Core elements of serious illness conversations: an integrative systematic review

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Fältnamn	Indikatorer	Metadata
000		04579naa a2200505 4500
001		oai:DiVA.org:umu-214330
003		SwePub
008		230911s2023 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:lnu-123575
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2143302 URI
024	7	a https://doi.org/10.1136/spcare-2023-0041632 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-1235752 URI
040		a (SwePub)umud (SwePub)lnu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Baxter, Rebecca,d 1989-u Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Collaborat Palliat Care4 aut0 (Swepub:lnu)rebaaa
245	1 0	a Core elements of serious illness conversations :b an integrative systematic review
264		c 2023
264	1	b BMJ Publishing Group Ltd,c 2023
338		a electronic2 rdacarrier
520		a Background: Ariadne Labs' Serious Illness Care Program (SICP), inclusive of the Serious Illness Conversation Guide (SICG), has been adapted for use in a variety of settings and among diverse population groups. Explicating the core elements of serious illness conversations could support the inclusion or exclusion of certain components in future iterations of the programme and the guide.Aim: This integrative systematic review aimed to identify and describe core elements of serious illness conversations in relation to the SICP and/or SICG.Design: Literature published between 1 January 2014 and 20 March 2023 was searched in MEDLINE, PsycINFO, CINAHL and PubMed. All articles were evaluated using the Joanna Briggs Institute Critical Appraisal Guidelines. Data were analysed with thematic synthesis.Results: A total of 64 articles met the inclusion criteria. Three themes were revealed: (1) serious illness conversations serve different functions that are reflected in how they are conveyed; (2) serious illness conversations endeavour to discover what matters to patients and (3) serious illness conversations seek to align what patients want in their life and care.Conclusions: Core elements of serious illness conversations included explicating the intention, framing, expectations and directions for the conversation. This encompassed discussing current and possible trajectories with a view towards uncovering matters of importance to the patient as a person. Preferences and priorities could be used to inform future preparation and recommendations. Serious illness conversation elements could be adapted and altered depending on the intended purpose of the conversation.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653		a Communication
653		a End of life care
653		a Hospital care
653		a Quality of life
653		a Psychological care
653		a Supportive care
653		a Omvårdnad
653		a Nursing
700	1	a Pusa, Susanna,d 1982-u Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Collaborat Palliat Care4 aut0 (Swepub:lnu)supuaa
700	1	a Andersson, Sofia,d 1972-u Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Collaborat Palliat Care4 aut0 (Swepub:lnu)soanab
700	1	a Fromme, Erik K.u Ariadne Labs, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA,Ariadne Labs, USA;Harvard Med Sch, USA4 aut
700	1	a Paladino, Joannau Ariadne Labs, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Massachusetts General Hospital, Boston, Massachusetts, USA,Ariadne Labs, USA;Harvard Med Sch, USA;Massachusetts Gen Hosp, USA4 aut
700	1	a Sandgren, Anna,d 1970-u Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ctr Collaborat Palliat Care4 aut0 (Swepub:lnu)asaivosa
710	2	a Linnéuniversitetetb Institutionen för hälso- och vårdvetenskap (HV)4 org
773	0	t BMJ Supportive & Palliative Cared : BMJ Publishing Group Ltdx 2045-435Xx 2045-4368
856	4	u https://doi.org/10.1136/spcare-2023-004163y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1796086/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-214330
856	4 8	u https://doi.org/10.1136/spcare-2023-004163
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-123575

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