum Zitat Sutton LM, Porter LS, Keefe FJ (2002) Cancer pain at the end of life: a biopsychosocial perspective. Pain 99:5–10PubMedCrossRef Sutton LM, Porter LS, Keefe FJ (2002) Cancer pain at the end of life: a biopsychosocial perspective. Pain 99:5–10PubMedCrossRef
2.
Zurück zum Zitat Zaza C, Baine N (2002) Cancer pain and psychological factors: a critical review of the literature. J Pain Symptom Manag 24:526–542CrossRef Zaza C, Baine N (2002) Cancer pain and psychological factors: a critical review of the literature. J Pain Symptom Manag 24:526–542CrossRef
3.
Zurück zum Zitat Laird BJ, Boyd AC, Colvin LA, Fallon MT (2009) Are cancer pain and depression interdependent? A systematic review. Psychooncology 18:459–464PubMedCrossRef Laird BJ, Boyd AC, Colvin LA, Fallon MT (2009) Are cancer pain and depression interdependent? A systematic review. Psychooncology 18:459–464PubMedCrossRef
4.
Zurück zum Zitat Glajchen M (2001) Chronic pain treatment barriers and strategies for clinical practice. J Am Board Fam Pract 14:211–218PubMed Glajchen M (2001) Chronic pain treatment barriers and strategies for clinical practice. J Am Board Fam Pract 14:211–218PubMed
5.
Zurück zum Zitat Yates PM, Edwards HE, Nash RE, Walsh AM, Fentiman BJ, Skerman HM, Najman JM (2002) Barriers to effective cancer pain management: a survey of hospitalized cancer patients in Australia. J Pain Symptom Manag 23:393–405CrossRef Yates PM, Edwards HE, Nash RE, Walsh AM, Fentiman BJ, Skerman HM, Najman JM (2002) Barriers to effective cancer pain management: a survey of hospitalized cancer patients in Australia. J Pain Symptom Manag 23:393–405CrossRef
6.
Zurück zum Zitat Potter VT, Wiseman CE, Dunn SM, Boyle FM (2003) Patient barriers to optimal cancer pain control. Psychooncology 12:153–160PubMedCrossRef Potter VT, Wiseman CE, Dunn SM, Boyle FM (2003) Patient barriers to optimal cancer pain control. Psychooncology 12:153–160PubMedCrossRef
7.
Zurück zum Zitat Flemming K (2010) The use of morphine to treat cancer-related pain: a synthesis of quantitative and qualitative research. J Pain Symptom Manag 39:139–154CrossRef Flemming K (2010) The use of morphine to treat cancer-related pain: a synthesis of quantitative and qualitative research. J Pain Symptom Manag 39:139–154CrossRef
8.
Zurück zum Zitat Butow P, Sharpe L (2013) The impact of communication on adherence in pain management. Pain 154:101–107CrossRef Butow P, Sharpe L (2013) The impact of communication on adherence in pain management. Pain 154:101–107CrossRef
9.
Zurück zum Zitat Mosher CE, DuHamel KN, Egert J, Smith MY (2010) Self-efficacy for coping with cancer in a multiethnic sample of breast cancer patients: associations with barriers to pain management and distress. Clin J Pain 26:227–234PubMedCentralPubMedCrossRef Mosher CE, DuHamel KN, Egert J, Smith MY (2010) Self-efficacy for coping with cancer in a multiethnic sample of breast cancer patients: associations with barriers to pain management and distress. Clin J Pain 26:227–234PubMedCentralPubMedCrossRef
10.
Zurück zum Zitat Wells N, Hepworth JT, Murphy BA, Wujcik D, Johnson R (2003) Improving cancer pain management through patient and family education. J Pain Symptom Manag 25:344–356CrossRef Wells N, Hepworth JT, Murphy BA, Wujcik D, Johnson R (2003) Improving cancer pain management through patient and family education. J Pain Symptom Manag 25:344–356CrossRef
11.
Zurück zum Zitat Miaskowski C, Dodd M, West C, Schumacher K, Paul SM, Tripathy D, Koo P (2004) Randomized clinical trial of the effectiveness of a self-care intervention to improve cancer pain management. J Clin Oncol 22:1713–1720PubMedCrossRef Miaskowski C, Dodd M, West C, Schumacher K, Paul SM, Tripathy D, Koo P (2004) Randomized clinical trial of the effectiveness of a self-care intervention to improve cancer pain management. J Clin Oncol 22:1713–1720PubMedCrossRef
12.
Zurück zum Zitat Yates P, Edwards H, Nash R, Aranda S, Purdie DR, Najman J, Skerman H, Walsh A (2004) A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns 53:227–237PubMedCrossRef Yates P, Edwards H, Nash R, Aranda S, Purdie DR, Najman J, Skerman H, Walsh A (2004) A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Educ Couns 53:227–237PubMedCrossRef
13.
