Introduction
Effective communication between healthcare professionals and family caregivers is a cornerstone of quality end-of-life care, particularly in acute hospital settings. The research article titled "Communication between family carers and health professionals about end-of-life care for older people in the acute hospital setting: a qualitative study" provides valuable insights into the dynamics of these interactions. This blog explores the findings of the study and offers practical guidance for practitioners seeking to enhance their communication skills and improve care outcomes.
Understanding the Research
The study utilized qualitative methods, including non-participant observation, semi-structured interviews, and case note reviews, across four acute wards in an English University teaching hospital. The research highlighted that mutual understanding between carers and healthcare professionals significantly enhances the end-of-life care experience. However, communication was often reported as ineffective, leaving carers unsure and distressed.
Key Findings and Implications
- Mutual Understanding: Establishing a concordant relationship, where perspectives are negotiated and shared, can improve communication and care quality.
- Challenges in Communication: Carers often experience poor communication, feeling uninformed and unsupported. This highlights the need for healthcare professionals to actively engage with carers.
- Role of Healthcare Professionals: While senior clinicians typically deliver bad news, nurses play a crucial role in supporting and clarifying information for carers.
- Importance of Clarity: Clear, jargon-free communication is essential. Carers often misinterpret vague or euphemistic language, leading to misunderstandings.
Practical Steps for Practitioners
To enhance communication with family carers, practitioners can adopt the following strategies:
- Engage in Active Listening: Show empathy and understanding by listening to carers' concerns and perspectives.
- Use Clear Language: Avoid medical jargon and use straightforward language to explain the patient's condition and care plan.
- Foster a Concordant Approach: Encourage open dialogue where carers feel valued and involved in decision-making processes.
- Provide Continuous Support: Regularly check in with carers to offer updates and address any questions or concerns.
Encouraging Further Research
While this study sheds light on communication challenges and opportunities in end-of-life care, further research is needed to explore the dynamics of staff-carer interactions and identify effective communication strategies. Practitioners are encouraged to engage with ongoing research to refine their skills and contribute to improved care outcomes.
To read the original research paper, please follow this link: Communication between family carers and health professionals about end-of-life care for older people in the acute hospital setting: a qualitative study.
