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Unpacking ethical aspects in serious illness conversations

Bibliographic Data

ID21101792
AuthorsSofia Morberg Jämterud (0000-0003-2998-3971, Linnaeus University, corresponding author), Anna Sandgren (0000-0001-5599-7598, Linnaeus University)
Year2026
Pages1-10
Publication date2026-06-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDeath Studies (JOURNAL)
Journal identifiersISSN: 0748-1187 • E-ISSN: 1091-7683
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/07481187.2026.2673345
PMID42324858
OpenAlexW7165526752
LanguageEN
References cited42

Serious illness conversations help patients who are at a high risk of mortality to discuss future care. The present empirical ethical study aims to explore health care professionals’ views on the ethical dimension of serious illness conversations. The first theme identified was providing and sharing prognoses in serious illness conversations, which was analyzed with the concepts of chronos, kairos and the hermeneutics of time. We discuss the ethical tensions that emerge when prognosis is reduced to a measurement of time, as this risks diminishing hope. An alternative approach—informed by kairos—can support meaning-making and the broader exploration of hope. Furthermore, we present an analysis of the theme autonomy and its relational aspects in serious illness conversations and claim that an individualistic conception fails to convey the significance of relationships in the exercise of autonomy, as patients’ goals and decisions are shaped within their relational context

Autonomy · Beneficence · Dimension (graph theory) · Health care · Individualism · Sociology of health and illness · Theme (computing) · Unpacking · Optimism, Hope, and Well-being · Palliative Care and End-of-Life Issues · Patient-Provider Communication in Healthcare

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    Open Access•Anita Ho•Scandinavian Journal of Caring…•2008

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    Open Access•Bjørn Hofmann•Medicine Health Care and Philosophy•2023

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    Open Access•Bjørn Hofmann, Urban Wiesing•Metamedicine•2024

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  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

Citation velocityhistorical
Highly citedNo

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