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Supportive Care in Cancer

, Volume 27, Issue 5, pp 1951–1960 | Cite as

Evaluation of an online communication skills training programme for oncology nurses working with patients from minority backgrounds

  • Rajneesh KaurEmail author
  • Bettina Meiser
  • Elvira Zilliacus
  • W. K. Tim Wong
  • Lisa Woodland
  • Kaaren Watts
  • Sarah Tomkins
  • David Kissane
  • Afaf Girgis
  • Phyllis Butow
  • Sandra Hale
  • Astrid Perry
  • Sanchia K. Aranda
  • Tim Shaw
  • Helen Tebble
  • Christie Norris
  • David Goldstein
Original Article

Abstract

Objective

This study aimed to develop and assess the feasibility of an online communication skills training intervention to increase cultural competence amongst oncology nurses working with individuals from minority backgrounds.

Methods

The intervention provided examples of communication strategies using vignette-based, professionally produced videos, developed through an iterative process with input from a large multidisciplinary team. Fifty-three oncology nurses completed all three questionnaires at baseline, within 2 weeks and then 3 months after accessing the programme.

Results

The online intervention was well received by the majority of participants, and was endorsed as clearly presented, informative, relevant and useful by more than 90% of participants. Eighty-seven percent of participants reported increased confidence in communicating with patients via an interpreter, and 93% agreed that skills they gained would be useful in providing better patient care. Participants reported significant improvements in practice while interacting with people with limited English proficiency 2 weeks and 3 months after accessing the website (X2 = 13.66, P < 0.001).

Conclusion

This online communication training programme can now be tested for its utility in improving patient care for oncology nurses working with patients from minority backgrounds.

Keywords

Oncology Communication skills Online training Minority backgrounds Oncology nurses 

Notes

Acknowledgements

We are thankful to all participants for giving their time to complete the evaluation. The training programme for healthcare professionals, Effective Cultural Communication in Oncology (ECCO)—A training programme for oncology health professionals, was funded by an Australian Research Council Linkage grant, Cancer Institute NSW and Multicultural Health Services (South Eastern Sydney Local Health District) in conjunction with UNSW Australia, the University of Sydney, Monash University and Prince of Wales Hospital. Bettina Meiser is supported by a Senior Research Fellowship Level B (ID 1078523) from the National Health and Medical Research Council of Australia, and Afaf Girgis by Cancer Institute NSW grants.

Compliance with ethical standards

This study was approved by the University of New South Wales (UNSW) Medical and Community Human Research Ethics Advisory Panel.

Conflict of interest

Bettina Meiser has a remunerated consultant role with the company Astrazeneca with respect to a study unrelated to this article. The other authors declare that they have no conflict of interest.

Supplementary material

520_2018_4507_MOESM1_ESM.docx (14 kb)
ESM 1 (DOCX 13 kb)

