Search: onr:"swepub:oai:DiVA.org:lnu-130458" >
Perils and payoffs ...
Perils and payoffs for patients in serious illness conversations as described by physicians : a qualitative study
-
- Baxter, Rebecca, 1989- (author)
- Umeå universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Umeå University, Sweden,Institutionen för omvårdnad,Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden
-
- Pusa, Susanna (author)
- Umeå universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Umeå University, Sweden,Institutionen för omvårdnad,Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden
-
- Andersson, Sofia (author)
- Umeå universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Umeå University, Sweden,Institutionen för omvårdnad,Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden
-
show more...
-
- Sandgren, Anna, 1970- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden
-
show less...
-
(creator_code:org_t)
- BMJ Publishing Group Ltd, 2024
- 2024
- English.
-
In: BMJ Open Quality. - : BMJ Publishing Group Ltd. - 2399-6641. ; 13:2
- Related links:
-
https://doi.org/10.1...
-
show more...
-
https://lnu.diva-por... (primary) (Raw object)
-
https://umu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
show less...
Abstract
Subject headings
Close
- Background The Serious Illness Care Programme was developed to promote more, better and earlier serious illness conversations. Conversations about goals and values are associated with improved experiences and outcomes for seriously ill patients. Clinicians' attitudes and beliefs are thought to influence the uptake and performance of serious illness conversations, yet little is known about how clinicians perceive the impact of these conversations on patients. This study aimed to explore physicians' perceptions regarding the impact of serious illness conversations for patients.Methods The Serious Illness Care Programme was implemented as a quality improvement project in two hospitals in Southern Sweden. Focus group evaluation discussions were conducted with 14 physicians and inductive thematic analysis was undertaken.Results The results revealed that physicians considered potential perils and optimised potential payoffs for patients when engaging in serious illness conversations. Potential perils encompassed inappropriate timing, damaging emotions and shattering hopes. Potential payoffs included reflection time, secure space, and united understandings.Conclusions Physicians depicted a balance in evaluating the perils and payoffs of serious illness conversations for patients and recognised the interrelation of these possibilities through continual assessment and adjustment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Patient-centred care
- Communication
- Healthcare quality improvement
- Hospital medicine
- Palliative Care
- Omvårdnad
- Nursing
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database