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Communication Competencies of Oncology Nurses in Malaysia

  • Maskor, Nor Aida (Department of Professional Development and Continuing Education, Faculty of Educational Studies, Universiti Putra Malaysia) ;
  • Krauss, Steven Eric (Institute for Social Science Studies, Universiti Putra Malaysia) ;
  • Muhamad, Mazanah (Cancer Resource and Education Center (CaRE), Universiti Putra Malaysia) ;
  • Mahmood, Nik Hasnaa Nik (Department of Human Resource Development, Razak School of Engineering and Advanced Technology Universiti Teknologi Malaysia)
  • 발행 : 2013.01.31

초록

This paper reports on part of a large study to identify competencies of oncology nurses in Malaysia. It focuses on oncology nurses' communications-related competency. As an important cancer care team member, oncology nurses need to communicate effectively with cancer patients. Literature shows that poor communication can make patients feel anxious, uncertain and generally not satisfied with their nurses' care. This paper deliberates on the importance of effective communication by oncology nurses in the context of a public hospital. Four focus group discussions were used in this study with 17 oncology/cancer care nurses from Malaysian public hospitals. The main inclusion criterion was that the nurses had to have undergone a post-basic course in oncology, or have work experience as a cancer care nurse. The findings indicated that nurses do communicate with their patients, patients' families and doctors to provide information about the disease, cancer treatment, disease recurrence and side effects. Nurses should have good communication skills in order to build relationships as well as to provide quality services to their patients. The paper concludes by recommending how oncology nursing competencies can be improved.

