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Status and Correlates of Pediatric Oncology Nurses' Practice Therapeutic Communication Skills with Patients and Family Caregivers
Abstract
Introduction
Communication skills of nurses in pediatric oncology units are considered a prominent competency that plays a vital role in the care process. Effective communication enhances information exchange, promotes the emotional well-being of caregivers, and improves the decision-making process. This study aimed to assess the competency of pediatric oncology nurses in practicing therapeutic communication skills and to examine differences in competency among nurses in the West Bank, considering demographic and personal factors.
Methods
A descriptive-correlational study was conducted in two pediatric oncology units in two accredited hospitals. A self-administered questionnaire, utilizing the Communication Assessment Tool (CAT), was used to collect data from 39 pediatric oncology nurses. Data collection was from April to June 2025.
Results
Nurses demonstrated moderately strong communication skills, with a mean total score of 3.84 (SD = 0.46) on the Communication Assessment Tool (CAT). The highest-rated behaviors were treating patients with respect, showing care and concern, and attentively listening, while the lowest-rated items involved encouraging questions, involving patients in decisions, and discussing follow-up plans. No statistically significant associations were found between communication scores and demographic or professional variables.
Discussion
Oncology nurses are struggling to provide quality care, despite several interfering factors related to disease and treatment processes of children with cancer. This makes using the appropriate therapeutic techniques an essential tool to improve healthcare outcomes.
Conclusion
Pediatric oncology nurses perceive their communication with patients and parents as moderately good. Nurses demonstrated that they treat patients with respect, show care and concern, and attend to patients’ needs to facilitate effective and compassionate communication. However, they need to develop the skills of engaging parents and children in decision-making, encouraging questions, and discussing next steps.