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End-of-Life Discussions From the Perspective of Social Care and Healthcare Professionals in Palliative Care

Bibliographic Data

ID13629187
AuthorsAnne Kuusisto (0000-0002-9950-1985, Department of Nursing Science, University of Turku Finland, Turku, Finland, corresponding author), Kaija Saranto (0000-0002-3195-1955, University of Eastern Finland), Päivi Korhonen (0000-0002-1747-5526, Department of General Practice, Turku University Hospital, University of Turku, Turku, Finland), Elina Haavisto (0000-0002-9747-1428, Department of Nursing Science, University of Turku Finland, Turku, Finland)
Year2023
Volume92
Issue1
Pages448-470
Publication date2023-06-21
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228231185172
PMID37342869
OpenAlexW4381489327
LanguageEN
References cited25

This study describes the state of end-of-life discussions in Finland. A qualitative descriptive study with thematic interviews was conducted. Data were gathered from palliative care unit nurses, physicians and social workers. Inductive content analysis was used. According to interviewees ( n = 33), the state of end-of-life discussion included three main categories. First, optimal end-of-life discussion time included early end-of-life discussion, end-of-life discussion at different phases of severe illness, and flexibility and challenges in scheduling end-of-life discussion. Second, end-of-life discussion initiators included both healthcare professionals and non-healthcare professionals. Third, social care and healthcare professionals' experiences of end-of-life discussion consisted of the importance and challenge of end-of-life discussion, end-of-life communication skills development in multiprofessional care context, and end-of-life communication in multi-cultural care context. The results can be used to justify the need of a national strategy and systematic implementation on Advance Care Planning (ACP), considering the multiprofessional, multicultural and internationalizing operating environment

Advance care planning · Context (archaeology · End-of-life care · Health care · Health professionals · Multiculturalism · Palliative care · Pedagogy · Political science · Qualitative research · Sociology · Thematic analysis · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Patient-Provider Communication in Healthcare · Psychology

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