Are We Making Progress on Communication with People Who Are Near the End of Life in the Australian Health System? A Thematic Analysis
| العنوان: | Are We Making Progress on Communication with People Who Are Near the End of Life in the Australian Health System? A Thematic Analysis |
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| المؤلفون: | Steven A Trankle, Ebony T. Lewis, Magnolia Cardona, Ken Hillman, Shantiban Shanmugam, Margaret Nicholson |
| المصدر: | Health Communication. 35:158-167 |
| بيانات النشر: | Informa UK Limited, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Health (social science), Emotions, MEDLINE, 050801 communication & media studies, System a, 03 medical and health sciences, 0508 media and communications, Physicians, Surveys and Questionnaires, Health care, Humans, Physician-Patient Relations, Terminal Care, Medical education, 030505 public health, business.industry, Communication, 05 social sciences, Australia, humanities, Conceptual framework, Healthcare settings, Female, Thematic analysis, Communication skills, 0305 other medical science, business, Psychology |
| الوصف: | Initiating end-of-life (EoL) discussions with patients is often delayed or avoided altogether by healthcare practitioners even in light of imminent death. This continues despite the availability of guidelines and conceptual frameworks on how to communicate prognoses at EoL. We surveyed healthcare practitioners to elicit their exposure to and confidence in EoL discussions and to better understand factors that enable or challenge the initiation of discussions in Australian healthcare settings. Thematic analysis identified that EoL discussions could be emotionally burdensome for healthcare practitioners but were regarded as valuable. Effective communications were challenged by conflict with families and between healthcare practitioners as to appropriate care goal transition, and by prognostic uncertainty. Communication skills appeared to be developed more from experience, and beneficial strategies such as role play and mentoring particularly for younger nurses and doctors were identified. Specific training in EoL communications should target undergraduates and new healthcare practitioners. |
| تدمد: | 1532-7027 1041-0236 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a135cbaf1a6993833ac202d336bfb471 https://doi.org/10.1080/10410236.2018.1548335 |
| رقم الأكسشن: | edsair.doi.dedup.....a135cbaf1a6993833ac202d336bfb471 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 15327027 10410236 |
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