OBJECTIVES
CONTENT (TOPICS)
“At the end of this activity,
the learner will be able to…
CLOCK
TIMES
MINUTES
PRESENTER
TEACHING
METHODS
1. Describe the purpose and
process of communication in
oncology nursing.
Importance of communication;
communication in palliative care,
nursing; levels of communication;
nonverbal communication;
communication needs and barriers
(list clock times 25 minutes
for Chapter
program)
(list name of speaker
secured by Chapter)
Lecture with
handouts;
Learning
Activity
2. Describe strategies for
responding to at least three
difficult communication
scenarios in oncology
nursing.
Therapeutic and nontherapeutic communication
techniques; motivational
interviewing; COMFORT
curricula; listening; information
sharing; breaking bad news;
advance care planning;
conversation strategies; goal
setting; conflict negotiation
(list clock times 40 minutes
for Chapter
program)
(list name of speaker
secured by Chapter)
Lecture with
handouts;
Listening
Activity
Q&A and evaluation
(list clock times 10 minutes
for Chapter
program)
(list name of speaker
secured by Chapter)
TOTAL CONTACT HOURS: 75min/ 60 = 1.25 CONTACT HOURS
References
American Nurses Association. (2010). Registered Nurses’ Roles and Responsibilities in Providing Expert Care and
Counseling at the End of Life Position Statement.
Retrieved from http://nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-PositionStatements/etpain14426.pdf
American Nurses Association. (2012). Nursing Care and Do Not Resuscitate (DNR) and Allow Natural Death (AND)
Decisions Position Statement. Retrieved from
http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/Nursing-Care-andBaer,
L., and Weinstein, E. (2013). Improving oncology nurses’ communication skills for
Do-Not-Resuscitate-DNR-and-Allow-Natural-Death-Decisions.pdf
difficult conversations. Clinical Journal of Oncology Nursing, 17, E45-E51.
Caring Connections. (2014). Advanced care planning. Retrieved from
http://www.caringinfo.org/i4a/pages/index.cfm?pageid=1
Objective(s) this reference relates to
Objective 2
Clinical Communication Cooperative. (2013). COMFORT Nurse. Retrieved from
http://www.clinicalcc.com/comfort-nurse/
Objective 1 ,2
Objective 2
Objective 1 ,2
Objective 2
Codier, E., Muneno, L. and Freitas, E. (2011). Emotional intelligence abilities in oncology and palliative care. Journal of
Hospice and Palliative Nursing, 13, 183-188.
Cohen, A., and Nirenberg, A. (2011). Current practices in advance care planning: Implications for oncology nurses.
Clinical Journal of Oncology Nursing, 2011, 5(5), 547-553
Connor, S., Pyenson, B., Fitch, K., Spence, C., and Iwasaki, K. (2007). Comparing hospice and nonhospice patient
survival among patients who die within a three-year window. Journal of Pain and Symptom Management, 33, 238-246.
Cooper, P.G. (2006). The influence of hope on the psychosocial experience. In Carroll-Johnson,
R.M., Gorman, L.M., Bush, N.J. (eds.) Psychosocial Nursing Care Along the Cancer Continuum.
Pittsburgh, PA; Oncology Nursing Society, p. 133-141.
Objective 1, 2
Chung, H., Lyckholm, L., and Smith, T. (2009). Palliative care in BMT. Bone Marrow Transplantation, 43, 265-73.
Objective 2
Dahlin, C. Communication. In Ferrell, B.R. & Coyle, N. (Eds.), Oxford Textbook
of Palliative Nursing, 3rd ed. (pp. 107-136). New York, Oxford University Press.
Objective 1 ,2
Davis, S., Krisjanson, L., and Blght, J. ( 2003). Communicating with patients in an acute hospital with advanced cancer:
Problems and strategies identified by nurses. Cancer Nursing, 26, 337-345.
End of Life Nursing Education Consortium. (2014). Module 6: Communication Listening Activity.
Objective 1 ,2
Ganti, A., Lee, S., Vose, J., Devetten, M., Bociek, R., Armitage, J., . . . Loberiza, F., Jr. (2007). Outcomes after
hematopoietic stem-cell transplantation for hematologic malignancies in patients with or without advance care
planning. Journal of Clinical Oncology, 25, 5643–5648.
Grover, S. (2005). Shaping effective communication skills and therapeutic relationships at work. American Association
of Occupational Health Nursing Journal, 53, 177-182.
Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Retrieved
from http://www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21stCentury.aspx
Institute of Medicine. (2011). Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care Workshop Summary. Retrieved from http://www.iom.edu/Reports/2011/Patient-Centered-Cancer-TreatmentPlanning-Improving-the-Quality-of-Oncology-Care.aspx
Objective 2
Institute of Medicine. (2013). Delivering Affordable Cancer Care in the 21st Century. Retrieved from
http://www.iom.edu/Reports/2013/Delivering-Affordable-Cancer-Care-in-the-21st-Century.aspx
Kendall , A., and Arnold, R. (2009) #184 Conflict Resolution II: Principled Negotiation. Retrieved from
http://www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_184.htm
Mack, J., Weeks, J., Wright, A., Block, S., and Prigerson, H. (2010). End of life discussions,
goal attainment and distress at end of life: Predictors of outcomes of receipt of care
consistent with preferences. Journal of Clinical Oncology, 28, 1203-08.
Matsuyama, R., Reddy, S., and Smith. T. (2006). Why do patients choose chemotherapy near the end of life? A review
of the perspective of those facing death from cancer. Journal of Clinical Oncology 24, 3490-3496.
Objective 1
Objective 2
Objective 2
Objective 2
Objective 2
Objective 1
Objective 1
Objective 1
Objective 2
Objective 2
Objective 2
National Consensus Project for Quality Palliative Care. (2013). Clinical Practice Guidelines for
Quality Palliative Care, Third Edition. Retrieved from http://www.nationalconsensusproject.org
Objective 1,2
Panagopoulou, E., Mintziori, G., Montgomery, A., Kapoukranidou, D. and Benos, A. (2008). Concealment of
information in clinical practice: Is lying less stressful than telling the
truth? Journal of Clinical Oncology, 26, 1175-1177.
Pollak, K., Childers, J., and Arnold, R. (2011). Applying motivational interviewing techniques to palliative care
communication. Journal of Palliative Medicine, 14, 587-92.
Press Ganey Associates, Inc. (2013). The rising tide measure: Communication with nurses. Retrieved from
http://www.pressganey.com/researchResources/white-papers/white-papers-for-hospitals/communication-withnurses-rising-tide-measure.aspx
Objective 2
Objective 1, 2
Objective 1
Objective 1,2
Sheldon, L.K., Barrett, R., and Ellington, L. ( 2006). Difficult communication in nursing. Journal of
Nursing Scholarship. 38, 141-7.
Smith, T., Dow, L., Virago, E., Khatcheressian, J., Lyckholm, L., and Matsuyama, R. (2010). Giving honest information to Objective 2
patients with advanced cancer maintains hope. Oncology, 24, 521-525.
Objective 2
Stone, D., Patton, B., and Heen, S. (1999) Difficult Conversations: How to Discuss What Matters Most. New York,
Penguin Books.
Temel, J., Greer, J., Muzikansky, A., Gallagher, E.R., Admane, S., Jackson, V., . . . and Lynch, T. (2010). Early palliative
care for patients with metastatic non-small -cell lung cancer. New England Journal of Medicine, 363, 733-742.
Waldrop, D., and Meeker, M. (2012). Communication and advanced care planning in
palliative and end of life care. Nursing Outlook, 60, 365-69.
Weeks, J., Cook, E., O’Day, S., Peterson, L., Wenger, N., Reding, D., . . . & Phillips, R. (1998). Relationship between
cancer patients’ predictions of prognosis and their treatment preferences. Journal of American Medical Association,
279, 1709-1714.
Objective 2
Wit. (2001). Retrieved from http://www.youtube.com/watch?v=p-oktCUA0mk
Objective 1
Wittenberg-Lyles, E., Goldsmith, J., Ferrell, B., and Ragan, S.L. (2013). Communication in Palliative Nursing. New York:
Oxford University Press. p. 3-11
Objective 1,2
Wright, A., Zhang, B., Ray, A., Mack, J., Trice, E., Balboni, T., . . . and Prigerson, H. (2008). Association between end of
life discussions, patient mental health, medical care near death and caregiver bereavement adjustment. Journal of
Zhang,
B., Medical
Wright, A.,
Huskamp,300,
Nilsson,
M., Maciejewski, M., Earle, C., . . . and Prigerson, H. (2009). Health care costs
American
Association,
1665-73.
in last weeks of life: Association with end of life conversations. Archives of Internal Medicine, 169, 480-8.
Objective 2
Objective 2
Objective 2
Objective 2