Table 1.
Description | |
Conceptual communication skills model: SHARE | |
S | Setting up supportive environment for interview, including fundamental communication skills (eg, greeting patient cordially, looking at patient’s eyes and face) |
H | Considering how to deliver bad news (eg, not beginning bad news without preamble, checking to see whether talk is fast paced) |
A | Discussing additional information that patient would like to know (eg, answering patient’s questions fully, explaining second opinion) |
RE | Providing reassurance and addressing patient’s emotions with empathic responses (eg, remaining silent out of concern for patient’s feelings, accepting patient’s expression of emotions) |
Component | |
Lecture | Introduction, communication skills model, evidence on preferences of patients with cancer regarding communication |
Role-playing | Simulated consultation with simulated patient using communication skills with scenarios, discussing with facilitator, summary |
Scenarios on communication in advanced care | Discontinuing chemotherapy |
Dealing with patient asking questions | |
Setting | 1 participant |
1 facilitator | |
1 simulated patient | |
Schedule | Orientation and lecture (30 min) |
Role-playing with immediate feedback (60 min ×2) |
CST, communication skills training.