Development of the 6S Dialogue Tool to facilitate person‐centred palliative care

Henoch, Ingela; Österlind, Jane

doi:10.1111/jan.14115

Cited by 10 publications

(19 citation statements)

References 24 publications

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“…However, technology and palliative care may seem as polar opposites since technology lacks human touch. Palliative care is described as inherently built on communication and interaction between patients, families and healthcare professionals (7,19), and as such demands sensitivity and exibility to promote understanding of experiences and goals of care in alignment with patients' wishes (45,46). Contrary to this, the results of this review indicate that use of eHealth applications in palliative care may provide feasible alternatives without violating palliative care standards.…”

Section: Discussionmentioning

confidence: 77%

Patients’ experiences of eHealth in palliative care: an integrative review.

Widberg

Wiklund

Klarare

2020

Preprint

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Background: With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. E-Health involves the use of information and communication technology to provide care, and also to transmit health information through the Internet and related technologies. E-Health can be an effective way of supporting communication between patient and healthcare providers, but it is unclear to how patients regard information and communication technology (ICT) within palliative careMethods: The aim of this study was to describe patients’ experiences of eHealth in palliative care. An integrative review with a systematic literature search of six databases: Cinahl Complete; MEDLINE with Full Text; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO generated 12 scientific articles. The articles were evaluated, data extracted, analyzed and synthesized, according to the aim.Results: The results are presented in the main theme: E-health applications – promoting communication on patients’ and families’ terms, and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care promoted through eHealth applications; and use of eHealth applications increased sense of security and patient safety. Patients described ease of use, usability and feasibility of eHealth applications. Equal and individualized care, security, better symptom management, participation through increased accessibility and increased patient safety were described.Conclusions: E-Health applications promoted equal, individualized care, and may be a tool to promote accessibility and patient participation in palliative care settings. Furthermore, care transparency increased with eHealth communication when patients and families received more information, and experiences were that patient safety and feelings of security also were promoted. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources in palliative care.

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Section: Discussionmentioning

confidence: 77%

Patients’ experiences of eHealth in palliative care: an integrative review.

Widberg

Wiklund

Klarare

2020

Preprint

View full text Add to dashboard Cite

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“…However, technology and palliative care may seem polar opposites since technology lacks human touch. Palliative care is described as inherently built on communication and interaction between patients, families and healthcare professionals (7,20), and as such demands sensitivity and exibility to promote understanding of experiences and goals of care in alignment with patients' wishes (50,51). Contrary to this, the results of this review indicate that use of eHealth applications in palliative care may provide feasible alternatives without violating palliative care standards.…”

Section: Discussionmentioning

confidence: 77%

Patients' experiences of eHealth in palliative care: An integrative review

Widberg

Wiklund

Klarare

2020

Preprint

View full text Add to dashboard Cite

Background: With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. Palliative care aims to alleviate suffering and to promot e well-being for patients with progressive, incurable disease or injury. E - Health entails us ing of information and communication technology for healthcare provision . I t is unclear to how patients experience use of eHealth technology within palliative care Methods: The aim of this study was to describe patients’ experiences of eHealth in palliative care. A systematic integrative review w as performed using six databases: Cinahl Complete; MEDLINE; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO . Twelve studies met the inclusion criteria of adult patients in palliative care, English language , published 2014-2019: comprising 397 patients . S ix studies were from European countries, four from North America, one from South America and one from Oceania . Seven were feasibility or pilot studies. Results: The findings are synthesized in the main theme: E-health applications – promoting communication on patients’ and families’ terms , and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care; and use of eHealth applications increased sense of security and patient safety. Patients ’ experiences were that eHealth promoted individualized care, sense of security, better symptom management and participation in care . Communication was facilitated by the inherent flexibility provided by technology . Conclusions: E-Health applications seem promising in promoting equal, individualized care, and may be a tool to endorse accessibility and patient participation in palliative care settings. I ndications are that eHealth communication resulted in patients and families receiving more information, which contributed to experiences of patient safety and feelings of security. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources.

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“…The aim of this study was to describe nurses' experiences of palliative care for older people with advanced dementia living in residential aged care units. A person-centred care perspective combined with the 6S-model (Henoch & Österlind, 2019;McCormack & McCance, 2006;Ternestedt et al, 2017) was used to explain and understand the nurses' experiences. The results show that it is challenging for nurses to "join all the pieces together" in order to provide successful palliative care to older people with advanced dementia.…”

Section: Discussionmentioning

confidence: 99%

“…The 6S-model may provide healthcare professionals with knowledge when planning for the patient's palliative care. The model may help health professionals to understand, for example which symptoms require the greatest relief efforts, how relationships may be maintained and how the patient's life may be understood (Henoch & Österlind, 2019). Person-centred processes mean that the nursing should be based on a person-centred perspective on the patient's life story and own values and that he or she should be involved in care decisions (McCormack & McCance, 2006).…”

Section: Person-centred Palliative Care For Older People With Dementiamentioning

confidence: 99%

“…The theoretical framework is based on person-centred care using the 6S-model, which may provide nurses with knowledge when planning for the patient's palliative care in the final stage. The model consists of self-image, symptom relief, self-determination, social relationships, synthesis and strategies (Henoch & Österlind, 2019;Ternestedt et al, 2017). This means that nurses adapt to the patient's life story, respect the patient's own values and expressed needs, and allow the patient to participate in care decisions (McCormack & McCance, 2006).…”

Section: Designmentioning

confidence: 99%

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“The challenge of joining all the pieces together” – Nurses’ experience of palliative care for older people with advanced dementia living in residential aged care units

Pennbrant

Hjorton²,

Nilsson³

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To describe nurses’ experiences of palliative care for older people with advanced dementia living in residential aged care units. Background Dementia is a global health problem and the number of older people with dementia who need palliative care is increasing. Previous research has revealed that care for older people with dementia in the final stage of life is usually complex. However, little is known about how nurses experience palliative care for older people with advanced dementia living in residential aged care units. Method Nine individual, semi‐structured face‐to‐face interviews with nurses working in residential aged care units for older people with advanced dementia in palliative care in Western Sweden were analysed using qualitative inductive content analysis. The COREQ checklist was followed. Results The nurses considered that palliative care for older people with advanced dementia is a complex and challenging form of care. In particular, they identified three challenges that must be met: developing specialised knowledge and skills, developing teamwork as a working method and creating a caring relationship. Conclusions The results of our analysis indicate that if nurses are aware of and understand that the challenges are essential for “joining all the pieces together,” the palliative care for older people with advanced dementia may become a positive experience for nurses and may increase their sense of satisfaction and security in their professional role. Relevance to clinical practice For the palliative care to be successful, the nurses need to “join all the pieces together,” that is succeed in developing specialised knowledge and skills, developing teamwork as a working method and creating a caring relationship to establish a person‐centred care with the older person with advanced dementia and with his or her relatives.

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Development of the 6S Dialogue Tool to facilitate person‐centred palliative care

Cited by 10 publications

References 24 publications

Patients’ experiences of eHealth in palliative care: an integrative review.

Patients’ experiences of eHealth in palliative care: an integrative review.

Patients' experiences of eHealth in palliative care: An integrative review

“The challenge of joining all the pieces together” – Nurses’ experience of palliative care for older people with advanced dementia living in residential aged care units

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