Communication is more than just a conversation: family members' satisfaction with end-of-life care

Int J Palliat Nurs. 2018 Oct 2;24(10):483-491. doi: 10.12968/ijpn.2018.24.10.483.

Abstract

Aim:: The main aim of this study was to investigate family member's experiences of communicating with health professionals (HP) during end-of-life care in acute medical wards and a nursing home.

Methods:: A qualitative approach using 19 semi-structured interviews to collect data was used. The text was analysed using a content analysis methodology, extracting content that reflected family member's experiences of end-of-life care in acute medical wards, and a nursing home in Iceland.

Results:: Four themes were identified as contributing to favourable communication with HPs in end-of-life care: establishing a relationship; flow of information; environment; acceptance at the time of death.

Conclusion:: Findings suggested that the context of communication in end-of-life care is more than just a conversation. It includes health professional's appearances, decision-making and respect. Satisfactory communication is a necessary factor of quality of care and the fundamental aspect of the establishment of a positive interpersonal relationship.

Keywords: Acute medical ward; Bereaved family members; Communication; End-of-life care; Nursing home.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude of Health Personnel*
  • Bereavement*
  • Communication*
  • Family / psychology*
  • Female
  • Health Personnel / psychology*
  • Homes for the Aged
  • Hospice Care / psychology*
  • Humans
  • Iceland
  • Male
  • Middle Aged
  • Nursing Homes
  • Qualitative Research
  • Terminal Care / psychology*