Initiating Prognostic Talk During Hospice Multidisciplinary Team Meetings: A Conversation Analytic Study
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View abstract on PubMed
Summary
This summary is machine-generated.Palliative care multidisciplinary teams embed patient prognoses within case presentations and discharge planning discussions. This study reveals how prognostic talk is initiated and responded to in hospice team meetings.
Area Of Science
- Palliative Care
- Medical Communication
- Healthcare Management
Background
- Clinical guidelines advocate for palliative care multidisciplinary teams (MDTs) to discuss patient prognoses.
- Evidence detailing how MDTs conduct prognostic discussions, particularly initiation during meetings, is limited.
Purpose Of The Study
- To explore the initiation and response patterns of prognostic talk within hospice MDT meetings.
- To understand the conversational dynamics surrounding prognosis discussions in palliative care.
Main Methods
- Analysis of 24 video-recorded inpatient MDT meetings in a UK hospice (May-December 2021).
- Inclusion of 65 MDT members.
- Transcription and Conversation Analysis of meeting recordings.
Main Results
- Prognostic talk was initiated during patient case presentations, often linked to specific template items (e.g., Phase of Illness, Karnofsky's Performance Status).
- Prognoses also emerged as explanations for missing template information and during discharge planning discussions.
- Provided prognoses typically elicited minimal, confirming responses from other team members.
Conclusions
- Patient prognoses are integrated into broader care conversations within hospice MDT meetings.
- Findings can inform the development of clinical guidelines and interventions to enhance MDT prognostic discussions.
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