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Discourse Analysis in End-of-Life Communication: A Systematic Review
1Center for Geriatric Healthcare Services and Health Education, Qufu Normal University.
Health Communication
|September 9, 2024
Summary
Discourse analysis (DA) offers insights into end-of-life (EOL) care communication. Synthesizing DA studies reveals caregiver stances, decision-making practices, and illness trajectory discussions to enhance patient-centered care.
Area of Science:
- Medical Communication
- Linguistics
- Healthcare Studies
Background:
- Communication is crucial in end-of-life (EOL) care.
- Discourse analysis (DA) is a method for studying communication.
- A synthesis of DA studies in EOL care is needed.
Purpose of the Study:
- To systematically review and synthesize findings from discourse analysis studies in end-of-life care.
- To identify key themes in EOL care communication research using DA.
Main Methods:
- Systematic review following Preferred Reporting Items for Systematic Review and Meta-Analyses (Prisma) guidelines.
- Searched databases: Web of Science, MEDLINE, PubMed, Embase.
- Included 14 peer-reviewed studies published before January 10, 2024; thematic analysis was performed.
Main Results:
- Three themes emerged: caregivers' discursive stances, participants' discursive practices in shared decision-making, and discursive resources for discussing illness trajectories.
- DA provides valuable insights into communication patterns and individual stances in EOL care.
Conclusions:
- Discourse analysis is a potent method for understanding communication in end-of-life care.
- Findings can inform clinical practice and enhance patient-centered care by clarifying communication dynamics.
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