Communication is a therapeutic tool in its own right. In home care, where the professional enters the private space of the patient and family, the quality of communication largely determines the effectiveness of the intervention and the satisfaction of everyone involved.
Active listening: the foundation of the care relationship
Active listening is not simply remaining silent while someone else speaks. It is an attentive, empathetic and non-judgemental presence that makes the patient and family feel truly understood. It involves eye contact, open body language, paraphrasing and open questions that invite further discussion.
Communicating difficult diagnoses and bad news
Communicating difficult news requires preparation, time and an appropriate setting. The SPIKES protocol — widely used in oncology and palliative care — provides a useful structure for conducting these conversations respectfully and effectively, including in the home setting.
Language and cultural barriers
The increasing cultural diversity of the population requires home care professionals to develop intercultural communication skills. Using cultural mediators, translated materials and an enquiring, respectful approach to different views of health and illness is essential to ensuring equitable care.
📚 Scientific evidence
- Baile W.F. et al. (2000). SPIKES — A six-step protocol for delivering bad news. Oncologist, 5(4):302-11.
- Peplau H.E. (1988). Interpersonal relations in nursing. London: Macmillan.
- Zolnierek K.B., Dimatteo M.R. (2009). Physician communication and patient adherence to treatment. Med Care, 47(8):826-34.
