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Patient identification for serious illness conversations: A scoping review
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.ORCID iD: 0000-0001-6595-6298
Ariadne Labs, Boston, USA; Harvard Medical School, Boston, USA.
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.ORCID iD: 0000-0002-3155-575x
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 7, article id 4162Article, review/survey (Refereed) Published
Abstract [en]

Serious illness conversations aim to align medical care and treatment with patients' values, goals, priorities, and preferences. Timely and accurate identification of patients for serious illness conversations is essential; however, existent methods for patient identification in different settings and population groups have not been compared and contrasted. This study aimed to examine the current literature regarding patient identification for serious illness conversations within the context of the Serious Illness Care Program and/or the Serious Illness Conversation Guide. A scoping review was conducted using the Joanna Briggs Institute guidelines. A comprehensive search was undertaken in four databases for literature published between January 2014 and September 2021. In total, 39 articles met the criteria for inclusion. This review found that patients were primarily identified for serious illness conversations using clinical/diagnostic triggers, the 'surprise question', or a combination of methods. A diverse assortment of clinicians and non-clinical resources were described in the identification process, including physicians, nurses, allied health staff, administrative staff, and automated algorithms. Facilitators and barriers to patient identification are elucidated. Future research should test the efficacy of adapted identification methods and explore how clinicians inform judgements surrounding patient identification.

Place, publisher, year, edition, pages
MDPI, 2022. Vol. 19, no 7, article id 4162
Keywords [en]
advance care planning, end of life, palliative care, patient identification systems, review, scoping review, serious illness care program, serious illness communication, serious illness conversations
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:umu:diva-214328DOI: 10.3390/ijerph19074162ISI: 000781282200001PubMedID: 35409844Scopus ID: 2-s2.0-85127096204Local ID: 2022OAI: oai:DiVA.org:umu-214328DiVA, id: diva2:1796089
Available from: 2023-09-11 Created: 2023-09-11 Last updated: 2023-09-11Bibliographically approved

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Baxter, RebeccaSandgren, Anna

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Output format
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  • asciidoc
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