Laura Lord1, David Clark-Carter1, Amy Grove2. 1. Department of Psychology,Faculty of Health Sciences,Staffordshire University,Science Centre,Leek Road,Stoke-on-Trent,United Kingdom. 2. Warwick Medical School,University of Warwick,Coventry,United Kingdom.
Abstract
OBJECTIVE: 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.
OBJECTIVE: 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.
Entities:
Keywords:
Acute services; Communication skills; End of life; Intervention; Palliative care
Authors: Rachelle Bernacki; Joanna Paladino; Bridget A Neville; Mathilde Hutchings; Jane Kavanagh; Olaf P Geerse; Joshua Lakin; Justin J Sanders; Kate Miller; Stuart Lipsitz; Atul A Gawande; Susan D Block Journal: JAMA Intern Med Date: 2019-06-01 Impact factor: 21.873
Authors: Ádala Nayana de Sousa Mata; Kesley Pablo Morais de Azevedo; Liliane Pereira Braga; Gidyenne Christine Bandeira Silva de Medeiros; Victor Hugo de Oliveira Segundo; Isaac Newton Machado Bezerra; Isac Davidson Santiago Fernandes Pimenta; Ismael Martinez Nicolás; Grasiela Piuvezam Journal: Hum Resour Health Date: 2021-03-06
Authors: Alda Elena Cortés-Rodríguez; Pablo Roman; María Mar López-Rodríguez; Isabel María Fernández-Medina; Cayetano Fernández-Sola; José Manuel Hernández-Padilla Journal: Healthcare (Basel) Date: 2021-12-27