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Core elements of serious illness conversations: an integrative systematic review
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjo, Sweden.ORCID iD: 0000-0001-6595-6298
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjo, Sweden.ORCID iD: 0000-0002-4773-8796
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjo, Sweden.ORCID iD: 0000-0002-1728-5722
Ariadne Labs, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
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2023 (English)In: BMJ Supportive & Palliative Care, ISSN 2045-435X, E-ISSN 2045-4368Article in journal (Refereed) Epub ahead of print
Abstract [en]

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.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023.
Keywords [en]
Communication, End of life care, Hospital care, Quality of life, Psychological care, Supportive care
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:umu:diva-214330DOI: 10.1136/spcare-2023-004163ISI: 001023721700001PubMedID: 37369576Scopus ID: 2-s2.0-85164331520OAI: oai:DiVA.org:umu-214330DiVA, id: diva2:1796086
Available from: 2023-09-11 Created: 2023-09-11 Last updated: 2024-03-14

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Baxter, RebeccaPusa, SusannaAndersson, SofiaSandgren, Anna

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