TY - JOUR
T1 - The Acknowledge-Normalize-Partner (ANP) Framework
T2 - A novel empathic communication tool for oncology nurses
AU - Kramer, Dana
AU - Chow, Kimberly
AU - Davis, Mary Elizabeth
AU - Nelson, Judith E.
AU - Anderson, Kelley
AU - Okpako, Molly
AU - Bernal, Camila
AU - Malisse, Catherine E.
AU - Goldberg, Jessica I.
N1 - Publisher Copyright:
© The Author(s), 2022. Published by Cambridge University Press.
PY - 2023/2/7
Y1 - 2023/2/7
N2 - Objective To describe the development and implementation of a novel tool designed to enhance nurse-patient communication in a major academic cancer center, which nurses can learn quickly, incorporate into their primary palliative care practice, and broadly disseminate in order to improve the patient experience. Method An evidence-based empathic communication tool and educational program were designed to provide essential skills to oncology nurses in having discussions with patients about their personal values. Evaluation included nurse focus groups, pre- and post-course evaluations and interviews, and patient questionnaires. Results Nurses were satisfied with the educational program and found the communication tool effective in a variety of clinical situations including discussions about personal values. Patients reported increased occurrences of these discussions when nurses utilized the framework (97% vs. 58%, p < 0.0001) and a higher quality of clinician communication (mean [SD] from 0 = very worst to 10 = very best: 7.18 [2.3] vs. 5.04 [2.9], p = 0.001). Significance of results Skilled, empathic communication is an essential component of high-quality primary palliative care. Oncology nurses are well suited to lead communication and provide this care as part of an interprofessional team. The training and tool described here are targeted and efficient, and prepare nurses to respond skillfully to emotion while facilitating important discussions about patient values.
AB - Objective To describe the development and implementation of a novel tool designed to enhance nurse-patient communication in a major academic cancer center, which nurses can learn quickly, incorporate into their primary palliative care practice, and broadly disseminate in order to improve the patient experience. Method An evidence-based empathic communication tool and educational program were designed to provide essential skills to oncology nurses in having discussions with patients about their personal values. Evaluation included nurse focus groups, pre- and post-course evaluations and interviews, and patient questionnaires. Results Nurses were satisfied with the educational program and found the communication tool effective in a variety of clinical situations including discussions about personal values. Patients reported increased occurrences of these discussions when nurses utilized the framework (97% vs. 58%, p < 0.0001) and a higher quality of clinician communication (mean [SD] from 0 = very worst to 10 = very best: 7.18 [2.3] vs. 5.04 [2.9], p = 0.001). Significance of results Skilled, empathic communication is an essential component of high-quality primary palliative care. Oncology nurses are well suited to lead communication and provide this care as part of an interprofessional team. The training and tool described here are targeted and efficient, and prepare nurses to respond skillfully to emotion while facilitating important discussions about patient values.
KW - Communication skills training
KW - Nurse-patient communication
KW - Palliative care education
KW - Primary palliative care
UR - https://www.scopus.com/pages/publications/85125782089
U2 - 10.1017/S1478951522000086
DO - 10.1017/S1478951522000086
M3 - Article
AN - SCOPUS:85125782089
SN - 1478-9515
VL - 21
SP - 12
EP - 19
JO - Palliative and Supportive Care
JF - Palliative and Supportive Care
IS - 1
ER -