ArticleJournal of palliative medicine2014
Emotional distress and compassionate responses in palliative care decision-making consultations.
Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- Making Choices: A Multi-institutional, Longitudinal Cohort Study Assessing Changes in Treatment Outcome Valuation for Low-risk Thyroid Cancer.Annals of surgery · 2025Article
- Article
- Empathic communication between clinicians, patients, and care partners in palliative care encounters.Patient education and counseling · 2023Article
- Early Integration of Palliative Care for Patients Receiving Systemic Immunotherapy for Renal Cell Carcinoma.Journal of cancer immunology · 2023Article
- Content of Tele-Palliative Care Consultations with Patients Receiving Dialysis.Journal of palliative medicine · 2022Article
- "I Had a Lot More Planned": The Existential Dimensions of Prognosis Communication with Adults with Advanced Cancer.Journal of palliative medicine · 2021Article
- A general model of conversational dynamics and an example application in serious illness communication.PloS one · 2021Observational
- Managing Code Status Conversations for Seriously Ill Older Adults in Respiratory Failure.Annals of emergency medicine · 2020Review
- The role of emotion in clinical decision making: an integrative literature review.BMC medical education · 2017Review
- Compassion: a scoping review of the healthcare literature.BMC palliative care · 2016Article
- Design of, and enrollment in, the palliative care communication research initiative: a direct-observation cohort study.BMC palliative care · 2015Article
- Sadness: diagnosis, evaluation, and treatment.The primary care companion for CNS disorders · 2014Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundSeriously ill hospitalized patients and their loved ones are frequently faced with complex treatment decisions laden with expressions of emotional distress during palliative care (PC) consultations. Little is known about these emotional expressions or the compassionate responses providers make and how common these are in PC decision-making conversations.
objectivesTo describe the types and frequency of emotional distress that patients and loved ones express and how providers respond to these emotions during PC decision-making consultations with seriously ill hospitalized patients.
methodsWe used a quantitative descriptive approach to analyze 71 audio-recorded inpatient PC decision-making consultations for emotional distress and clinicians' responses to those emotions using reliable and established methods.
resultsA total of 69% of conversations contained at least one expression of emotional distress. The per-conversation frequency of expressions of emotional distress ranged from 1 to 10. Anxiety/fear were the most frequently encountered emotions (48.4%) followed by sadness (35.5%) and anger/frustration (16.1%). More than half of the emotions related to the patient's feelings (53.6%) and 41.9% were related to the loved ones' own emotions. The majority of emotions were moderate in intensity (65.8%) followed by strong (20.7%) and mild (13.5%). Clinicians responded to a majority of emotions with a compassionate response (75.7%) followed by those with medical content (21.9%) and very few were ignored (1.3%).
conclusionsExpressions of emotional distress are common during PC consultations and are usually met with compassionate responses by the clinician.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.