References

  1. 1.
    Du X, Meyer T, Franzini L (2007) Meta-analysis of racial disparities in survival in association with socioeconomic status among men and women with colon cancer. Cancer 109(11):2161–2170CrossRefGoogle Scholar
  2. 2.
    Chu K, Miller B, Springfield S (2007) Measures of racial/ethnic health disparities in cancer mortality rates and the influence of socioeconomic status. J Natl Med Assoc 99(10):1092–1104Google Scholar
  3. 3.
    Krupski TL, Sonn G, Kwan L, Maliski S, Fink A, Litwin MS (2005) Ethnic variation in health-related quality of life among low-income men with prostate cancer. Ethn Dis 15:461–468Google Scholar
  4. 4.
    Gotay C, Holup J, Pagano I (2002) Ethnic differences in quality of life among early breast and prostate cancer survivors. Psycho-Oncology 11:103–113CrossRefGoogle Scholar
  5. 5.
    Australian Institute of Family Studies (AIFS), Australian Government. Enhancing family and relationship service accessibility and delivery to culturally and linguistically diverse families in Australia: characteristics and experiences of CALD groups in Australia: barriers to service accessibility and appropriate service delivery to CALD families in Australia 2008 (available from: https://aifs.gov.au/cfca/publications/enhancing-family-and-relationship-service-accessibility-and/resource-sheet)
  6. 6.
    Brushin B, Gonzalez M, Payne R (1997) Exploring cultural attitudes to breast cancer: towards the development of culturally appropriate information resources for women from Greek, Italian, Arabic and Polish speaking backgrounds: executive summary. Sydney, National Breast Cancer CentreGoogle Scholar
  7. 7.
    Goldstein D, Thewes B, Butow P (2002) Communicating in a multicultural society. II: Greek community attitudes towards cancer in Australia. Intern Med J 32(7):289–296CrossRefGoogle Scholar
  8. 8.
    Hyatt A, Lipson-Smith R, Schofield P, Gough K, Sze M, Aldridge L, Goldstein D, Jefford M, Bell ML, Butow P (2017) Communication challenges experienced by migrants with cancer: a comparison of migrant and English-speaking Australian-born cancer patients. Health Expect 20(5):886–895CrossRefGoogle Scholar
  9. 9.
    Lim BT, Butow P, Mills J, Miller A, Goldstein D (2017) Information needs of the Chinese community affected by cancer: a systematic review. Psychooncology 26(10):1433–1443CrossRefGoogle Scholar
  10. 10.
    Sze M, Butow P, Bell M, Vaccaro L, Dong S, Eisenbruch M, Jefford M, Girgis A, King M, McGrane J, Ng W, Asghari R, Parente P, Liauw W, Goldstein D, on behalf of the Psycho-oncology Co-operative Research Group Culturally and Linguistically Diverse (CALD) TEAM (2015) Migrant health in cancer: outcome disparities and the determinant role of migrant-specific variables. Oncologist 20(5):523–531CrossRefGoogle Scholar
  11. 11.
    Back AL, Arnold RM, Tulsky JA, Baile WF, Fryer-Edwards KA (2003) Teaching communication skills to medical oncology fellows. J Clin Oncol 21(12):2433–2436CrossRefGoogle Scholar
  12. 12.
    Eisenbruch M, Yeo S, Meiser B, Goldstein D, Tucker K, Barlow-Stewart K (2004) Optimizing clinical practice in cancer genetics with cultural competence: lessons to be learned from ethnographic research with Chinese-Australians. Soc Sci Med 59(2):235–248CrossRefGoogle Scholar
  13. 13.
    Cross T, Bazron B, Dennis K, Isaacs M (1989) Towards a culturally competent system of care. Georgetown University Child Development Center, CASSP Technical Assistance Center, Washington DCGoogle Scholar
  14. 14.
    Bylund CL, Brown RF, Bialer PA, Levin TT, Lubrano di Ciccone B, Kissane DW (2011) Developing and implementing an advanced communication training program in oncology at a comprehensive cancer center. J Cancer Educ 26(4):604–611CrossRefGoogle Scholar
  15. 15.
    Tebble H (1998) Medical Interpreting: improving communication with your patients. Language Australia and Deakin University, Geelong Vic (video and book). https://files.eric.ed.gov/fulltext/ED426614.pdf. Accessed 19 January 2017: ERIC
