Rapport: A conceptual definition from the perspective of patients and families receiving palliative care

English, Wendy; Robinson, Jackie; Gott, Merryn

doi:10.1016/j.pec.2022.10.012

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…This enables the nurse to develop an individualized care plan that addresses the unique needs and preferences of the patient, thereby enhancing the quality of care provided. This aligns with recent research emphasizing the importance of sufficient time and comprehensive assessments in end-of-life care 25 …”

Section: Discussionsupporting

confidence: 85%

“…This aligns with recent research emphasizing the importance of sufficient time and comprehensive assessments in end-of-life care. 25 The findings of this study underscore the importance of supporting nurses in managing their workloads and ensuring sufficient time for meaningful communication between patients and families. Nurses often face heavy workloads and time constraints in clinical practice.…”

Section: Discussionmentioning

confidence: 77%

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Nurses' Subjectivity in Patient-Centered Communication for End-of-Life Patients

Jeong,

Han

2023

J Hosp Palliat Nurs

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Effective patient-centered communication is essential in providing quality care for patients at the end of life. This study aimed to explore the subjectivity of nurses' communication approaches using Q methodology. In this study, 33 Q-samples were constructed based on in-depth interviews with 12 hospice nurses. The Q classification was performed by a total of 38 hospice nurses who had more than 3 years of experience in hospice settings. The collected data were analyzed through the principal component analysis method and the varimax rotation process using the PQ method program. As a result, a total of 4 distinct types emerged: “sincere listener,” “family-centered caregiver,” “resource utilization facilitator,” and “sufficient time devoter.” The factors accounted for 64% of the variance: 19%, 15%, 16%, and 14% respectively. By identifying distinct viewpoints, valuable insights into the diverse perspectives held by nurses in patient-centered communication were gained. Understanding these viewpoints will contribute to the development of tailored communication strategies and training programs. In addition, the study underscores the need for training, resources, and organizational support to enhance nurses' communication skills.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 77%

Nurses' Subjectivity in Patient-Centered Communication for End-of-Life Patients

Jeong,

Han

2023

J Hosp Palliat Nurs

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“…25,26 Rapport A perceived connection between patient, family and health professional, which is relaxed, positive and friendly, based on caring and acceptance, with communication that is characterised by listening to and understanding of the other, to the extent the interaction fosters confidence and trust. 27 Table 2. Inclusion/exclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

“…13,35 The 'home visit' context of community palliative care is mostly soft skills based, whereas telehealth is a mix of 'hard' technical skills and 'soft' communication skills, such as developing rapport remotely which requires focus, intention and practice. 27,41 To adapt to telehealth, health professionals need to consider how they can transition their in-person rapport skills while maintaining technology and patient-centred care in telehealth. 42 A recent Swedish study gave an example of merging hard and soft skills during telehealth calls, when some nurses and patients simultaneously placed their palms on their respective screens to create a sense of proximity.…”

Section: Discussionmentioning

confidence: 99%

Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

2023

Self Cite

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Background: Despite the reported importance of rapport, there are knowledge gaps in the ways rapport is developed and experienced by health professionals during telehealth calls in palliative care. Aim: To gain an understanding about developing rapport during telehealth calls by exploring the experiences of health professionals in community palliative care. Design: A qualitative Interpretive Description study was conducted with semi-structured interviews and focus groups between November 2020 and May 2021. Data was audio recorded, transcribed, and analysed using Reflexive thematic analysis. A COREQ checklist was completed. Setting/Participants: Thirty-one palliative care professionals who had participated in telehealth calls were recruited from four hospice locations in Aotearoa, New Zealand. Results: There were two themes identified: (1) ‘Getting on together’, which included how rapport shows up in telehealth, with examples of calls with rapport and without rapport, and (2) ‘Rapport is a soft skill’, which identified health professionals using body language and listening in specific ways in telehealth, while being aware of the privacy of calls, and lack of training concerns. Conclusion: Based on health professionals experiences of rapport it was determined that rapport is vitally important in telehealth calls, as it is in-person interactions. Rapport is a soft skill that can potentially be learned, practiced and mastery developed, although rapport in each interaction is not guaranteed. Patient and family experiences of rapport in the palliative telehealth area warrants further research and there is some urgency for health professional training in telehealth interpersonal skills.

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“…Patients and families seek rapport with their healthcare providers. When they perceive a connection, patient and family feel accepted, more confident asking questions, listened to, and that their values and preferences are understood [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

A conceptual model of the nurse's role as primary palliative care provider in goals of care communication

Wittenberg,

Goldsmith,

Chen

et al. 2024

PEC Innovation

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Rapport: A conceptual definition from the perspective of patients and families receiving palliative care

Cited by 6 publications

References 32 publications

Nurses' Subjectivity in Patient-Centered Communication for End-of-Life Patients

Nurses' Subjectivity in Patient-Centered Communication for End-of-Life Patients

Health professionals’ experiences of rapport during telehealth encounters in community palliative care: An interpretive description study

A conceptual model of the nurse's role as primary palliative care provider in goals of care communication

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