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

Scholz, B; Goncharov, L; Emmerich, N; Lu, VN; Chapman, M; Clark, SJ; Wilson, T; Slade, D; Mitchell, I

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

Scholz, B Goncharov, L Emmerich, N Lu, VN Chapman, M

Clark, SJ Wilson, T Slade, D Mitchell, I

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Publisher:: ELSEVIER IRELAND LTD
Publication Type:: Journal Article
Citation:: Patient education and counseling, 2020, 103, (10), pp. 1913-1921
Issue Date:: 2020-10

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Field	Value	Language
dc.contributor.author	Scholz, B
dc.contributor.author	Goncharov, L
dc.contributor.author	Emmerich, N
dc.contributor.author	Lu, VN
dc.contributor.author	Chapman, M https://orcid.org/0000-0003-1333-3448
dc.contributor.author	Clark, SJ
dc.contributor.author	Wilson, T
dc.contributor.author	Slade, D
dc.contributor.author	Mitchell, I
dc.date.accessioned	2021-05-22T07:27:33Z
dc.date.available	2020-06-29
dc.date.available	2021-05-22T07:27:33Z
dc.date.issued	2020-10
dc.identifier.citation	Patient education and counseling, 2020, 103, (10), pp. 1913-1921
dc.identifier.issn	0738-3991
dc.identifier.issn	1873-5134
dc.identifier.uri	http://hdl.handle.net/10453/149061
dc.description.abstract	<h4>Objective</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>Training needs for effective communication in end-of-life contexts are not currently being met.<h4>Practice implications</h4>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	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER IRELAND LTD
dc.relation.ispartof	Patient education and counseling
dc.relation.isbasedon	10.1016/j.pec.2020.06.033
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Public Health
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Communication
dc.subject.mesh	Hospice and Palliative Care Nursing
dc.subject.mesh	Communication
dc.subject.mesh	Hospice Care
dc.subject.mesh	Hospice and Palliative Care Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Terminal Care
dc.title	Clinicians' accounts of communication with patients in end-of-life care contexts: A systematic review.
dc.type	Journal Article
utslib.citation.volume	103
utslib.location.activity	Ireland
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1117 Public Health and Health Services
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-05-22T07:27:31Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	103
utslib.citation.issue	10

Abstract:

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 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.

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http://hdl.handle.net/10453/149061