scholarly journals Internal Medicine Trainee Self-Assessments of End-of-Life Communication Skills Do Not Predict Assessments of Patients, Families, or Clinician-Evaluators

2012 ◽  
Vol 15 (4) ◽  
pp. 418-426 ◽  
Author(s):  
Robert P. Dickson ◽  
Ruth A. Engelberg ◽  
Anthony L. Back ◽  
Dee W. Ford ◽  
J. Randall Curtis
Keyword(s):  
Internal Medicine ◽  
End Of Life ◽  
Communication Skills ◽  
Self Assessments ◽  
End Of Life Communication

scholarly journals The effectiveness of communication-skills training interventions in end-of-life noncancer care in acute hospital-based services: A systematic review

2015 ◽  
Vol 14 (4) ◽  
pp. 433-444 ◽  
Author(s):  
Laura Lord ◽  
David Clark-Carter ◽  
Amy Grove
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Communication Skills ◽  
Self Efficacy ◽  
Skills Training ◽  
Communication Skills Training ◽  
Training Interventions ◽  
Staff Behavior ◽  
The Impact ◽  
End Of Life Communication

AbstractObjective:A systematic review was conducted in order to explore the effectiveness of communication-skills training interventions in end-of-life care with noncancer acute-based healthcare staff.Method:Articles were included if they (1) focused on communication-skills training in end-of-life/palliative care for noncancer acute-based staff and (2) reported an outcome related to behavior change with regard to communication. Sixteen online databases were searched, which resulted in 4,038 potential articles. Screening of titles left 393 articles that met the inclusion criteria. Abstracts (n = 346) and full-text articles (n = 47) were reviewed, leaving 10 papers that met the criteria for our review. All articles explored the effect of communication-skills training on aspects of staff behavior; one study measured the effect on self-efficacy, another explored the impact on knowledge and competence, and another measured comfort levels in discussing the end of life with patients/families. Seven studies measured a number of outcomes, including confidence, attitude, preparedness, stress, and communication skills.Results:Few studies have focused on end-of-life communication-skills training in noncancer acute-based services. Those that do have report positive effects on staff behavior with regard to communication about the end of life with patients and families. The studies varied in terms of the population studied and the health services involved, and they scored only moderately or weakly on quality. It is a challenge to draw a definite conclusion about the effectiveness of training interventions in end-of-life communication because of this. However, the findings from our review demonstrate the potential effectiveness of a range of training interventions with healthcare professionals on confidence, attitude, self-efficacy, and communication skills.Significance of results:Further research is needed to fully explore the effectiveness of existing training interventions in this population, and evidence using objective measures is particularly needed. Ideally, randomized controlled trials or studies using control groups and longer follow-ups are needed to test the effectiveness of interventions.

The Impact of an End-of-Life Communication Skills Intervention on Physicians-in-Training

2011 ◽  
Vol 32 (2) ◽  
pp. 152-163 ◽  
Author(s):  
Renee Pekmezaris ◽  
Rajni Walia ◽  
Christian Nouryan ◽  
Lori Katinas ◽  
Nancy Zeitoun ◽  
...  
Keyword(s):  
End Of Life ◽  
Communication Skills ◽  
The Impact ◽  
End Of Life Communication

scholarly journals The Use of Simulation to Teach Nursing Students and Clinicians Palliative Care and End-of-Life Communication: A Systematic Review

2018 ◽  
Vol 35 (8) ◽  
pp. 1140-1154 ◽  
Author(s):  
Madison B. Smith ◽  
Tamara G. R. Macieira ◽  
Michael D. Bumbach ◽  
Susan J. Garbutt ◽  
Sandra W. Citty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Nursing Students ◽  
End Of Life ◽  
Communication Skills ◽  
End Of Life Care ◽  
Learning Experiences ◽  
Life Care ◽  
Simulation Based ◽  
End Of Life Communication

Objectives: To present the findings of a systematic review on the use of simulation-based learning experiences (SBLEs) to teach communication skills to nursing students and clinicians who provide palliative and end-of-life care to patients and their families. Background: Palliative care communication skills are fundamental to providing holistic patient care. Since nurses have the greatest amount of direct exposure to patients, building such communication competencies is essential. However, exposure to patients and families receiving palliative and end-of-life care is often limited, resulting in few opportunities to learn these skills in the clinical setting. Simulation-based learning experiences can be used to supplement didactic teaching and clinical experiences to build the requisite communication skills. Methods: Searches of CINAHL, MEDLINE, PsychINFO, ERIC, and Web of Science electronic databases and Grey Literature returned 442 unique records. Thirty articles met the established criteria, including the SBLE must contain a nursing role. Results: Simulation-based learning experience are being used to teach palliative and end-of-life communication skills to nursing students and clinicians. Lack of standardization, poor evaluation methods, and limited exposure to the entire interprofessional team makes it difficult to identify and disseminate validated best practices. Conclusion: While the need for further research is acknowledged, we recommend this evidence be augmented by training programs that utilize SBLEs through (1) applying standards, (2) clearly specifying goals and objectives, (3) integrating externally validated scenarios, and (4) employing rigorous evaluation methods and measures that link the SBLE to the training objectives and desired clinician practice behaviors and patient outcomes.

Improving Residents' End-of-Life Communication Skills with a Short Retreat: A Randomized Controlled Trial

2010 ◽  
Vol 13 (4) ◽  
pp. 439-452 ◽  
Author(s):  
Eytan Szmuilowicz ◽  
Areej el-Jawahri ◽  
Laurel Chiappetta ◽  
Mihir Kamdar ◽  
Susan Block
Keyword(s):  
Randomized Controlled Trial ◽  
End Of Life ◽  
Communication Skills ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
End Of Life Communication
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