  16. 16.
    Saleh M, Barlow-Stewart K, Meiser B, Muchamore I (2009) Challenges faced by genetic service providers’ practicing in a culturally and linguistically diverse population. The Australian experience. J Genet Couns 18:436–446CrossRefGoogle Scholar
  17. 17.
    Butow P, Lobb E, Jefford M, Goldstein D, Eisenbruch M, Girgis A, et al. (2010) A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients. Support Care Cancer 18(11)Google Scholar
  18. 18.
    Butow P, Bell M, Goldstein D, Sze M, Aldridge L, Abdo S, Mikhail M, Dong S, Iedema R, Ashgari R, Hui R, Eisenbruch M (2011) Grappling with cultural differences: communication between oncologists and immigrant cancer patients with and without interpreters. Patient Educ Couns 84:398–405CrossRefGoogle Scholar
  19. 19.
    Hale S (2007) Community interpreting. Palgrave Macmillan, BasingstokeCrossRefGoogle Scholar
  20. 20.
    AUSIT. Code of ethics and code of conduct. The Australian Institute of Interpreters and Translators. 2012 [Available from: https://ausit.org/AUSIT/Documents/Code_Of_Ethics_Full.pdf
  21. 21.
    Lubrano di Ciccone B, Brown R, Gueguen J, Bylund C, Kissane D (2010) Interviewing patients using interpreters in an oncology setting: initial evaluation of a communication skills module. Ann Oncol 21(1):27–32CrossRefGoogle Scholar
  22. 22.
    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(5):1961–1968CrossRefGoogle Scholar
  23. 23.
    Kissane DW, Bultz BD, Butow PN, Bylund CL, Noble S, Wilkinson S (2017) Oxford textbook of communication in oncology and palliative care: Oxford University PressGoogle Scholar
  24. 24.
    Barth J, Lannen P (2011) Efficacy of communication skills training courses in oncology: a systematic review and meta-analysis. Ann Oncol 22:1030–1040CrossRefGoogle Scholar
  25. 25.
    Fallowfield L, Jenkins V, Farewell V, Saul J, Duffy A, Eves R et al (2002) Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial. Lancet 359(9307):650–656CrossRefGoogle Scholar
  26. 26.
    Palmer RC, Samson R, Triantis M, Mullan ID (2011) Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers. BMC Med Educ 11(1):59CrossRefGoogle Scholar
  27. 27.
    Friedman-Rhodes E, Hale S (2010) Teaching medical students to work with interpreters. J Specialised Transl 14:121–144Google Scholar
  28. 28.
    Tebble H (2003) Training doctors to work effectively with interpreters. In Brunette, L., Bastin, G., Hemlin, I. and Clarke, H. (eds), The critical link 3—interpreters in the community (pp. 81–95 &112). Amsterdam/Philadelphia: John BenjaminsGoogle Scholar
  29. 29.
    Mitchell S, Heyden R, Heyden N, Schroy P, Andrew S, Sadikova E, Wiecha J (2011) A pilot study of motivational interviewing training in a virtual world. J Med Internet Res 13(3):e77CrossRefGoogle Scholar
  30. 30.
    Bekkers MJ, Simpson SA, Dunstan F, Hood K, Hare M, Evans J et al (2010) Enhancing the quality of antibiotic prescribing in primary care: qualitative evaluation of a blended learning intervention. BMC Fam Pract 11:34CrossRefGoogle Scholar
  31. 31.
    Simpson SA, Butler CC, Hood K, Cohen D, Dunstan F, Evans MR et al (2009) Stemming the Tide of Antibiotic Resistance (STAR): a protocol for a trial of a complex intervention addressing the ‘why’ and ‘how’ of appropriate antibiotic prescribing in general practice. BMC Fam Pract 10(1):20CrossRefGoogle Scholar
  32. 32.
    Daetwyler C,G Cohen D, Gracely E, Novack D. eLearning to enhance physician patient communication: a pilot test of “doc.com” and “WebEncounter” in teaching bad news delivery 2010. e381–90 p
  33. 33.
    Robinson T, Janssen A, Kirk J, DeFazio A, Goodwin A, Tucker K, Shaw T (2017) New approaches to continuing medical education: a QStream (spaced education) program for research translation in ovarian cancer. J Cancer Educ 32(3):476–482CrossRefGoogle Scholar
