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Serious Illness Communication in Homecare Nursing: A Concept Analysis
Christine S Davidson1, Olga Ehrlich2, Toni L Glover3
1Christine S. Davidson, MSN, RN, CHPN, is PhD student, School of Nursing, Oakland University, Rochester, MI.
Homecare nurses need clearer guidelines for serious illness communication. This study clarifies the concept, emphasizing patient values, timely dialogue, and team collaboration for better care.
Area of Science:
- Nursing
- Palliative Care
- Healthcare Communication
Background:
- Homecare nursing increasingly overlaps with palliative and hospice care.
- Homecare nurses face uncertainty regarding their role in serious illness communication.
- The term 'serious illness communication' is often ambiguous, overlapping with goals of care and end-of-life discussions.
Purpose of the Study:
- To analyze the concept of serious illness communication specifically within the homecare nursing context.
- To provide clarification and standardization for homecare nurses regarding serious illness communication.
- To explore serious illness communication as a responsive strategy for evolving patient needs.
Main Methods:
- Literature review and concept analysis using the Walker and Avant methodology.
- Examination of existing literature on serious illness communication in homecare.
- Analysis of key attributes and application in practice.
Main Results:
- Serious illness communication requires a relationship focus centered on patient values and understanding.
- Effective communication must be appropriately timed and involve a multidisciplinary team.
- The concept emphasizes a shift towards real-time, patient-centered dialogue.
Conclusions:
- Clarification of serious illness communication is essential for homecare nurses.
- A patient-centered, value-driven, and timely approach is crucial.
- Standardizing this communication strategy can improve care for seriously ill patients at home.
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