Providing ‘professionalism with compassion’; how the time for caring communication can improve experiences at the end-of-life at home, findings from a realist evaluation
2024

Improving End-of-Life Experiences at Home Through Compassionate Communication

Sample size: 36 publication 10 minutes Evidence: moderate

Author Information

Author(s): McEwan Kathryn, Atkinson Joanne, Clarke Amanda, Bate Angela, Jeffery Caroline, Dalkin Sonia

Primary Institution: University of Northumbria at Newcastle

Hypothesis

How can skilled communication from Rapid Response Service staff improve the experiences of patients and caregivers at the end-of-life at home?

Conclusion

Skilled communication from specialist palliative care staff can significantly enhance the experience of dying at home for patients and caregivers.

Supporting Evidence

  • RRS staff provided compassionate communication that improved caregivers' understanding and reduced their fears.
  • Caregivers reported feeling more prepared to manage end-of-life care at home due to the skilled communication from RRS staff.
  • Time availability for RRS staff allowed for deeper relationships and better communication with patients and caregivers.

Takeaway

When people are dying at home, having nurses who take the time to talk and explain things can help families feel less scared and more prepared.

Methodology

The study used a realist evaluation approach, involving semi-structured interviews with patients, caregivers, and healthcare staff to explore the impact of skilled communication.

Potential Biases

Potential bias in participant selection due to the vulnerability of caregivers at the time of recruitment.

Limitations

The sample may not represent all demographics, as it primarily included white, British, middle-class participants.

Participant Demographics

Participants included patients and caregivers primarily from white, British, middle-class backgrounds.

Digital Object Identifier (DOI)

10.1186/s12904-024-01610-4

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