Related Experiment Video
Updated: Jun 29, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
23.7K
Core Competencies for Serious Illness Conversations: An Integrative Systematic Review
Susanna Pusa1,2, Rebecca Baxter1,2, Sofia Andersson1,2
1Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Journal of Palliative Care
|April 1, 2024
Summary
Clinicians need specific skills for serious illness conversations (SICs). Core competencies involve conversation resources, intrapersonal, and interpersonal capabilities for effective patient-centered communication.
Area of Science:
- Medical Communication
- Palliative Care
- Clinical Skills Training
Background:
- Serious Illness Care Program supports patient-clinician goal discussions.
- Core competencies for effective serious illness conversations (SICs) remain underexplored.
Purpose of the Study:
- To identify core competencies for serious illness conversations (SICs) within the Serious Illness Care Program framework.
Main Methods:
- Integrative systematic review of literature from January 2014 to March 2023.
- Searched MEDLINE, PsycINFO, CINAHL, and PubMed databases.
- Thematic synthesis of 53 included articles appraised using Joanna Briggs Institute guidelines.
Main Results:
- Identified three core competency themes for clinicians in SICs: conversation resources, intrapersonal capabilities, and interpersonal capabilities.
- Conversation resources include utilizing guides and communication techniques.
- Intrapersonal capabilities involve clinician mindset and confidence; interpersonal capabilities focus on empathy and relationship-building with patients and families.
Conclusions:
- Effective SICs require clinicians to integrate conversation resources with intrapersonal and interpersonal skills.
- These combined competencies are essential for successful clinician-patient and clinician-family interactions in serious illness.
Keywords:
clinical competencehealth communicationpalliative careserious illness care programserious illness conversationssystematic reviewMore Related Videos
Related Concept Videos
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.8K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.8K
01:27Ethical Issues
941
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
941
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.9K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.9K
01:30Ethical Dilemmas II
1.0K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.0K
01:25Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K