Zurück zum Zitat Menefee LA, Monte DA (2005) Nonpharmacologic and complementary approaches to cancer pain management. J Am Osteopath Assoc 105:15–20 Menefee LA, Monte DA (2005) Nonpharmacologic and complementary approaches to cancer pain management. J Am Osteopath Assoc 105:15–20
14.
Zurück zum Zitat Ward SE, Donovan H, Gunnarsdottir S, Serlin RC, Shapiro GR, Hughes S (2008) A randomized trial of a representational intervention to decrease cancer pain. Health Psychol 27:59–67PubMedCentralPubMedCrossRef Ward SE, Donovan H, Gunnarsdottir S, Serlin RC, Shapiro GR, Hughes S (2008) A randomized trial of a representational intervention to decrease cancer pain. Health Psychol 27:59–67PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Smith MY, DuHamel KN, Egert J, Winkel G (2010) Impact of a brief intervention on patient communication and barriers to pain management: results from a randomized controlled trial. Patient Educ Couns 81:79–86PubMedCrossRef Smith MY, DuHamel KN, Egert J, Winkel G (2010) Impact of a brief intervention on patient communication and barriers to pain management: results from a randomized controlled trial. Patient Educ Couns 81:79–86PubMedCrossRef
16.
Zurück zum Zitat Street RL, Slee C, Kalauokalani DK, Evans Dean DE, Tancredi DJ, Kravitz RL (2010) Improving physician-patient communication about cancer pain with a tailored education-coaching intervention. Patient Educ Couns 80:42–47PubMedCrossRef Street RL, Slee C, Kalauokalani DK, Evans Dean DE, Tancredi DJ, Kravitz RL (2010) Improving physician-patient communication about cancer pain with a tailored education-coaching intervention. Patient Educ Couns 80:42–47PubMedCrossRef
17.
Zurück zum Zitat Berry PH, Dahl JL (2000) The new JCAHO Pain Standards: implications for pain management nurses. Pain Manag Nurs 1:3–12PubMedCrossRef Berry PH, Dahl JL (2000) The new JCAHO Pain Standards: implications for pain management nurses. Pain Manag Nurs 1:3–12PubMedCrossRef
18.
Zurück zum Zitat Howell D, Butler L, Vincent L, Watt-Watson J, Stearns N (2000) Influencing nurses’ knowledge, attitudes, and practice in cancer pain management. Cancer Nurs 23:55–63PubMedCrossRef Howell D, Butler L, Vincent L, Watt-Watson J, Stearns N (2000) Influencing nurses’ knowledge, attitudes, and practice in cancer pain management. Cancer Nurs 23:55–63PubMedCrossRef
19.
Zurück zum Zitat Edwards HE, Nash RE, Yates PM, Walsh AM, Fentiman BJ, McDowell JK, Skerman HM, Najman JM (2001) Improving pain management by nurses: a pilot peer intervention program. Nurs Health Sci 3:35–45PubMedCrossRef Edwards HE, Nash RE, Yates PM, Walsh AM, Fentiman BJ, McDowell JK, Skerman HM, Najman JM (2001) Improving pain management by nurses: a pilot peer intervention program. Nurs Health Sci 3:35–45PubMedCrossRef
20.
Zurück zum Zitat Ger LP, Chang CY, Ho ST, Lee MC, Chiang HH, Chao CS, Lai KH, Huang J-M, Wang SC (2004) Effects of a continuing education program on nurses’ practices of cancer pain assessment and their acceptance of patients’ pain reports. J Pain Symptom Manag 27:61–71CrossRef Ger LP, Chang CY, Ho ST, Lee MC, Chiang HH, Chao CS, Lai KH, Huang J-M, Wang SC (2004) Effects of a continuing education program on nurses’ practices of cancer pain assessment and their acceptance of patients’ pain reports. J Pain Symptom Manag 27:61–71CrossRef
21.
Zurück zum Zitat Millard L, Hallett C, Luker K (2006) Nurse-patient interaction and decision-making in care: patient involvement in community nursing. J Adv Nurs 55:142–150PubMedCrossRef Millard L, Hallett C, Luker K (2006) Nurse-patient interaction and decision-making in care: patient involvement in community nursing. J Adv Nurs 55:142–150PubMedCrossRef
22.
Zurück zum Zitat Smith MY, Winkel G, Egert J, Diaz-Wionczek M, DuHamel KN (2006) Patient-physician communication in the context of persistent pain: validation of a modified version of the Patients’ Perceived Involvement in Care Scale. J Pain Symptom Manag 32:71–81CrossRef Smith MY, Winkel G, Egert J, Diaz-Wionczek M, DuHamel KN (2006) Patient-physician communication in the context of persistent pain: validation of a modified version of the Patients’ Perceived Involvement in Care Scale. J Pain Symptom Manag 32:71–81CrossRef
23.
