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Clinicians� accounts of communication with patients in end-of-life care contexts: A systematic review

Scholz, Brett; Goncharov, Liza; Emmerich, Nathan; Lu, Vinh; Chapman, Michael; Clark, Shannon; Wilson, Tracey; Slade, Diana; Mitchell, Imogen

Description

Objective Communication between patients and end-of-life care providers requires sensitivity given the context and complexity involved. This systematic review uses a narrative approach to synthesise clinicians� understandings of communication in end-of-life care. Methods A systematic, narrative synthesis approach was adopted given the heterogeneity across the 83 included studies. The review was registered prospectively on PROSPERO (ID: CRD42019125155). Medline was searched for all articles...[Show more]

dc.contributor.authorScholz, Brett
dc.contributor.authorGoncharov, Liza
dc.contributor.authorEmmerich, Nathan
dc.contributor.authorLu, Vinh
dc.contributor.authorChapman, Michael
dc.contributor.authorClark, Shannon
dc.contributor.authorWilson, Tracey
dc.contributor.authorSlade, Diana
dc.contributor.authorMitchell, Imogen
dc.date.accessioned2020-12-20T20:50:25Z
dc.date.available2020-12-20T20:50:25Z
dc.identifier.issn0738-3991
dc.identifier.urihttp://hdl.handle.net/1885/217444
dc.description.abstractObjective Communication between patients and end-of-life care providers requires sensitivity given the context and complexity involved. This systematic review uses a narrative approach to synthesise clinicians� understandings of communication in end-of-life care. Methods A systematic, narrative synthesis approach was adopted given the heterogeneity across the 83 included studies. The review was registered prospectively on PROSPERO (ID: CRD42019125155). Medline was searched for all articles catalogued with the MeSH terms �palliative care,� �terminal care� or �end-of-life care,� and �communication�. Articles were assessed for quality using a modified JQI-QARI tool. Results The findings highlight the centrality and complexity of communication in end-of-life care. The challenges identified by clinicians in relation to such communication include the development of skills necessary, complexity of interpersonal interactions, and ways in which organisational factors impact upon communication. Clinicians are also aware of the need to develop strategies for interdisciplinary teams to improve communication. Conclusion Training needs for effective communication in end-of-life contexts are not currently being met. Practice Implications Clinicians need more training to address the lack of skills to overcome interactional difficulties. Attention is also needed to address issues in the organisational contexts in which such communication occurs.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherElsevier
dc.sourcePatient Education and Counseling
dc.titleClinicians� accounts of communication with patients in end-of-life care contexts: A systematic review
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume103
dc.date.issued2020
local.identifier.absfor200105 - Organisational, Interpersonal and Intercultural Communication
local.identifier.absfor111709 - Health Care Administration
local.identifier.absfor200401 - Applied Linguistics and Educational Linguistics
local.identifier.ariespublicationu1010976xPUB1
local.type.statusPublished Version
local.contributor.affiliationScholz, Brett, College of Health and Medicine, ANU
local.contributor.affiliationGoncharov, Liza, College of Arts and Social Sciences, ANU
local.contributor.affiliationEmmerich, Nathan, College of Health and Medicine, ANU
local.contributor.affiliationLu, Vinh, College of Business and Economics, ANU
local.contributor.affiliationChapman, Michael, Canberra Hospital
local.contributor.affiliationClark, Shannon, College of Arts and Social Sciences, ANU
local.contributor.affiliationWilson, Tracey, Medical Intensive Care Unit
local.contributor.affiliationSlade, Diana, College of Arts and Social Sciences, ANU
local.contributor.affiliationMitchell, Imogen, College of Health and Medicine, ANU
local.bibliographicCitation.issue10
local.bibliographicCitation.startpage1913
local.bibliographicCitation.lastpage1921
local.identifier.doi.1016/j.pec.2020.06.033
dc.date.updated2020-11-02T04:18:49Z
CollectionsANU Research Publications

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