Conversations in end-of-life care: communication tools for critical care practitioners.

Sarah Shannon, Tracy Long-Sutehall, Maureen Coombs

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Communication skills are the key for quality end-of-life care including in the critical care setting. While learning general, transferable communication skills, such as therapeutic listening, has been common in nursing education, learning specific communication tools, such as breaking bad news, has been the norm for medical education. Critical care nurses may also benefit from learning communication tools that are more specific to end-of-life care. We conducted a 90-min interactive workshop at a national conference for a group of 78 experienced critical care nurses where we presented three communication tools using short didactics. We utilized theatre style and paired role play simulation. The Ask-Tell-Ask, Tell Me More and Situation-Background-Assessment-Recommendation (SBAR) tools were demonstrated or practiced using a case of a family member who feels that treatment is being withdrawn prematurely for the patient. The audience actively participated in debriefing the role play to maximize learning. The final communication tool, SBAR, was practiced using an approach of pairing with another member of the audience. At the end of the session, a brief evaluation was completed by 59 nurses (80%) of the audience. These communication tools offer nurses new strategies for approaching potentially difficult and emotionally charged conversations. A case example illustrated strategies for applying these skills to clinical situations. The three tools assist critical care nurses to move beyond compassionate listening to knowing what to say. Ask-Tell-Ask reminds nurses to carefully assess concerns before imparting information. Tell Me More provides a tool for encouraging dialogue in challenging situations. Finally, SBAR can assist nurses to distill complex and often long conversations into concise and informative reports for colleagues.

Original languageEnglish (US)
Pages (from-to)124-130
Number of pages7
JournalNursing in critical care
Volume16
Issue number3
DOIs
StatePublished - May 2011
Externally publishedYes

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Terminal Care
Critical Care
Nurses
Communication
Learning
Clinical Competence
Nursing Education
Medical Education
Quality of Life
Education
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Conversations in end-of-life care : communication tools for critical care practitioners. / Shannon, Sarah; Long-Sutehall, Tracy; Coombs, Maureen.

In: Nursing in critical care, Vol. 16, No. 3, 05.2011, p. 124-130.

Research output: Contribution to journalArticle

Shannon, Sarah ; Long-Sutehall, Tracy ; Coombs, Maureen. / Conversations in end-of-life care : communication tools for critical care practitioners. In: Nursing in critical care. 2011 ; Vol. 16, No. 3. pp. 124-130.
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