Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review
Abstract Background Nursing staff is ideally positioned to play a central role in end-of-life communication as part of advance care planning for older people. However, this requires specific skills and competences. Only fragmented knowledge is available concerning important fundamentals in end-of-li...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-023-01523-2 |
| _version_ | 1797577100335513600 |
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| author | Fran B.A.L. Peerboom Jolanda H.H.M. Friesen-Storms Bénédicte J.E.G. Coenegracht Sabine Pieters Jenny T. van der Steen Daisy J.A. Janssen Judith M.M. Meijers |
| author_facet | Fran B.A.L. Peerboom Jolanda H.H.M. Friesen-Storms Bénédicte J.E.G. Coenegracht Sabine Pieters Jenny T. van der Steen Daisy J.A. Janssen Judith M.M. Meijers |
| author_sort | Fran B.A.L. Peerboom |
| collection | DOAJ |
| description | Abstract Background Nursing staff is ideally positioned to play a central role in end-of-life communication as part of advance care planning for older people. However, this requires specific skills and competences. Only fragmented knowledge is available concerning important fundamentals in end-of-life communication performed by nursing staff. Objective This review aimed to explore the fundamentals of end-of-life communication as part of advance care planning in the hospital, nursing home and home care setting, from the perspective of the nursing staff, the older person, and the family caregiver. Design Scoping review. Methods A literature search in PubMed, PsycINFO, CINAHL and Google (Scholar) was conducted on August 20, 2022. The search strategy followed the sequential steps as described in the Joanna Briggs Institute Manual. Peer-reviewed articles of empirical research and gray literature written in English or Dutch and published from 2010 containing fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers in the hospital nursing home or home care setting were considered eligible for review. Results Nine studies were included, and four themes were composed, reflecting 11 categories. Nursing staff attunes end-of-life communication to the values and needs of older people to approach the process in a person-centered manner. This approach requires additional fundamentals: building a relationship, assessing readiness, timing and methods to start the conversation, communication based on information needs, attention to family relationships, a professional attitude, improving communication skills, listening and non-verbal observation skills, and verbal communication skills. Conclusions This review is the first to compile an overview of the fundamentals of end-of-life communication performed by nursing staff. Building a nursing staff-older-person relationship is the most important foundation for engaging in a person-centered end-of-life communication process. Knowing each other enables nursing staff to have a sense of older people’s readiness, determine the right timing to initiate an end-of-life conversation, identify specific needs, and accurately apply (non-)verbal observation skills. end-of-life communication is not a one-time conversation, but a complex process that takes time, effort, and genuine interest in each other. |
| first_indexed | 2024-03-10T22:04:11Z |
| format | Article |
| id | doaj.art-4f1a4ae5eb81474dae0af20afe91dd90 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-10T22:04:11Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-4f1a4ae5eb81474dae0af20afe91dd902023-11-19T12:51:51ZengBMCBMC Nursing1472-69552023-10-0122111310.1186/s12912-023-01523-2Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping reviewFran B.A.L. Peerboom0Jolanda H.H.M. Friesen-Storms1Bénédicte J.E.G. Coenegracht2Sabine Pieters3Jenny T. van der Steen4Daisy J.A. Janssen5Judith M.M. Meijers6Zuyderland Medical CenterDepartment of Health Services Research, Care and Public Health Research Institute, Maastricht UniversityZuyderland Medical CenterAcademy for Nursing, Zuyd Health, Zuyd University of Applied SciencesDepartment of Public Health and Primary Care (PHEG), Leiden University Medical CenterDepartment of Health Services Research, Care and Public Health Research Institute, Maastricht UniversityZuyderland Medical CenterAbstract Background Nursing staff is ideally positioned to play a central role in end-of-life communication as part of advance care planning for older people. However, this requires specific skills and competences. Only fragmented knowledge is available concerning important fundamentals in end-of-life communication performed by nursing staff. Objective This review aimed to explore the fundamentals of end-of-life communication as part of advance care planning in the hospital, nursing home and home care setting, from the perspective of the nursing staff, the older person, and the family caregiver. Design Scoping review. Methods A literature search in PubMed, PsycINFO, CINAHL and Google (Scholar) was conducted on August 20, 2022. The search strategy followed the sequential steps as described in the Joanna Briggs Institute Manual. Peer-reviewed articles of empirical research and gray literature written in English or Dutch and published from 2010 containing fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers in the hospital nursing home or home care setting were considered eligible for review. Results Nine studies were included, and four themes were composed, reflecting 11 categories. Nursing staff attunes end-of-life communication to the values and needs of older people to approach the process in a person-centered manner. This approach requires additional fundamentals: building a relationship, assessing readiness, timing and methods to start the conversation, communication based on information needs, attention to family relationships, a professional attitude, improving communication skills, listening and non-verbal observation skills, and verbal communication skills. Conclusions This review is the first to compile an overview of the fundamentals of end-of-life communication performed by nursing staff. Building a nursing staff-older-person relationship is the most important foundation for engaging in a person-centered end-of-life communication process. Knowing each other enables nursing staff to have a sense of older people’s readiness, determine the right timing to initiate an end-of-life conversation, identify specific needs, and accurately apply (non-)verbal observation skills. end-of-life communication is not a one-time conversation, but a complex process that takes time, effort, and genuine interest in each other.https://doi.org/10.1186/s12912-023-01523-2Advance care planningEnd-of-life communicationHome careHospitalNursing homeNursing staff |
| spellingShingle | Fran B.A.L. Peerboom Jolanda H.H.M. Friesen-Storms Bénédicte J.E.G. Coenegracht Sabine Pieters Jenny T. van der Steen Daisy J.A. Janssen Judith M.M. Meijers Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review BMC Nursing Advance care planning End-of-life communication Home care Hospital Nursing home Nursing staff |
| title | Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review |
| title_full | Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review |
| title_fullStr | Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review |
| title_full_unstemmed | Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review |
| title_short | Fundamentals of end-of-life communication as part of advance care planning from the perspective of nursing staff, older people, and family caregivers: a scoping review |
| title_sort | fundamentals of end of life communication as part of advance care planning from the perspective of nursing staff older people and family caregivers a scoping review |
| topic | Advance care planning End-of-life communication Home care Hospital Nursing home Nursing staff |
| url | https://doi.org/10.1186/s12912-023-01523-2 |
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