Improving communication with palliative care cancer patients at home - A pilot study of SAGE & THYME communication skills model

European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society
Jane GriffithsGunn Grande

Abstract

To pilot an evidence-based communication skills model (SAGE & THYME) with UK District Nurses (DNs) who visit patients with advanced cancer early in the dying trajectory. Evidence suggests that DNs lack confidence in communication skills and in assessing cancer patients' psycho-social needs; also that they lack time. SAGE & THYME is a highly structured model for teaching patient centred interactions. It addresses concerns about confidence and time. Mixed methods. 33 DNs were trained in SAGE & THYME in a three hour workshop and interviewed in focus groups on three occasions: pre-training, immediately post-training and two months post-training. Questionnaires measuring perceived outcomes of communication, confidence in communication and motivation to use SAGE & THYME were administered at the focus groups. SAGE & THYME provided a structure for conversations and facilitated opening and closing of interactions. The main principle of patient centeredness was reportedly used by all. Knowledge about communication behaviours helpful to patients improved and was sustained two months after training. Increased confidence in communication skills was also sustained. Motivation to use SAGE & THYME was high and remained so at two months, and so...Continue Reading

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Citations

May 8, 2016·Postgraduate Medical Journal·Lisa Jane Brighton, Katherine Bristowe
Nov 10, 2017·BMJ Supportive & Palliative Care·Lisa Jane BrightonJonathan Koffman
Dec 19, 2017·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Amanda BriseboisPuneeta Tandon
Dec 1, 2017·British Journal of Community Nursing·Jane Griffiths
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