Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care

Möller, Ulrika Olsson LU ; Pranter, Christa ; Hagelin, Carina Lundh ; Beck, Ingela LU ; Malmström, Marlene LU orcid ; Fürst, Carl Johan LU and Rasmussen, Brigit H. LU (2020) In Journal of Hospice and Palliative Nursing 22(1). p.33-39
Abstract

To avoid discomfort, health care professionals may hesitate to pursue conversations about end of life with patients. Certain tools have the potential to facilitate smoother conversations in this matter. The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of... (More)

To avoid discomfort, health care professionals may hesitate to pursue conversations about end of life with patients. Certain tools have the potential to facilitate smoother conversations in this matter. The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of the content and the process of sorting the cards. The second category describes the significance of using the cards including becoming aware of what is important, sharing wishes and priorities, and reflecting on whether wishes and priorities change closer to death. The cards helped raise awareness and verbalize wishes and priorities. All statements were considered relevant. The conversations focused not only on death and dying, but also on challenges in the participants' current life situation. For the most ill and frail participants, the number of cards needs to be reduced.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cards, communication, palliative care, qualitative research, wishes and priorities
in
Journal of Hospice and Palliative Nursing
volume
22
issue
1
pages
7 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85077403132
  • pmid:31770159
ISSN
1522-2179
DOI
10.1097/NJH.0000000000000607
language
English
LU publication?
yes
id
51af6e35-fd8a-440c-a7aa-ade5a8b1c934
date added to LUP
2020-01-22 16:19:46
date last changed
2024-06-13 10:10:14
@article{51af6e35-fd8a-440c-a7aa-ade5a8b1c934,
  abstract     = {{<p>To avoid discomfort, health care professionals may hesitate to pursue conversations about end of life with patients. Certain tools have the potential to facilitate smoother conversations in this matter. The objective was to explore the experiences of patients in palliative care in using statement cards to talk about their wishes and priorities. Forty-six cards with statements of wishes and priorities were developed and tested for feasibility with 40 participants, who chose the 10 most important cards and shared their thoughts about the statements and conversation. Data from individual interviews and field notes were analyzed using content analysis. One category describes practical aspects of using the cards including the relevance of the content and the process of sorting the cards. The second category describes the significance of using the cards including becoming aware of what is important, sharing wishes and priorities, and reflecting on whether wishes and priorities change closer to death. The cards helped raise awareness and verbalize wishes and priorities. All statements were considered relevant. The conversations focused not only on death and dying, but also on challenges in the participants' current life situation. For the most ill and frail participants, the number of cards needs to be reduced.</p>}},
  author       = {{Möller, Ulrika Olsson and Pranter, Christa and Hagelin, Carina Lundh and Beck, Ingela and Malmström, Marlene and Fürst, Carl Johan and Rasmussen, Brigit H.}},
  issn         = {{1522-2179}},
  keywords     = {{cards; communication; palliative care; qualitative research; wishes and priorities}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{33--39}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Journal of Hospice and Palliative Nursing}},
  title        = {{Using Cards to Facilitate Conversations About Wishes and Priorities of Patients in Palliative Care}},
  url          = {{http://dx.doi.org/10.1097/NJH.0000000000000607}},
  doi          = {{10.1097/NJH.0000000000000607}},
  volume       = {{22}},
  year         = {{2020}},
}