Person-centred communication for emotional support in district nursing: SAGE and THYME model

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Patients on district nursing caseloads have multiple physical morbidities, and related emotional concerns. District nurses are ideally placed to assess and meet patients' emotional needs but in increasingly stretched workplaces, it is difficult to find time. There is also evidence that district nurses sometimes believe they lack skills to address patients' concerns. Traditional communication skills training is useful for encouraging patients to open up about their concerns, but less helpful at finding workable solutions. District nurses can be afraid to open a 'can of worms' of concerns that they are unable to deal with. SAGE and THYME is a person-centred, evidence-based communication skills model that addresses district nurses' concerns about time and skills. It provides a structure for conversations about concerns, and empowers patients to work with district nurses to find solutions. Research suggests that it is a promising model for district nursing practice.

Original languageEnglish
Pages (from-to)593-597
Number of pages5
JournalBritish Journal of Community Nursing
Issue number12
Early online date30 Nov 2017
Publication statusPublished - 2017


  • Communication skills
  • District nursing
  • Long-term conditions
  • Palliative care
  • Person-centred care
  • SAGE


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