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Training Intervention for Health Care Staff in the Provision of Existential Support to Patients With Cancer: A Randomized, Controlled Study
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
University of Skövde, School of Life Sciences. Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institute, Stockholm, Sweden.
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2013 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 46, no 6, 785-794 p.Article in journal (Refereed) Published
Abstract [en]

Context: When a patient receives a cancer diagnosis, existential issues become more compelling. Throughout the illness trajectory, patients with cancer are cared for in oncology wards, by home care teams or in hospices. Nurses working with these patients are sometimes aware of the patients' existential needs but do not feel confident when discussing these issues. Objectives: To determine the effects of a training intervention, where the focus is on existential issues and nurses' perceived confidence in communication and their attitude toward caring for dying patients. Methods: This was a randomized, controlled trial with a training intervention comprising theoretical training in existential issues combined with individual and group reflection. In total, 102 nurses in oncology and hospice wards and in palliative home care teams were randomized to a training or non-training group. Primary outcomes, confidence in communication, and attitude toward the care of dying patients were measured at baseline, immediately after the training, and five to six months later. Results: Confidence in communication improved significantly in the training group from baseline (before the training) to both the first and second follow-up, that is, immediately after the training and five months later. The attitude toward caring for the dying did not improve in the training group. Conclusion: This study shows that short-term training with reflection improves the confidence of health care staff when communicating, which is important for health care managers with limited resources. Further studies are needed to explore how patients experience the communication skills of health care staff after such training. © 2013 U.S. Cancer Pain Relief Committee.

Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 46, no 6, 785-794 p.
Keyword [en]
education, Existential support, nurse, palliative care, training
National Category
Medical and Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-8433DOI: 10.1016/j.jpainsymman.2013.01.013ISI: 000327768600002PubMedID: 23764108Scopus ID: 2-s2.0-84878663411OAI: oai:DiVA.org:his-8433DiVA: diva2:641914
Note

Journal of Pain and Symptom Management

Correspondence Address: Henoch, I.; Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburgemail: ingela.henoch@gu.se

Available from: 2013-08-20 Created: 2013-08-20 Last updated: 2014-02-11Bibliographically approved

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CiteExportLink to record
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