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Communication in Palliative Nursing: The COMFORT Model by Elaine Wittenberg

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Description

Communication in Palliative Nursing presents the COMFORT Model, a theoretically-grounded and empirically-based model of palliative care communication. Built on over a decade of communication research with patients, families, and interdisciplinary providers, and reworked based on feedback from hundreds of nurses nationwide, the chapters outline a revised COMFORT curriculum: Connect, Options, Making Meaning, Family caregivers, Openings, Relating, and Team communication. Based on a narrative approach to communication, which addresses communication skill development, this volume teaches nurses to consider a universal model of communication that aligns with the holistic nature of palliative care. This work moves beyond the traditional and singular view of the nurse as patient and family educator, to embrace highly complex communication challenges present in palliative care-namely, providing care and comfort through communication at a time when patients, families, and nurses themselves are suffering. In light of the vast changes in the palliative care landscape and the increasingly pivotal role of nurses in advancing those changes, this second edition provides an evidence-based approach to the practice of palliative nursing. Communication in Palliative Nursing integrates communication theory and health literacy constructs throughout, and provides clinical tools and teaching resources to help nurses enhance their own communication and create comfort for themselves, as well as for patients and their families.

About the Author
Elaine Wittenberg is Associate Professor in the Department of Communication Studies at California State University, Los Angeles. She is co-founder of the COMFORT Communication project, a national health communication training program funded by the National Cancer Institute. Joy V. Goldsmith is a Professor at the University of Memphis in the Department of Communication and Film. She serves as Co-Director of the Center for Health Literacy and Health Communication at the University of Memphis. Sandra L. Ragan is Professor Emerita, Department. of Communication, University of Oklahoma, where she taught during the years 1983 - 2006 and also served as director of graduate studies and associate dean of the College of Arts & Sciences. Terri Ann Parnell is a nurse, a recognized health literacy expert, and an award-winning author. She is Principal and Founder of Health Literacy Partners LLC. She is a consultant and frequent speaker on the topics of health literacy, cultural competency, and patient education.

Reviews
This book is written by four experts in communication (although it is noted that Parnell is also a nurse). It is written about and for the palliative care scene in the USA, but I think the principles discussed make it relevant elsewhere. If you work in palliative care and wonder whether your communication skills could be improved, or if you teach about communication in palliative care, then this book has a lot to offer. * Roger Woodruff, IAHPC Newsletter *
Every clinical encounter encompasses an exchange of information, emotions and impressions. This book empowers nurses and other clinicians to use each encounter as a therapeutic opportunity. Extensively researched and authoritative, Communication in Palliative Nursing is a trove of resources for educators and investigators seeking to advance patient- and family-centered practice. - Ira Byock, MD, author of Dying Well and The Best Care Possible, Active Emeritus Professor of Medicine, The Geisel School of Medicine at Dartmouth University, Hanover, NH
Wittenberg, Goldsmith, Ragan, and Parnell's updates to Communication in Palliative Nursing truly reflect a down to earth approach for developing the skillful and empathic communication techniques needed for effective palliative and end-of-life care conversations. Changes to the COMFORT Model, such as "Connect" and "Making meaning" underscore the importance of the nurseas role in bearing witness to patient and family suffering. The text shares poignant examples of how nurses can guide patients and families toward accurately understanding their palliative story, while also helping them to find meaning in their suffering. The authors deftly interweave clinical stories to illustrate communication strategies, providing a realistic "how-to" for nurses to incorporate in their everyday practice. - Mary J. Isaacson, RN, PhD, CHPN, Associate Professor, Graduate Nursing, South Dakota University College of Nursing, Rapid City, SD
It is with great enthusiasm that I read Drs. Wittenberg, Goldsmith, Ragan, and Parnell's new edition of Communication in Palliative Nursing. If we are to have a transformation in the delivery of care, we need to be more intentional and nuanced in our communication. The updates in this second edition resulted from iterative adaptations to our evolving field and have increased its relevancy and broadened its impact. I especially appreciate the bookas increased attention to exploring the Social Determinants of Health and recognizing how diversity too often equals disparity. We all benefit from a deeper understanding of how to create meaningful relationships with diverse people and this text provides practical skills to help us do so. - Shirley Otis-Green, MSW, MA, ACSW, LCSW, OSW-C, FNAP, Collaborative Caring, Toluca Lake, CA
The evidence-based COMFORT Model provides the necessary framework to guide patient-centered communication along the illness trajectory. The specific tools and exercises offered in this book are so powerful; each will assist the nurse and other interprofessional healthcare providers to navigate complex and crucial conversations that honors patient values and achieves quality outcomes. - Maryjo Prince-Paul, PhD, MSN, RN, FPCN, Associate Professor, Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH
While good communication skills remain one of the most important functions that impact nursing care, there are still not many curriculums that focus on those for nurses and their roles, especially in regards to asharing difficult information.a The COMFORT Model fills that need and is easy to incorporate into clinical education strategies. This new edition of Communication in Palliative Nursing is an enhanced version of the curriculum and the use of the clinical scenarios and enhancements to the models based on clinical application make this a must read for any nurse, not just those in palliative care roles. - Anne M. Kolenic, DNP, APRN, AOCNS, Ambulatory Clinical Nurse Specialist, University Hospitals Seidman Cancer Center, Cleveland, OH



Book Information
ISBN 9780190061326
Author Elaine Wittenberg
Format Hardback
Page Count 328
Imprint Oxford University Press Inc
Publisher Oxford University Press Inc
Weight(grams) 590g
Dimensions(mm) 157mm * 239mm * 33mm

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