Back to Search
Start Over
Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice
- Source :
- Patient Education and Counseling. 107:107563
- Publication Year :
- 2023
- Publisher :
- Elsevier BV, 2023.
-
Abstract
- OBJECTIVE: To explore a) to what extent patients with serious illness express emotional cues and concerns during advance care planning (ACP) conversations with their general practitioner (GP), b) the content of cues/concerns and c) GPs' responses to cues/concerns. METHODS: Cues/concerns and GPs' responses in 20 conversations were coded using the Verona Codes (VR-CoDES and Verona Codes-P). A qualitative thematic analysis was used to identify overarching themes within the content of the cues/concerns. RESULTS: A total of 216 cues/concerns were identified (range: 1-28; mean: 13) in 85% of conversations; with 85% of these being cues/implicit expressions of emotions. In 72% of responses, the GP provided space for the patient to elaborate on cues/concerns. The most common theme cues/concerns were expressed about was "the consequences of illness on quality of life and burdening others". CONCLUSION: Emotions were mainly communicated implicitly as cues and the content varied greatly. The amount of cues/concerns expressed show that ACP can evoke many emotions. PRACTICE IMPLICATIONS: GPs should be attentive to implicit expressions of emotions as these provide opportunities to engage patients in tailored ACP conversations. As patients expressed many cues/concerns, GPs are recommended to have recurrent conversations with patients and actively ask about diverse ACP topics.
Details
- ISSN :
- 07383991
- Volume :
- 107
- Database :
- OpenAIRE
- Journal :
- Patient Education and Counseling
- Accession number :
- edsair.doi.dedup.....3362390af81f6ff971f854dfeed44a1a