EkbergParryEtAl2021

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EkbergParryEtAl2021
BibType ARTICLE
Key EkbergParryEtAl2021
Author(s) Stuart Ekberg, Ruth Parry, Victoria Land, Katie Ekberg, Marco Pino, Charles Antaki, Laura Jenkins, Becky Whittaker
Title 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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Tag(s) EMCA
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Year 2021
Language English
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Journal BMC Palliative Care
Volume 20
Number 186
Pages 1-12
URL Link
DOI https://doi.org/10.1186/s12904-021-00876-2
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Howpublished
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Abstract

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.

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