ArticleQualitative health research2021
Continuums of Change in a Competence-Building Initiative Addressing End-of-Life Communication in Swedish Elder Care.
Article in Qualitative health research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Cocreation of a Digital Tool for Proactive End-of-Life Communication: Protocol for a Participatory Action Research Project.JMIR research protocols · 2026Article
- Investigating effect versus impact in a participatory action research project: Building end-of-life communication competence in residential care facilities for older people.Palliative care and social practice · 2026Article
- Proactive end-of-life conversations in residential care homes: a qualitative interview study exploring residents' and family members' experiences.BMC geriatrics · 2025Article
- Go Wish Card Game for Meaningful Conversations in the Oncology Healthcare Context: A Narrative Review.Cancers · 2025Review
- Outputs from a model of co-research with older care-experienced people in Sweden to advance eldercare services.Research involvement and engagement · 2024Article
- Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences.Scandinavian journal of primary health care · 2023Article
- Validation of a culturally adapted Swedish-language version of the Death Literacy Index.PloS one · 2023Article
- Use, usability, and impact of a card-based conversation tool to support communication about end-of-life preferences in residential elder care - a qualitative study of staff experiences.BMC geriatrics · 2022Article
- Dissemination, use, and impact of a community-based, conversational advance care planning intervention: ripple effects of the Swedish DöBra cards.Palliative care and social practice · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Conversations about values for the end-of-life (EoL) between residents, relatives, and staff may allow EoL preparation and enable value-concordant care, but remain rare in residential care home (RCH) practice. In this article, longitudinal qualitative analysis was used to explore changes in staff discussions about EoL conversations throughout workshop series based on reflection and knowledge exchange to promote EoL communication in RCHs. We identified three overall continuums of change: EoL conversations became perceived as more feasible and valuable; conceptualizations of quality EoL care shifted from being generalizable to acknowledging individual variation; and staff's role in facilitating EoL communication as a prerequisite for care decision-making was emphasized. Two mechanisms influenced changes: cognitively and emotionally approaching one's own mortality and shifting perspectives of EoL care. This study adds nuance and details about changes in staff reasoning, and the mechanisms that underlie them, which are important aspects to consider in future EoL competence-building initiatives.
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Registered trials
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