Wittenberg Elaine, Goldsmith Joy, Buller Haley, Ragan Sandra L, Ferrell Betty
California State University.
University of Memphis.
Clin J Oncol Nurs. 2019 Feb 1;23(1):82-91. doi: 10.1188/19.CJON.82-91.
Oncology nurses are responsible for communication-aimed prognosis, patient education about cancer care and treatment, survivorship, and care coordination. Communication difficulties and uncomfortable communication topics put nurses at risk for compassion fatigue.
Supporting nurse communication skills requires institutional policies and structures to foster patient-centered communication. This study reports on communication training needs for oncology nurses to inform future development of communication curricula and institutional training.
A national survey of oncology nurse teams (N = 355) attending one of four communication training courses was used. Surveys were used to evaluate institutions' current patient-centered communication practices and to ascertain institutional communication training needs.
Nurses' role in communicating prognosis remains unclear, and training is needed for discussing survivorship. Curriculum development should be congruent with institutionally defined roles for nurse communication.
肿瘤学护士负责以沟通为目的的预后告知、对患者进行癌症护理与治疗教育、癌症 survivorship（该词可能有误，推测是“生存护理”之类意思，这里按推测翻译）以及护理协调。沟通困难和令人不适的沟通话题使护士面临同情疲劳的风险。
支持护士的沟通技能需要机构政策和架构来促进以患者为中心的沟通。本研究报告肿瘤学护士的沟通培训需求，为未来沟通课程和机构培训的发展提供参考。
对参加四门沟通培训课程之一的肿瘤学护士团队（N = 355）进行全国性调查。调查用于评估机构当前以患者为中心的沟通实践，并确定机构的沟通培训需求。
护士在预后沟通中的角色仍不明确，在讨论生存护理方面需要培训。课程开发应与机构界定的护士沟通角色相一致。
