
Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice
- Author
- Aline De Vleminck (UGent) , Lara Craenen, Julie Stevens (UGent) , Valentine Lemaigre, Peter Pype (UGent) , Luc Deliens (UGent) and Koen Pardon (UGent)
- Organization
- Abstract
- Objective: To explore a) to what extent patients with serious illness express emotional cues and concerns during advance care planning (ACP) conversations with their general practitioner (GP), b) the content of cues/concerns and c) GPs' responses to cues/concerns. Methods: Cues/concerns and GPs' responses in 20 conversations were coded using the Verona Codes (VR-CoDES and Verona Codes-P). A qualitative thematic analysis was used to identify overarching themes within the content of the cues/concerns. Results: A total of 216 cues/concerns were identified (range: 1-28; mean: 13) in 85% of conversations; with 85% of these being cues/implicit expressions of emotions. In 72% of responses, the GP provided space for the patient to elaborate on cues/concerns. The most common theme cues/concerns were expressed about was "the conse-quences of illness on quality of life and burdening others". Conclusion: Emotions were mainly communicated implicitly as cues and the content varied greatly. The amount of cues/concerns expressed show that ACP can evoke many emotions. Practice implications: GPs should be attentive to implicit expressions of emotions as these provide opportunities to engage patients in tailored ACP conversations. As patients expressed many cues/concerns, GPs are recommended to have recurrent conversations with patients and actively ask about diverse ACP topics.
- Keywords
- General Medicine, Advance care planning, Concern, Cue, General practice, Communication, Emotions, TERMINALLY-ILL PATIENTS, EMPATHIC COMMUNICATION, MEDICAL CONSULTATIONS, FAMILY PHYSICIANS, END, PRACTITIONERS, FACILITATORS, PERSPECTIVE, ADOLESCENT, BARRIERS
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01GK404EN1H73T037GAQQK6EKF
- MLA
- De Vleminck, Aline, et al. “Emotional Cues and Concerns of Patients with a Life Limiting, Chronic Illness during Advance Care Planning Conversations in General Practice.” PATIENT EDUCATION AND COUNSELING, vol. 107, 2023, doi:10.1016/j.pec.2022.11.005.
- APA
- De Vleminck, A., Craenen, L., Stevens, J., Lemaigre, V., Pype, P., Deliens, L., & Pardon, K. (2023). Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice. PATIENT EDUCATION AND COUNSELING, 107. https://doi.org/10.1016/j.pec.2022.11.005
- Chicago author-date
- De Vleminck, Aline, Lara Craenen, Julie Stevens, Valentine Lemaigre, Peter Pype, Luc Deliens, and Koen Pardon. 2023. “Emotional Cues and Concerns of Patients with a Life Limiting, Chronic Illness during Advance Care Planning Conversations in General Practice.” PATIENT EDUCATION AND COUNSELING 107. https://doi.org/10.1016/j.pec.2022.11.005.
- Chicago author-date (all authors)
- De Vleminck, Aline, Lara Craenen, Julie Stevens, Valentine Lemaigre, Peter Pype, Luc Deliens, and Koen Pardon. 2023. “Emotional Cues and Concerns of Patients with a Life Limiting, Chronic Illness during Advance Care Planning Conversations in General Practice.” PATIENT EDUCATION AND COUNSELING 107. doi:10.1016/j.pec.2022.11.005.
- Vancouver
- 1.De Vleminck A, Craenen L, Stevens J, