PMID- 24263900
OWN - NLM
STAT- MEDLINE
DCOM- 20140204
LR  - 20161128
IS  - 1357-6321 (Print)
IS  - 1357-6321 (Linking)
VI  - 19
IP  - 11
DP  - 2013 Nov
TI  - Discussing preferred place of death with patients: staff experiences in a UK 
      specialist palliative care setting.
PG  - 558-65
AB  - BACKGROUND: National end-of-life care policies propose that health professionals 
      regularly discuss matters such as preferred place of death (PPD) with patients. 
      AIM: To explore clinician experiences of discussing PPD with palliative care 
      patients. METHOD: Six clinicians from a Scottish hospice each participated in a 
      semi-structured interview. Interview data was analysed using interpretative 
      phenomenological analysis. RESULTS: Four themes were integral to the 
      participants' accounts: the importance of discussing preferences at the end of 
      life (staff recognise the value of discussing patients' final wishes), 
      identifying how and when to discuss PPD (discussions are tailored to the 
      individual), reflecting on the emotional aspects of discussing PPD (discussing 
      PPD is challenging but rewarding), and a journey from expectations to experience 
      (discussing PPD becomes easier with time). CONCLUSION: Although potentially 
      difficult, the participants believed that advance care planning is important and 
      beneficial. With time, they had developed communication strategies enabling them 
      to discuss PPD in an effective, patient-centred way.
FAU - Fields, Anna
AU  - Fields A
AD  - Medical Student, The University of Edinburgh, College of Medicine and Veterinary 
      Medicine, Edinburgh, Scotland.
FAU - Finucane, Anne M
AU  - Finucane AM
FAU - Oxenham, David
AU  - Oxenham D
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Palliat Nurs
JT  - International journal of palliative nursing
JID - 9506762
MH  - *Attitude to Death
MH  - Humans
MH  - *Medicine
MH  - *Palliative Care
MH  - Scotland
MH  - United Kingdom
EDAT- 2013/11/23 06:00
MHDA- 2014/02/05 06:00
CRDT- 2013/11/23 06:00
PHST- 2013/11/23 06:00 [entrez]
PHST- 2013/11/23 06:00 [pubmed]
PHST- 2014/02/05 06:00 [medline]
AID - 10.12968/ijpn.2013.19.11.558 [doi]
PST - ppublish
SO  - Int J Palliat Nurs. 2013 Nov;19(11):558-65. doi: 10.12968/ijpn.2013.19.11.558.