Evidence map›Paper›PMID 29241975›Full record

Observational studyPatient education and counseling2018

Positive emotion communication: Fostering well-being at end of life.

Alexandra L Terrill, Lee Ellington, Kevin K John, Seth Latimer, Jiayun Xu, Maija Reblin, Margaret F Clayton

Abstract readObservational Study
In one paragraph

Observational study in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Humour helps healing: Application of therapeutic humour in palliative care.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  4. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  5. Article
  6. Observational
  7. Article
  8. How technology can improve communication and health outcomes in patients with advanced cancer: an integrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
  9. Review
  10. Observational
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Alexandra L TerrillUniversity of Utah, Department of Occupational & Recreational Therapies, Salt Lake City, USA. Electronic address: alex.terrill@hsc.utah.edu.
Lee EllingtonUniversity of Utah, College of Nursing, Salt Lake City, USA.
Kevin K JohnBrigham Young University, School of Communication, Provo, USA.
Seth LatimerUniversity of Utah, College of Nursing, Salt Lake City, USA.
Jiayun XuPurdue University School of Nursing, West Lafayette, USA.
Maija ReblinMoffitt Cancer Center, Department of Health Outcomes & Behavior, Tampa, USA.
Margaret F ClaytonUniversity of Utah, College of Nursing, Salt Lake City, USA.
University of Utah · USBrigham Young University · USMoffitt Cancer Center · USPurdue University West Lafayette · US

Funding

Symptom Care by Phone for Hospice Caregiver Support and Cancer Symptom ReliefP01CA138317 · NCI · UNIVERSITY OF UTAH · PI MOONEY, KATHLEEN H · 2010 to 2015
$7.0M
Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
NCI NIH HHS P01 CA138317NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

objectiveLittle is known about positive emotion communication (PEC) in end-of-life care. This study aims to identify types and patterns of PEC among hospice nurses, caregivers, and patients.

methodsA coding system based on positive psychology theory was applied as a secondary analysis to audio recordings of hospice nurse home visits with cancer patients and family caregivers, collected as part of a prospective longitudinal study. Eighty recordings (4 visits from 20 triads) were coded for humor, connection, praise, positive focus, gratitude, taking joy/savoring, and perfunctory statements.

resultsDescriptive statistics revealed the greatest proportion of PEC was made by nurses. Humor was most frequently used across all speakers. Cluster analysis revealed four PEC visit types: Savor/Take Joy; Humor; Perfunctory; and Other-focused Expressions of Positive Emotions. Linear mixed effect regression was used to estimate the trajectory of PEC over time, but no significant change was found.

conclusionWe found that positive emotions are common in nurse, caregiver and patient communication at end-of-life and do not decline closer to death. PRACTICE IMPLICATION: This study is among the first to explore PEC at end-of-life, and offers a way to bring strengths-based approaches into end of life communication research.

Indexed as

CommunicationEmotionsHouse CallsAdultAgedAged, 80 and overCaregiversFemaleHospice and Palliative Care NursingHospice CareHumansMaleMiddle AgedNeoplasmsNurse-Patient RelationsProspective StudiesCancerCaregiverCommunicationExpressed emotionHospice care

Identifiers

PMID29241975
PMCPMC5878994
OpenAlexW2768654631

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.