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참고문헌

  1. Anoosheh M, Zarkhah S, Faghihzadeh S, Vaismoradi M (2009). Nurse--patient communication barriers in Iranian nursing. Int Nur Review, 56, 243-9. https://doi.org/10.1111/j.1466-7657.2008.00697.x
  2. Attree M (2001). Patients' and relatives' experiences and perspectives of 'Good' and 'Not so good' quality care. J Advanced Nur, 33, 456-66. https://doi.org/10.1046/j.1365-2648.2001.01689.x
  3. Back AL, Arnold RM, Baile WF, Tulsky JA, Fryer-Edwards K (2005). Approaching difficult communication tasks in oncology. CA Cancer J Clin, 55, 164-77. https://doi.org/10.3322/canjclin.55.3.164
  4. Brixey MJ, Mahon SM (2010). A self-assessment tool for oncology nurses: preliminary implementation and evaluation. Clin J Oncol Nur, 14, 474-80. https://doi.org/10.1188/10.CJON.474-480
  5. Buchan J, Aiken L (2008). Solving nursing shortages: a common priority. J Clin Nur, 17, 3262-8. https://doi.org/10.1111/j.1365-2702.2008.02636.x
  6. Davison BJ, Degner LF, Morgan TR (1995). Information and decision making preferences of men with prostate cancer. Oncol Nurs Forum, 22, 1401-8.
  7. Department of Statistics, Malaysia (2010). Population and Housing Census, Malaysia 2010 (2010 Census). Retrieved 27 October 2011 from http://www.statistics.gov.my/portal/index.php?option=com_content&view=article&id=1215:population-distribution-and-basic-demographic-characteristicreport-population-and-housing-census-malaysia-2010-updated-2972011&catid=130:population-distribution-andbasic-demographic-characteristic-report-population-andhousing-census-malaysia-2010&lang=en&Itemid=
  8. Dunn SV, Lawson D, Robertson S, et al (2000). The development of competency standards for specialist critical care nurses. J Adv Nursing, 31, 339-46. https://doi.org/10.1046/j.1365-2648.2000.01292.x
  9. Fallowfield L, Jenkins V (1999). Effective Communication skills are the key good of cancer care. Eur J Cancer, 35, 1592-7. https://doi.org/10.1016/S0959-8049(99)00212-9
  10. Ferrell BR, Virani R, Smith S, Juarez G (2003). The role of oncology nursing to ensure quality care for cancer survivors: A report commissioned by the national cancer policy board and institute of medicine. Oncol Nursing Forum, 30, 1-11. https://doi.org/10.1188/03.ONF.E1-E11
  11. Fukui S, Ogawa, K, Ohtsuka M, Fukui N (2009). Effect of communication skills training on nurses' detection of patients' distress and related factors after cancer diagnosis: a randomized study. Psycho-Oncology, 18, 1156-64. https://doi.org/10.1002/pon.1429
  12. Glaser BG (1978). Theoretical sensitivity: advances in methodology of grounded theory. Mid Valley CA: Sociology Press.
  13. Graydon J, Galloway S, Palmer-Wickham S, et al (1997). Information needs of women during early treatment for breast cancer. J Adv Nursing, 26, 59-64 https://doi.org/10.1046/j.1365-2648.1997.1997026059.x
  14. Greenwood, J. (1998). Establishing an international network on nurses' clinical reasoning. J Adv Nursing, 27, 843-7. https://doi.org/10.1046/j.1365-2648.1998.00609.x
  15. Gysels M, Richarson A, Higginson I (2004). Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer, 12, 692-700. https://doi.org/10.1007/s00520-004-0666-6
  16. Hemsley B, Sigafoos J, Forbes R, et al (2001). Nursing the patient with severe communication impairment. J Adv Nursing, 35, 827-35. https://doi.org/10.1046/j.1365-2648.2001.01920.x
  17. Holland KD, Holahan CK (2003). The relation of social support and coping to positive adaptation tobreast cancer. Psychology and Health, 18, 15-29. https://doi.org/10.1080/0887044031000080656
  18. Irma PM Kruijver, Ada K, Jozien MB, Harry BM, van de Wiel (2001). Communication skills of nurses during interactions with simulated cancer patients. J Adv Nursing, 34, 772-9. https://doi.org/10.1046/j.1365-2648.2001.01807.x
  19. Irving P, Dickson D (2004). Empathy: towards a conceptual framework for health professionals. Int J Hlth Care Qual Assur, 17, 212-20. https://doi.org/10.1108/09526860410541531
  20. Jenkins V, Fallowfield L, Saul J (2001). Information needs of patients with cancer: Results from a large study in UK cancer centres. Bri J Cancer, 84, 48-51. https://doi.org/10.1054/bjoc.2000.1573
  21. Jirwe M, Gerrish K, Emami A (2010). Student nurses' experiences of communication in cross-cultural care encounters. Scand J Caring Sci, 24, 436-44. https://doi.org/10.1111/j.1471-6712.2009.00733.x
  22. Kettunen T, Poskiparta M, Gerlander M (2002). Nurse-patient power relationship: preliminary evidence of patients' power messages. Patient Educ and Counselling, 47, 101-10. https://doi.org/10.1016/S0738-3991(01)00179-3
  23. Krauss SE, Hamzah A, Nor ZM, et al (2009). Preliminary investigation and interview guide development for studying how Malaysian farmers' form their mental models of farming. The Qualitative Report, 14, 245-60.
  24. Kruijever IPM, Kerkstra A, Francke AL, Bensing JM, Van de Wiel HBM (2000). Evaluation of communication training programs in nursing care: a review of the literature. Patient Educ and Counseling, 39, 129-45. https://doi.org/10.1016/S0738-3991(99)00096-8
