Communication between Caregivers of Adults with Cancer and Healthcare Professionals: a Review of Communication Experiences, Associated Factors, Outcomes, and Interventions.

IF 4.7 2区 医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI:10.1007/s11912-024-01550-5
Ying Wang, Christopher L Seplaki, Sally A Norton, AnnaLynn M Williams, Sindhuja Kadambi, Kah Poh Loh
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Abstract

Purpose of review: Family/unpaid caregivers play an important role in cancer care. This review aims to summarize caregiver communication experiences with healthcare professionals (HCPs).

Recent findings: The Caregiver-Centered Communication model defines five core functions that HCPs should achieve when interacting with caregivers, including fostering relationships, exchanging information, recognizing and responding to caregiver emotions, aiding in decision making, and assisting in patient care management. The literature shows that caregivers have both positive and negative communication experiences with HCPs with respect to these five core functions. Factors at the caregiver (e.g., demographic characteristics, information sources, caregiving duration, health status), patient (e.g., demographic and clinical characteristics), and HCP levels (e.g., time constraints in clinical settings, communication skills) are associated with caregiver-HCP communication quality. Studies further show that these communication experiences may affect caregiver outcomes, including quality of life, mental health, resilience, and satisfaction with cancer care. Moreover, poor quality caregiver-HCP communication is associated with patient readmission to the hospital and unmet care needs. Interventions for caregivers or patient-caregiver dyads have been shown to enhance caregiver confidence and increase their engagement in communication with HCPs. Interventions for HCPs have shown efficacy in improving their communication skills, particularly in involving caregivers in decision-making discussions. Given time constraints during medical visits, we suggest conducting a caregiver assessment by navigators prior to visits to understand their communication needs. Additionally, reimbursing HCPs for time spent communicating with caregivers during visits could be beneficial. More research is needed to better understand how to enhance caregiver-HCP communication quality.

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癌症成人护理者与医护人员之间的沟通:沟通经验、相关因素、结果和干预措施综述。
审查目的:家庭/无偿护理人员在癌症护理中扮演着重要角色。本综述旨在总结护理人员与医疗保健专业人员(HCPs)的沟通经验:以护理人员为中心的沟通模式定义了医护人员在与护理人员互动时应实现的五项核心功能,包括促进关系、交流信息、识别和回应护理人员的情绪、协助决策以及协助患者护理管理。文献显示,在这五大核心功能方面,护理人员与保健医疗人员的沟通经历既有积极的,也有消极的。护理者(如人口统计学特征、信息来源、护理持续时间、健康状况)、患者(如人口统计学和临床特征)和保健医生(如临床环境中的时间限制、沟通技巧)层面的因素与护理者与保健医生的沟通质量有关。研究进一步表明,这些沟通经历可能会影响护理者的结果,包括生活质量、心理健康、适应能力以及对癌症护理的满意度。此外,护理人员与医护人员沟通质量差与患者再次入院和护理需求得不到满足有关。对护理者或患者-护理者二元组合的干预已被证明可以增强护理者的信心,提高他们与保健医生沟通的参与度。对医护人员的干预也显示出了改善其沟通技巧的效果,尤其是在让护理人员参与决策讨论方面。鉴于就诊时间有限,我们建议导航员在就诊前对护理人员进行评估,以了解他们的沟通需求。此外,对保健医生在就诊期间与护理人员沟通所花费的时间进行补偿也是有益的。我们需要开展更多的研究,以更好地了解如何提高护理人员与保健医生之间的沟通质量。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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