Zurück zum Zitat Trummer UF, Mueller UO, Nowak P, Stidl T, Pelikan JM (2006) Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ Couns 61:299–306PubMedCrossRef Trummer UF, Mueller UO, Nowak P, Stidl T, Pelikan JM (2006) Does physician-patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ Couns 61:299–306PubMedCrossRef
24.
Zurück zum Zitat Cormie PJ, Nairn M, Welsh J (2008) Control of pain in adults with cancer: summary of SIGN guidelines. BMJ 337:a2154PubMedCrossRef Cormie PJ, Nairn M, Welsh J (2008) Control of pain in adults with cancer: summary of SIGN guidelines. BMJ 337:a2154PubMedCrossRef
25.
Zurück zum Zitat Kissane D, Bultz B, Butow P, Finlay I (2010) Communication skills training and research: the Brussels experience. In: Oxford University Press (ed) Handbook of communication in oncology and palliative care. New-York, pp 670-680 Kissane D, Bultz B, Butow P, Finlay I (2010) Communication skills training and research: the Brussels experience. In: Oxford University Press (ed) Handbook of communication in oncology and palliative care. New-York, pp 670-680
26.
Zurück zum Zitat Mead N, Bower P (2000) Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 51:1087–1110PubMedCrossRef Mead N, Bower P (2000) Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 51:1087–1110PubMedCrossRef
27.
Zurück zum Zitat Dowsett SM, Saul JL, Butow PN, Dunn SM, Boyer MJ, Findlow R, Dunsmore J (2000) Communication styles in the cancer consultation: preferences for a patient-centred approach. Psychooncology 9:147–156PubMedCrossRef Dowsett SM, Saul JL, Butow PN, Dunn SM, Boyer MJ, Findlow R, Dunsmore J (2000) Communication styles in the cancer consultation: preferences for a patient-centred approach. Psychooncology 9:147–156PubMedCrossRef
28.
Zurück zum Zitat Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J (2000) The impact of patient-centered care on outcomes. J Fam Pract 49:796–804PubMed Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J (2000) The impact of patient-centered care on outcomes. J Fam Pract 49:796–804PubMed
29.
Zurück zum Zitat Krupat E, Bell RA, Kravitz RL, Thom D, Azari R (2001) When physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust. J Fam Pract 50:1057–1062PubMed Krupat E, Bell RA, Kravitz RL, Thom D, Azari R (2001) When physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust. J Fam Pract 50:1057–1062PubMed
30.
Zurück zum Zitat Charlton CR, Dearing KS, Berry JA, Johnson MJ (2008) Nurse practitioners’ communication styles and their impact on patient outcomes: an integrated literature review. J Am Acad Nurse Pract 20:382–388PubMedCrossRef Charlton CR, Dearing KS, Berry JA, Johnson MJ (2008) Nurse practitioners’ communication styles and their impact on patient outcomes: an integrated literature review. J Am Acad Nurse Pract 20:382–388PubMedCrossRef
31.
Zurück zum Zitat Delvaux N, Razavi D, Marchal S, Brédart A, Farvacques C, Slachmuylder JL (2004) Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study. Br J Cancer 90:106–114PubMedCentralPubMedCrossRef Delvaux N, Razavi D, Marchal S, Brédart A, Farvacques C, Slachmuylder JL (2004) Effects of a 105 hours psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study. Br J Cancer 90:106–114PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat Gibon A-S, Durieux J-F, Merckaert I, Delvaux N, Farvacques C, Libert Y, Marchal S, Moucheux A, Slachmuylder J-L, Razavi D (2010) Development of the Lacomm, a French medical communication analysis software: a study assessing its sensitivity to change. Psychooncology 19:133–134 Gibon A-S, Durieux J-F, Merckaert I, Delvaux N, Farvacques C, Libert Y, Marchal S, Moucheux A, Slachmuylder J-L, Razavi D (2010) Development of the Lacomm, a French medical communication analysis software: a study assessing its sensitivity to change. Psychooncology 19:133–134
33.
Zurück zum Zitat Razavi D, Delvaux N, Marchal S, Durieux JF, Farvacques C, Dubus L, Hogenraad R (2002) Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study. Br J Cancer 87:1–7PubMedCentralPubMedCrossRef Razavi D, Delvaux N, Marchal S, Durieux JF, Farvacques C, Dubus L, Hogenraad R (2002) Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study. Br J Cancer 87:1–7PubMedCentralPubMedCrossRef
34.
Zurück zum Zitat Cohen-Cole S (1991) The medical interview: the three-function approach. Mosby Year Book, St Louis Cohen-Cole S (1991) The medical interview: the three-function approach. Mosby Year Book, St Louis