  25. Larson LS, Butterfield P (2002). Mapping the future of environmental health and nursing: strategies for integrating national competencies into nursing practice. Public Hlth Nurse, 19, 301-8. https://doi.org/10.1046/j.1525-1446.2002.19410.x
  26. Legg MJ (2011). What is psychosocial care and how can nurses better provide it to adult oncology patients. Aust J Adv Nursing, 28, 61-7.
  27. Lu KY, Chen YC, Wang MC (1998). Analysis of the nursing competence of senior nursing students. J Med Educ, 2, 180-9.
  28. Luker KA, Beaver KA, Leinster SJ, Owens RG (1996). Information needs and sources of information for women with breast cancer: a follow up study. J Adv Nursing, 23, 487-95. https://doi.org/10.1111/j.1365-2648.1996.tb00010.x
  29. McConnell EA (2001). Competence vs competency. Nursing Manage, 32, 14-5.
  30. MB Miles, A Michael Huberman (1994). Qualitative Data Analysis : An Expanded Source Book Thousand Oaks: Sage Publications.
  31. Othman O, Mazanah M (2010). The survivor's lump "epic". In Mazanah, M. & Associates (Eds.), Breast Cancer Survivorship in Malaysia: Profile and Learning Pattern. Serdang: Universiti Putra Malaysia Press.
  32. Oulton JA (2006). The global nursing shortage: An overview of issues and actions. Policy, Politics, & Nursing Practice, 7, 34-9. https://doi.org/10.1177/1527154406293968
  33. Pai YC, Hsu N, Wang P (1999). Relationships of self-assessed nursing competencies and individual characteristics in a medical center. J Nursing Res, 7, 209-20.
  34. Pam M, Rose MV, Kathe K, Hollye HJ, Betty RF (2010). Beyond bad news: communication skills of nurses in palliative care. J Hospice and Palliative, 12, 166-74. https://doi.org/10.1097/NJH.0b013e3181d99fee
  35. Sharon C, Derryl B, La Vohn J, et al (2006). Development of the Public Health Nursing Competency Instrument. Public Health Nursing, 23, 108-14. https://doi.org/10.1111/j.1525-1446.2006.230203.x
  36. Sheldon LK (2010). International cancer care: what is the role of oncology nursing? Clin J Oncol Nursing, 14, 539-41. https://doi.org/10.1188/10.CJON.539-541
  37. Sheppard M (1993). Client Satisfaction, extended intervention and interpersonal skills in community mental health. J Adv Nursing, 18, 246-59. https://doi.org/10.1046/j.1365-2648.1993.18020246.x
  38. Stajduhar KI, Thorne SE, McGuinness L, Kim-Sing C (2010). Patient perceptions of helpful communication in the context of advanced cancer. J Clin Nursing, 19, 2039-47.
  39. The Star (2008). Wards, ICUs remain shut due to shortage of nurses. Retrieved 7 September 2011 from http://thestar.com.my/news/story.asp?file=/2008/7/25/nation/20080725165357&sec=nation.
  40. The Star (2010). Malaysia needs more skilled nurses. Retrieved 7 September 2011 from http://thestar.com.my/news/story.asp?file=/2010/1/14/nation/20100114200729&sec=nation.
  41. Uitterhoeve R, Bensing J, Dilven E, et al (2009). Nurse-patient communication in cancer care: does responding to patient's cues predict patient satisfaction with communication. Psycho-Oncology, 18, 1060-8. https://doi.org/10.1002/pon.1434
  42. United State National Cancer Institute (2011). Communication in cancer care: unique aspects of communication with cancer patients. National institute of health. Retrieved 12 September 2011 from http://www.cancer.gov/cancertopics/pdq/supportivecare/communication/healthprofessional/page2.
  43. WHO, 2011. World cancer day. Retrieved 12 september 2011 from http://www.who.int/mediacentre/events/annual/world_cancer_day/en/.
  44. Wilma MCM, Ingrid M, de Gruijter, Ada K, Jozien MB (1999). Factors related to nurse communication with elderly people. J Adv Nursing, 30, 1106-17. https://doi.org/10.1046/j.1365-2648.1999.01197.x
  45. Wilkinson S (1991). Factors which influence how nurses communicate with cancer patients. J Adv Nursing, 16, 677-88. https://doi.org/10.1111/j.1365-2648.1991.tb01726.x
  46. Wilkinson SM, Gambles M, Roberts A (2002). The essence of cancer care: the impact of training on nurses' ability to communicate effectively. J Adv Nursing, 40, 731-8. https://doi.org/10.1046/j.1365-2648.2002.02432.x
  47. Wilkinson S, Perry R, Blanchard K, Linsell L (2008). Effectiveness of a three-day communication skills course in changing nurses' communication skills with cancer/palliativecare patients: a randomised controlled trial. Palliative Medicine, 22, 365-75. https://doi.org/10.1177/0269216308090770
  48. Wouda, Van de Wie (1996). In Irma P.M. Kruijver, Ada Kerkstra, Jozien M. Bensing and Harry B.M. van de Wiel (2001). Communication skills of nurses during interactions with simulated cancer patients. J Adv Nursing, 34, 772-9. https://doi.org/10.1046/j.1365-2648.2001.01807.x
  49. Yip CH, Nur Aishah MT, Ibrahim M (2006). Epidemiology of breast cancer in Malaysia. Asia Pac J Cancer Prev, 7, 369-74.
  50. Zainal AO, Zainudin MA, Nor Saleha IT (2006). Malaysian cancer statistics-data and figure Peninsular Malaysia 2006. Kuala Lumpur: National Cancer Registry, Ministry of Health Malaysia.

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