title: The essence of cancer care: the impact of training on nurses' ability to communicate effectively.
abstract: BACKGROUND
  The importance of effective communication between health professionals and patients with cancer is widely recognized. Training programmes aimed at improving key communication skills are becoming increasingly available.
  
  
  OBJECTIVE
  To evaluate a communication skills programme delivered to 308 cancer nurses as part of degree/diploma courses. Based on previous work, it was hypothesized that a statistically significant improvement between pre- and postintervention scores would be observed.
  
  
  METHODS
  Audiotaped nursing assessments with patients were undertaken before and after the course. These were evaluated according to coverage of nine previously identified key areas of communication.
  
  
  RESULTS
  Mean postcourse scores rose by 5.9 points (P < 0.001) to 16.3 (out of a possible 27). All nine individual areas of the assessment showed statistically significant improvements postintervention (P < 0.001). The areas showing most improvement were those with a high emotional content.
  
  
  CONCLUSIONS
  This study has demonstrated that an integrated approach to communication skills training has the potential to improve nurses' skills, particularly in emotionally laden areas across the spectrum of roles in cancer care.
authors.affiliation: Marie Curie Palliative Care Research and Development Unit, Department of Psychiatry and Behavioural Sciences, Royal Free and UCL Medical School, London, UK. swilkinson@rfc.ucl.ac.uk
authors.forename: Susie M
authors.initials: SM
authors.lastname: Wilkinson
authors.forename: Maureen
authors.initials: M
authors.lastname: Gambles
authors.forename: Anita
authors.initials: A
authors.lastname: Roberts
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D004509:Education, Nursing, Continuing; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009859:Oncology Nursing / Q000193:education*; D015397:Program Evaluation; D013637:Tape Recording