ArticleBMC palliative care2025
Interdisciplinary strategies for establishing a trusting relation as a pre-requisite for existential conversations in palliative care: a grounded theory study.
Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Confidential Conversations in Palliative Care: Capability, Vulnerability, and Relational Encounter.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Navigating existential conversations about life and death with families in paediatric palliative care: a qualitative interview study with healthcare professionals.BMC palliative care · 2026Article
- Development and cultural adaptation of the HOPE spiritual assessment tool to Swedish (HOPE-SE): Expert evaluation in specialized palliative care.Palliative & supportive care · 2026Observational
- Confidential Conversations in Palliative Care: An Ethnographic Exploration of Trust and Interpersonal Relationship Between Nurse and Patient.Journal of clinical nursing · 2026Article
- Values and wishes at the end of life among women with advanced cancer: An analysis using the Go Wish Cards Game.Palliative & supportive care · 2026Article
- Understanding death wishes in later life: a narrative review.Frontiers in psychiatry · 2026Review
- 'People ring because they're frightened': findings from a realist evaluation on the impact of timely responsive care at home at the end of life.BMC palliative care · 2025Article
- Perceptions and Practices of Interdisciplinary Action in an Intra-Hospital Support Team for Palliative Care: A Qualitative Study.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunication is central to implementing palliative care (PC) and effective interdisciplinary team functioning. Communication about existential issues is often urgent in PC, yet interdisciplinary teams frequently lack the time and education to meet these communication needs. Thus, more knowledge of existential conversations in different PC contexts is required.
aimThis study aimed to gain an in-depth understanding of healthcare professionals' (HCPs) experiences of existential conversations with patients with PC needs and their next-of-kin by generating a theoretical model.
methodSeven focus-group interviews that included 26 HCPs who worked with PC patients in different care settings were carried out in 2020 and 2022. The grounded theory method was used to analyse and compare data from the interview transcripts.
resultsThe HCPs' primary concern in daily work was establishing a trusting relationship, a prerequisite for enabling existential conversations with a person with PC needs and/or their next-of-kin. The main concern was characterised by the core category maintaining presence and four categories describing interdisciplinary strategies that the HCPs used to achieve a trusting relationship and enable existential conversations in the late phase of life. Several potential barriers also hindered existential conversations. The theoretical model 'meaningful existential conversations in PC' was constructed.
conclusionsThe interdisciplinary strategies used to establish existential conversations, the potential barriers to these conversations and the model we present can be used as a basis for reflection in professional collaborative learning in PC, as a tool for teachers in educational PC programmes and as a guide for HCPs in PC.
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