Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Standard

Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care. / Möller, Ulrika Olsson; Pranter, Christa; Hagelin, Carina Lundh; Beck, Ingela; Malmström, Marlene; Fürst, Carl Johan; Rasmussen, Brigit H.

I: Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association, Vol. 22, Nr. 1, 02.2020, s. 33-39.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Harvard

APA

CBE

MLA

Vancouver

Author

RIS

TY - JOUR

T1 - Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care

AU - Möller, Ulrika Olsson

AU - Pranter, Christa

AU - Hagelin, Carina Lundh

AU - Beck, Ingela

AU - Malmström, Marlene

AU - Fürst, Carl Johan

AU - Rasmussen, Brigit H.

PY - 2020/2

Y1 - 2020/2

N2 - To avoid discomfort, health care professionals may hesitate to pursue conversations about end of life with patients. Certain tools have the potential to facilitate smoother conversations in this matter. The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of the content and the process of sorting the cards. The second category describes the significance of using the cards including becoming aware of what is important, sharing wishes and priorities, and reflecting on whether wishes and priorities change closer to death. The cards helped raise awareness and verbalize wishes and priorities. All statements were considered relevant. The conversations focused not only on death and dying, but also on challenges in the participants' current life situation. For the most ill and frail participants, the number of cards needs to be reduced.

AB - To avoid discomfort, health care professionals may hesitate to pursue conversations about end of life with patients. Certain tools have the potential to facilitate smoother conversations in this matter. The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of the content and the process of sorting the cards. The second category describes the significance of using the cards including becoming aware of what is important, sharing wishes and priorities, and reflecting on whether wishes and priorities change closer to death. The cards helped raise awareness and verbalize wishes and priorities. All statements were considered relevant. The conversations focused not only on death and dying, but also on challenges in the participants' current life situation. For the most ill and frail participants, the number of cards needs to be reduced.

KW - cards

KW - communication

KW - palliative care

KW - qualitative research

KW - wishes and priorities

UR - http://www.scopus.com/inward/record.url?scp=85077403132&partnerID=8YFLogxK

U2 - 10.1097/NJH.0000000000000607

DO - 10.1097/NJH.0000000000000607

M3 - Article

VL - 22

SP - 33

EP - 39

JO - Journal of Hospice and Palliative Nursing

JF - Journal of Hospice and Palliative Nursing

SN - 1522-2179

IS - 1

ER -