A conceptual model of the nurse's role as primary palliative care provider in goals of care communication
Objective: Nurses have opportunities to engage in goals of care conversations that can promote palliative care communication. The purpose of this study was to describe nurses' experiences in goals of care communication as summarized in the literature and to present a conceptual model of communi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
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| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628224000025 |
| _version_ | 1797351490905440256 |
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| author | Elaine Wittenberg Joy V. Goldsmith Chiahui (Kate) Chen Maryjo Prince-Paul |
| author_facet | Elaine Wittenberg Joy V. Goldsmith Chiahui (Kate) Chen Maryjo Prince-Paul |
| author_sort | Elaine Wittenberg |
| collection | DOAJ |
| description | Objective: Nurses have opportunities to engage in goals of care conversations that can promote palliative care communication. The purpose of this study was to describe nurses' experiences in goals of care communication as summarized in the literature and to present a conceptual model of communication pathways for nurses. Methods: An integrative review of the literature (2016–2022) addressing nurses' experiences in goals of care communication was conducted using PubMed, CINAHL, and PsychInfo databases. A total of 92 articles were retrieved. A total of 12 articles were included for this review after applying the inclusion and exclusion criteria. Results: Of the 12 articles, the majority were qualitative studies (n = 8). Qualitative analysis of findings from all articles revealed three dominant themes: nurses' ambiguous role responsibilities, goals of care as end-of-life communication, and the need for nurse communication training. Conclusion: This article suggests an innovative conceptual model for advancing nurse communication about goals of care to facilitate primary palliative care. Innovation: The framework characterizes two communication pathways for Advanced Practice Nurses who direct goals of care discussions and Registered Nurses who support goals of care communication. The model informs future communication training aimed at supporting primary palliative care. |
| first_indexed | 2024-03-08T13:01:12Z |
| format | Article |
| id | doaj.art-651d21b986864a50b1c03077e103fedc |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-03-08T13:01:12Z |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-651d21b986864a50b1c03077e103fedc2024-01-19T05:04:38ZengElsevierPEC Innovation2772-62822024-12-014100254A conceptual model of the nurse's role as primary palliative care provider in goals of care communicationElaine Wittenberg0Joy V. Goldsmith1Chiahui (Kate) Chen2Maryjo Prince-Paul3From California State University Los Angeles, Department of Communication Studies, Los Angeles, CA, USA; Corresponding author at: Department of Communication Studies, California State University Los Angeles, 5151 State University Drive, Los Angeles, CA 90032, USA.From University of Memphis, Department of Communication and Film, Memphis, TN, USAFrom D'Youville University, School of Nursing, Buffalo, NY, USAFrom Palliative Care and Serious Illness Consultant, Cleveland, OH, USAObjective: Nurses have opportunities to engage in goals of care conversations that can promote palliative care communication. The purpose of this study was to describe nurses' experiences in goals of care communication as summarized in the literature and to present a conceptual model of communication pathways for nurses. Methods: An integrative review of the literature (2016–2022) addressing nurses' experiences in goals of care communication was conducted using PubMed, CINAHL, and PsychInfo databases. A total of 92 articles were retrieved. A total of 12 articles were included for this review after applying the inclusion and exclusion criteria. Results: Of the 12 articles, the majority were qualitative studies (n = 8). Qualitative analysis of findings from all articles revealed three dominant themes: nurses' ambiguous role responsibilities, goals of care as end-of-life communication, and the need for nurse communication training. Conclusion: This article suggests an innovative conceptual model for advancing nurse communication about goals of care to facilitate primary palliative care. Innovation: The framework characterizes two communication pathways for Advanced Practice Nurses who direct goals of care discussions and Registered Nurses who support goals of care communication. The model informs future communication training aimed at supporting primary palliative care.http://www.sciencedirect.com/science/article/pii/S2772628224000025Goals of careCommunicationNursingConceptual modelPalliative care |
| spellingShingle | Elaine Wittenberg Joy V. Goldsmith Chiahui (Kate) Chen Maryjo Prince-Paul A conceptual model of the nurse's role as primary palliative care provider in goals of care communication PEC Innovation Goals of care Communication Nursing Conceptual model Palliative care |
| title | A conceptual model of the nurse's role as primary palliative care provider in goals of care communication |
| title_full | A conceptual model of the nurse's role as primary palliative care provider in goals of care communication |
| title_fullStr | A conceptual model of the nurse's role as primary palliative care provider in goals of care communication |
| title_full_unstemmed | A conceptual model of the nurse's role as primary palliative care provider in goals of care communication |
| title_short | A conceptual model of the nurse's role as primary palliative care provider in goals of care communication |
| title_sort | conceptual model of the nurse s role as primary palliative care provider in goals of care communication |
| topic | Goals of care Communication Nursing Conceptual model Palliative care |
| url | http://www.sciencedirect.com/science/article/pii/S2772628224000025 |
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