Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | School of Nursing | en_US |
| dc.contributor.advisor | Chung, Joyce (SN) | en_US |
| dc.contributor.advisor | Lam, Katherine (SN) | en_US |
| dc.contributor.advisor | Molassiotis, Alex (SN) | en_US |
| dc.creator | Chen, Weilin | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/13523 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | en_US |
| dc.rights | All rights reserved | en_US |
| dc.title | Development and evaluation of a culturally specific end-of-life communication skills training for Chinese oncology nurses | en_US |
| dcterms.abstract | Background: End-of-life communication is fundamental for providing goal-concordant care and improving patient outcomes and experience. Nurses play a crucial role in facilitating such communication but often lack the necessary training. Moreover, the influence of culture presents unique challenges that add complexity to end-of-life communication in the Chinese context. | en_US |
| dcterms.abstract | Aim: To develop and evaluate a culturally specific end-of-life CST for Chinese oncology nurses. | en_US |
| dcterms.abstract | Methods: The development phase consists of two studies, including (1) a scoping review capturing the board knowledge of available end-of-life communication strategies and (2) a qualitative descriptive study with semi-structured in-depth interviews and focus group discussions to explore stakeholders’ experiences, perceptions, suggestions and preferred end-of-life communication strategies. A randomised controlled trial (RCT) embedded with a process evaluation was conducted in the evaluation phase. One hundred and fifty-nine oncology nurses were randomly assigned to an 8-session communication skills training (n = 79) or a wait-list control group (n = 80). The training curriculum covered four modules: responding to patient cues, negotiating with the family, nurturing hope, and bereavement support. A combination of lectures, videos, and simulations were used. Data collection was conducted for both groups before (T0), immediately after (T1) and one month after the intervention group received the training (T2) on nurses' communication skills, self-efficacy and outcome expectancy belief. Process evaluation included assessments of acceptability, satisfaction, and experiences. Generalised estimating equations (GEE) were utilised in data analysis. | en_US |
| dcterms.abstract | Results: The scoping review found seven themes of available end-of-life communication strategies, including (a) preparation, (b)exploration and assessment, (c) family involvement, (d)provision and tailoring of information, (e) empathic emotional responses, (f) reframing and revisiting the goals of care, and (g) conversation closure. The qualitative study involved 19 patients, 22 family caregivers, and 25 healthcare providers. It identified protective and open states of end-of-life communication and several factors affecting it. Participants suggested communication strategies were arranged into an acronym, IGNITE, i.e., a) Identify the primary communicator(s) and prepare the family if necessary; b) Initiate end-of-life communication in a Gradual and Natural manner; c) Navigate realistic expectations; d) Inner healing with emotional support and meaning reconstruction; and e) Timing and Environment. In the RCT, participants had a mean age of 31.36 years, and 94.30% were female. The intervention group showed significant improvements compared to controls in communication skills (p < .05), self-efficacy (p < .001) and outcome expectancy beliefs (p < .001). The training program demonstrated good acceptability and satisfaction. Participants identified facilitators and barriers during the learning process. | en_US |
| dcterms.abstract | Conclusion: A culturally specific end-of-life communication skills training program incorporating stakeholders’ views is well developed. The program's effectiveness has been demonstrated in improving communication skills, self-efficacy, and outcome expectancy beliefs among Chinese oncology nurses. The findings of this research can inform the development of contextual end-of-life communication guidelines tailored to Chinese clinical practice and those countries or regions with a similar cultural background. Further research is warranted to investigate the transfer of nurses' communication skills in practical settings. | en_US |
| dcterms.extent | xviii, 378 pages : color illustrations | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2024 | en_US |
| dcterms.educationalLevel | Ph.D. | en_US |
| dcterms.educationalLevel | All Doctorate | en_US |
| dcterms.LCSH | Terminal care | en_US |
| dcterms.LCSH | Medical personnel and patient | en_US |
| dcterms.LCSH | Cancer -- Nursing -- China | en_US |
| dcterms.LCSH | Hong Kong Polytechnic University -- Dissertations | en_US |
| dcterms.accessRights | open access | en_US |
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