Summary
Too many patients leave their consultations with insufficient understanding about their diagnosis, prognosis, the need for further diagnostic tests, the management plans, or the therapeutic intent of treatment. This situation is not entirely due to paternalism or a lack of awareness that patients worldwide desire more information, but rather a reflection of the dismal communication skills training that most healthcare professionals receive. There have been many developments aimed at rectifying this situation, but there are still too few publications available demonstrating efficacy. Nevertheless, evidence shows that communication skills can be taught and that if taught well then the impact endures into the clinic. This chapter looks at some of the history of good evidence- based interventions to improve communication and makes a plea for more research-based evidence for improved patient outcomes following training. Unless attention and resources are given to help healthcare professionals in this core clinical skill then we will never be able to help patients and their families take an informed and educated role in their own cancer care.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bertakis KD, Roter D, Putnam SM (1991) The relationship of physician medical interview style to patient satisfaction. J Fam Pract 32:175–181
Catt S, Fallowfield L, Jenkins V, Langridge C, Cox A (2005) The informational roles and psychological health of members of 10 oncology multidisciplinary teams in the UK. Br J Cancer 93:1092–1097
Davison BJ, Degner LF, Morgan TR (1995) Information and decision-making preferences of men with prostate cancer. Oncol Nurs Forum 22:1401–1408
Degner LF, Kristjanson LJ, Bowman D, Sloan JA, Carriere KC, O’Neil J, Bilodeau B, Watson P, Mueller B (1997) Information needs and decisional preferences in women with breast cancer. JAMA 277:1485–1492
Evans BJ, Kiellerup FD, Stanley RO, Burrows GD, Sweet B (1987) A communication skills programme for increasing patients’ satisfaction with general practice consultations. Br J Med Psychol 60:373–378
Fallowfield L, Jenkins V (1999) Effective communication skills are the key to good cancer care. Eur J Cancer 35:1592–1597
Fallowfield L, Lipkin M, Hall A (1998) Teaching senior oncologists communication skills: results from phase I of a comprehensive longitudinal program in the United Kingdom. J Clin Oncol 16:1961–1968
Fallowfield L, Ratcliffe D, Jenkins V, Saul J (2001a) Psychiatric morbidity and its recognition by doctors in patients with cancer. Br J Cancer 84:1011–1015
Fallowfield L, Saul J, Gilligan B (2001b) Teaching senior nurses how to teach communication skills in oncology. Cancer Nurs 24:185–191
Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Eves R (2002) Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 359:650–656
Fallowfield L, Jenkins V, Farewell V, Solis-Trapala I (2003) Enduring impact of communication skills training: results of a 12-month follow-up. Br J Cancer 89:1445–1449
Fallowfield LJ, Hall A, Maguire P, Baum M, A’Hern RP (1994) Psychological effects of being offered choice of surgery for breast cancer. BMJ 309:448
Firth-Cozens J (2001) Multidisciplinary teamwork: the good, bad, and everything in between. Qual Health Care 10:65–66
Greenfield S, Kaplan SH, Ware JE Jr, Yano EM, Frank HJ (1988) Patients’ participation in medical care: effects on blood sugar control and quality of life in diabetes. J Gen Intern Med 3:448–457
Gysels M, Richardson A, Higginson IJ (2004) Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer 12:692–700
Gysels M, Richardson A, Higginson IJ (2005) Communication training for health professionals who care for patients with cancer: a systematic review of training methods. Support Care Cancer 13:356–366
Hack TF, Degner LF, Watson P, Sinha L (2005) Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer. Psychooncology 15:9–19
Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH (2005) Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol 16:1005–1053
Jenkins V, Fallowfield L, Solis-Trapala I, Langridge C, Farewell V (2005) Discussing randomised clinical trials of cancer therapy: evaluation of a Cancer Research UK training programme. BMJ 330:400
Jenkins VA, Fallowfield LJ, Poole K (2001) Are members of multidisciplinary teams in breast cancer aware of each other’s informational roles? Qual Health Care 10:70–75
Kaplan SH, Greenfield S, Ware JE Jr (1989) Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care 27:S110–S127
Klein S, Tracy D, Kitchener HC, Walker LG (1999) The effects of the participation of patients with cancer in teaching communication skills to medical undergraduates: a randomised study with follow-up after 2 years. Eur J Cancer 35:1448–1456
Korsch BM, Negrete VF (1972) Doctor-patient communication. Sci Am 227:66–74
Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM (1997) Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA 277:553–559
Lyons AS, Petrocelli RJ (1978) Medicine: an illustrated history. Abradale Press, New York
Nestel D, Kidd J (2002) Evaluating a teaching skills workshop for medical students. Med Educ 36:1094–1095
Nestel D, Muir E, Plant M, Kidd J, Thurlow S (2002) Modelling the lay expert for first-year medical students: the actor-patient as teacher. Med Teach 24:562–564
Peabody FW (1984) Landmark article March 19, 1927: the care of the patient. By Francis W. Peabody. JAMA 252:813–818
Ramirez AJ, Graham J, Richards MA, Timothy AR (1996) Stress at work for the clinical oncologist. Clin Oncol 8:137–139
Razavi D, Delvaux N, Marchal S, Bredart A, Farvacques C, Paesmans M (1993) The effects of a 24-h psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study. Eur J Cancer 29A:1858–1863
Razavi D, Delvaux N, Marchal S, De Cock M, Farvacques C, Slachmuylder JL (2000) Testing health care professionals’ communication skills: the usefulness of highly emotional standardized roleplaying sessions with simulators. Psychooncology 9:293–302
Razavi D, Delvaux N, Marchal S, Durieux JF, Farvacques C, Dubus L, Hogenraad R (2002) Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study. Br J Cancer 87:1–7
Sexton JB, Thomas EJ, Helmreich RL (2000) Error, stress and teamwork in medicine and aviation. A cross-sectional study. Chirurg 71:suppl 138–142
Shilling V, Jenkins V, Fallowfield L (2003) Factors affecting patient and clinician satisfaction with the clinical consultation: can communication skills training for clinicians improve satisfaction? Psychooncology 12:599–611
Stewart MA (1995) Effective physician-patient communication and health outcomes: a review. CMAJ 152:1423–1433
Taylor C, Graham J, Potts HW, Richards MA, Ramirez AJ (2005) Changes in mental health of UK hospital consultants since the mid-1990s. Lancet 366:742–744
UK Department of Health (2000) The NHS cancer plan: a plan for investment, a plan for reform. NHS, London
Velikova G, Booth L, Smith AB, Brown PM, Lynch P, Brown JM, Selby PJ (2004) Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol 22:714–724
Vincent C, Young M, Phillips A (1994) Why do people sue doctors? A study of patients and relatives taking legal action. Lancet 343:1609–1613
Wilkinson SM, Gambles M, Roberts A (2002) The essence of cancer care: the impact of training on nurses’ ability to communicate effectively. J Adv Nurs 40:731–738
Wilkinson SM, Leliopoulou C, Gambles M, Roberts A (2003) Can intensive three-day programmes improve nurses’ communication skills in cancer care? Psychooncology 12:747–759
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Fallowfield, L., Jenkins, V. (2006). Current Concepts of Communication Skills Training in Oncology. In: Stiefel, F. (eds) Communication in Cancer Care. Recent Results in Cancer Research, vol 168. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-30758-3_10
Download citation
DOI: https://doi.org/10.1007/3-540-30758-3_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-30757-0
Online ISBN: 978-3-540-30758-7
eBook Packages: MedicineMedicine (R0)