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01.12.2014 | Original Article | Ausgabe 12/2014

Supportive Care in Cancer 12/2014

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

Zeitschrift:
Supportive Care in Cancer > Ausgabe 12/2014
Autoren:
Delphine Canivet, Nicole Delvaux, Anne-Sophie Gibon, Cyrielle Brancart, Jean-Louis Slachmuylder, Darius Razavi

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.

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