The fact, however, that only 33 participants responded renders the sample small and detracts from its reliability making it difficult to replicate to other instances. This renders the outcome measures unreliable.
On the other hand, similar online and offline research, both quantitative and qualitative, time and again, indicates the importance of communication in terms of hospice patient care. Cancer patients, it is shown, too profit from improved doctor-patient communication (e.g. Jaffe & Ehrlich, 1997). Studies and experience indicate the importance of the hospice nurse possessing excellent interpersonal skills with the patience and ability to listen to their patients and to help them through their challenging time. Elisabeth Kubler-Ross, for instance, time and again reiterated the importance of excellent clinician-patient communication skills in all processes of their dying. The AACN (American Association of Critical-Care Nurses, 2006; Hardin, 2005) model, likewise, which addresses importance of communication between clinician and patient also reinforces the salutatory benefits of clinician-patient communication lending further credence to this study and to outcome measures. The brunt of her job depends more on listening to, being with, and making the patient feel good than actually treating the patient. Consistent research in the nursing field in general and in the cancer domain in particular support the importance of clear, empathetic, patient-centered communication (e.g. McClain & Rosenfeld, 2003; Sandoval-Cros, 1999; Watson et al., 1999). This guideline delineates the descriptors of such communication. Since the sample of respondents is small, the study needs to be conducted on wider and reiterated populations.
Summarize evidence-based guidelines relevant to hospice inpatient care unit.
In short, the practice of clear, supportive, emphatic communication with hospice patients is urged. Recommendations are many, but reduction to key points relevant to hospice inpatient care unit may include the following:
Communication should be patient-centered with needs and preferences of patient considered
Hardin, S. (2005). Introduction to the AACN Synergy Model for Patient Care. In S.R. Hardin & R. Kaplow (Eds.), Synergy for clinical excellence: The AACN Synergy Model for Patient Care (pp. 3-10). Sudbury, MA: Jones and Bartlett Publishers.
Jaffe, C. & Ehrlich, C.H. (1997). All kinds of love: Experiencing hospice. New York,
NY: Baywood Publishing Co.
McClain, C.S. & Rosenfeld, B. (2003). Effect of spiritual well-being on end-of-life despair, The Lancet, 36, 1603-1607.
Rodin, G. et al. (2009) Clinician -- patient communication: evidence-based recommendations to guide practice in cancer Current Oncology -- Volume 16, Number 6
Sandoval-Cros CJ. (1999) Common psychological problems in the cancer patient Moffitt Cancer Center
http://www.moffitt.org/moffittapps/ccj/v6n5/dept6.htm
Watson M, Haviland JS, Greer S, Davidson J, & Bliss JM. (1999). Influence of psychological response on survival in breast cancer: a population-based cohort study. Lancet; 354:1331 -- 6
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