35.
Zurück zum Zitat Delorme T, Wood C, Bataillard A, Pichard E, Dauchy S, Orbach D, Alibeu JP, Ricard C, Suc A, Boureau F, Rousmans S, Patte R (2004) Clinical practice guideline: standards, options and recommendations for pain assessment in adult and children with cancer (summary report). Bull Cancer 91:419–430PubMed Delorme T, Wood C, Bataillard A, Pichard E, Dauchy S, Orbach D, Alibeu JP, Ricard C, Suc A, Boureau F, Rousmans S, Patte R (2004) Clinical practice guideline: standards, options and recommendations for pain assessment in adult and children with cancer (summary report). Bull Cancer 91:419–430PubMed
36.
Zurück zum Zitat Heaven C, Maguire P, Green C (2003) A patient-centred approach to defining and assessing interviewing competency. Epidemiol Psichiatr Soc 12:86–91PubMedCrossRef Heaven C, Maguire P, Green C (2003) A patient-centred approach to defining and assessing interviewing competency. Epidemiol Psichiatr Soc 12:86–91PubMedCrossRef
37.
Zurück zum Zitat Spence Laschinger HK, Gilbert S, Smith LM, Leslie K (2010) Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care. J Nurs Manag 18:4–13PubMedCrossRef Spence Laschinger HK, Gilbert S, Smith LM, Leslie K (2010) Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care. J Nurs Manag 18:4–13PubMedCrossRef
38.
Zurück zum Zitat Nunes V, Neilson J, O'Flynn N, Calvert N, Kuntze S, Smithson H, Benson J, Blair J, Bowser A, Clyne W, Crome P, Haddad P, Hemingway S, Horne R, Johnson S, Kelly S, Packam B, Patel, Mahendra, Steel J (2009) National Institute for Health and Clinical Excellence (2009) Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence. NICE: National Institute for Health and Clinical Excellence. London, UK Nunes V, Neilson J, O'Flynn N, Calvert N, Kuntze S, Smithson H, Benson J, Blair J, Bowser A, Clyne W, Crome P, Haddad P, Hemingway S, Horne R, Johnson S, Kelly S, Packam B, Patel, Mahendra, Steel J (2009) National Institute for Health and Clinical Excellence (2009) Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence. NICE: National Institute for Health and Clinical Excellence. London, UK
39.
Zurück zum Zitat Zolnierek KB, DiMatteo MR (2009) Physician communication and patient adherence to treatment: a meta-analysis. Med Care 47:826–834PubMedCrossRef Zolnierek KB, DiMatteo MR (2009) Physician communication and patient adherence to treatment: a meta-analysis. Med Care 47:826–834PubMedCrossRef
40.
Zurück zum Zitat Moore M, Rivera Mercado S, Grez Artiques M, Lawrie T (2013) Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev 3:CD00375 Moore M, Rivera Mercado S, Grez Artiques M, Lawrie T (2013) Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev 3:CD00375
Metadaten
Titel
Improving communication in cancer pain management nursing: a randomized controlled study assessing the efficacy of a communication skills training program
verfasst von
Delphine Canivet
Nicole Delvaux
Anne-Sophie Gibon
Cyrielle Brancart
Jean-Louis Slachmuylder
Darius Razavi
Publikationsdatum
01.12.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 12/2014
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2357-2

Weitere Artikel der Ausgabe 12/2014

Supportive Care in Cancer 12/2014 Zur Ausgabe

Alter verschlechtert Prognose bei Endometriumkarzinom

11.05.2024 Endometriumkarzinom Nachrichten

Ein höheres Alter bei der Diagnose eines Endometriumkarzinoms ist mit aggressiveren Tumorcharakteristika assoziiert, scheint aber auch unabhängig von bekannten Risikofaktoren die Prognose der Erkrankung zu verschlimmern.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Erhöhte Mortalität bei postpartalem Brustkrebs

07.05.2024 Mammakarzinom Nachrichten

Auch für Trägerinnen von BRCA-Varianten gilt: Erkranken sie fünf bis zehn Jahre nach der letzten Schwangerschaft an Brustkrebs, ist das Sterberisiko besonders hoch.

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

07.05.2024 Harnblasenkarzinom Nachrichten

Eine hypertherme intravesikale Chemotherapie mit Mitomycin kann für Patienten mit hochriskantem nicht muskelinvasivem Blasenkrebs eine Alternative zur radikalen Zystektomie darstellen. Kölner Urologen berichten über ihre Erfahrungen.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.