Pino_s12904-021-00876-2.pdf (1.04 MB)
Communicating with patients and families about illness progression and end of life: a review of studies using direct observation of clinical practice
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 WhittakerBackground: 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.
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 CareVolume
20Publisher
BioMed CentralVersion
- VoR (Version of Record)
Rights holder
© The AuthorsPublisher 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
2021-10-18Publication date
2021-12-08Copyright date
2021ISSN
1472-684XPublisher version
Language
- en
Depositor
Dr Marco Pino. Deposit date: 27 October 2021Article number
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