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Communicating with patients and families about illness progression and end of life: a review of studies using direct observation of clinical practice

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journal contribution
posted on 2021-12-08, 12:31 authored by Stuart Ekberg, Ruth ParryRuth Parry, Victoria Land, Katie Ekberg, Marco PinoMarco Pino, Charles Antaki, Laura JenkinsLaura Jenkins, Becky Whittaker
Background: There is growing recognition that a diverse range of healthcare professionals need competence in palliative approaches to care; effective communication is a core component of such practice. This article informs evidence-based communication about illness progression and end of life through a rapid review of studies that directly observe how experienced clinicians manage such discussions.
Methods: The current rapid review updates findings of the 2014 systematic review focussing more specifically on evidence related to illness progression and end-oflife conversations. Literature searches were conducted in nine bibliographic databases. Studies using conversation analysis or discourse analysis to examine recordings of actual conversations about illness progression or end of life were eligible for inclusion in the review. An aggregative approach was used to synthesise the findings of included studies.
Results: Following screening, 26 sources were deemed to meet eligibility criteria. Synthesis of study findings identified the structure and functioning of ten communication practices used in illness progression and end-of-life discussions.
Conclusion: The ten practices identified underpin five evidence-based recommendations for communicating with patients or family members about illness progression and end of life.

Funding

National Institute for Health Research Career Development Fellowship award CDF-2014-07-046

National Institute for Health Research (NIHR)

History

School

  • Social Sciences and Humanities

Department

  • Communication and Media

Published in

BMC Palliative Care

Volume

20

Publisher

BioMed Central

Version

  • VoR (Version of Record)

Rights holder

© The Authors

Publisher statement

This is an Open Access Article. It is published by BioMed Central under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

Acceptance date

2021-10-18

Publication date

2021-12-08

Copyright date

2021

ISSN

1472-684X

Language

  • en

Depositor

Dr Marco Pino. Deposit date: 27 October 2021

Article number

186

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