Effective Communication between Nurses and Advanced Cancer Patients

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Surapha Saikaew
Yupin Tanatwanit
Wanlapa Kunsongeit


The purpose of this descriptive qualitative research was to study effective communication between nurses and advanced cancer patients. The participants were selected by the purposive sampling and they were diagnosed with advanced cancer and admitted to Chonburi Cancer Hospital, and were assessed by the Palliative Performance Scale version 2 (PPS v2) and their scores showed ≤ 60%. Twenty participants were assigned. The semi-structure interview guide was used for collecting data. Then, the content analysis was applied to analyze these data.

The results revealed that the effective communication between nurses and advanced cancer patients emerged 4 significant categories: 1) characteristics of communication (: effective communication and non-effective communication), 2) characteristics of nurses contributing to the effective communication (: service-mind, encouragement, and creditable personality), 3) the barriers to communicate effectively causing from patients, nurses, loading work of nurses), and 4) effective communication improvement (: communication skills for psychological care and for explaining communication content) These results of this study demonstrated that the advanced cancer patients needed effective communication from nurses in both verbal and non-verbal communication. Nursing care has to eliminate the barriers to effective communication. At the same time, the communication skill promoting psychological care and content explanting for illness information needs to be developed and improved.


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Saikaew S, Tanatwanit Y, Kunsongeit W. Effective Communication between Nurses and Advanced Cancer Patients. J Royal Thai Army Nurses [Internet]. 2020Aug.27 [cited 2020Oct.21];21(2):93-101. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244644
Research Articles


1. American Cancer Society. Global Cancer Facts & Figures 2nd ed. Atlanta: American Cancer Society; 2011.
2. Mazanec P, Daly BJ, Ferrell BR, & Prince-Paul M. Lack of communication and control: Experiences of distance caregivers of parents with advanced cancer. Oncology Nursing Forum. 2011; 38(3): 307-313.
3. Thongpratheep T. Nursing: Mourners sufferings in End-of life Care patient. 3rd ed. Bangkok Wee Printing; 2010. (in Thai)
4. Bruinessen IR. Barriers and facilitators to effective communication experienced by patients with malignant lymphoma at all stages after diagnosis. Psycho-Oncology. 2013; 22: 2807-2814.
5. Waldrop AP, & Meeker MA. Communication and advanced care planning in palliative and end-of-life care. The Journal of the American Academic of Nursing. 2012; 60(6): 337-422.
6. Tay LH, Ang E, & Hegney D. Nurses’ perceptions of the barriers in effective communication with inpatient cancer adults in Singapore. Journal of Clinical Nursing. 2012; 21: 2647- 2658.
7. Dahlin M. Communication in palliative care: An essential competency for nurses. In Oxford textbook of palliative nursing. New York: Oxford University Press; 2010.
8. Oumtanee A. Qualitative research in nursing. 2nd ed. Faculty of Nursing Chulalongkorn University Bangkok. 2010. (in Thai)
9. Anchalee C., Tatiya T. Therapeutic Communication Skills for Nurses. Journal of The Royal Thai Army Nurses 2018; 19(Supplement): 25-33. (in Thai)
10. Buckman R. Breaking bad news: The S-P-I-K-E-S strategy. Psychosocial oncology. 2005; 2(2): 138-142.
11. Boonnun J, Chandhanayingyong C, Phimolsarnti R, Asavamongkolkul A, & Boonnuch C. Primary-Stage Bone Cancer Patients’ Preferred and Received Methods of Diagnosis Notification. Thai Journal of Nursing Council 2012; 27(4): 123-137. (in Thai)
12. Maskor NA, Krauss SE, Muhamad M, & Mahmood NH K. Communication competencies of oncology nurses in Malaysia. Asian Pacific Journal of Cancer Prevention 2013; 14: 153-158.
13. Moore C. Florence Nightingale: The lady with the lamp. London: Bookmarque, Croydon, Surrey 2004.