  34. 34.
    Douma KFL, Aalfs CM, Dekker E, Tanis PJ, Smets EM (2017) An E-learning module to improve nongenetic health professionals’ assessment of colorectal cancer genetic risk: feasibility study. JMIR Med Educ 3(2):e24CrossRefGoogle Scholar
  35. 35.
    Watts K, Meiser B, Zilliacus E, Kaur R, Taouk M, Girgis A, et al. (2017) Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background: systemic issues and working with interpreters. European Journal of Cancer Care :e12758-n/aGoogle Scholar
  36. 36.
    National Health and Medical Research Council. Cultural competency in health: a guide for policy, partnerships and participation. Canberra: Commonwealth of Australia; 2006Google Scholar
  37. 37.
    Hudelson P, Perron NJ, Perneger TV (2010) Measuring physicians’ and medical students’ attitudes toward caring for immigrant patients. Eval Health Prof 33(4):452–472CrossRefGoogle Scholar
  38. 38.
    Norman G, Sloan J, Wyrwich K et al (2003) Interpretation of changes in health-related quality of life. Med Care 41(5):582–592Google Scholar
  39. 39.
    Ammentorp J, Sabroe S, Kofoed P, Mainz J (2007) The effect of training in communication skills on medical doctors’ and nurses’ self-efficacy. A randomized controlled trial. Patient Educ Couns 66(3):270–277CrossRefGoogle Scholar
  40. 40.
    Jenkins V, Fallowfield L (2002) Can communication skills training alter physicians’ beliefs and behavior in clinics? J Clin Oncol 20(3):765–769Google Scholar
  41. 41.
    Schmitz CC, Braman JP, Turner N, Heller S, Radosevich DM, Yan Y, Miller J, Chipman JG (2016) Learning by (video) example: a randomized study of communication skills training for end-of-life and error disclosure family care conferences. Am J Surg 212(5):996–1004CrossRefGoogle Scholar
  42. 42.
    Arif S, Cryder B, Mazan J, Quiñones-Boex A, Cyganska A (2017) Using patient case video vignettes to improve students’ understanding of cross-cultural communication. Am J Pharm Educ 81(3):56Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Rajneesh Kaur
    • 1
    Email author
  • Bettina Meiser
    • 1
  • Elvira Zilliacus
    • 1
  • W. K. Tim Wong
    • 2
  • Lisa Woodland
    • 3
  • Kaaren Watts
    • 1
  • Sarah Tomkins
    • 4
  • David Kissane
    • 5
  • Afaf Girgis
    • 6
  • Phyllis Butow
    • 7
  • Sandra Hale
    • 8
  • Astrid Perry
    • 9
  • Sanchia K. Aranda
    • 10
  • Tim Shaw
    • 11
  • Helen Tebble
    • 12
  • Christie Norris
    • 13
  • David Goldstein
    • 13
  1. 1.Psychosocial Research Group, Prince of Wales Clinical SchoolThe University of New South Wales (UNSW)SydneyAustralia
  2. 2.School of Social SciencesThe University of New South Wales, Sydney (UNSW)SydneyAustralia
  3. 3.South Eastern Sydney Local Health DistrictSydneyAustralia
  4. 4.Cancer Institute NSWSydneyAustralia
  5. 5.Department of Psychiatry, School of Clinical Sciences at Monash HealthMonash UniversityMelbourneAustralia
  6. 6.Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, South Western Sydney Clinical SchoolUniversity of New South Wales (UNSW)SydneyAustralia
  7. 7.Psycho-Oncology Co-Operative Research Group, Centre for Medical Psychology and Evidence-Based Decision-MakingThe University of SydneySydneyAustralia
  8. 8.Faculty of Arts and Social SciencesUniversity of New South Wales (UNSW)SydneyAustralia
  9. 9.Multicultural Health ServiceSouth Eastern Sydney Local Health DistrictSydneyAustralia
  10. 10.Cancer Council AustraliaSydneyAustralia
  11. 11.Charles Perkins Centre, Faculty of Health SciencesUniversity of SydneySydneyAustralia
  12. 12.School of Languages, Literatures, Cultures and LinguisticsMonash UniversityMelbourneAustralia
  13. 13.Prince of Wales Clinical School and Nelune Cancer CentrePrince of Wales HospitalSydneyAustralia

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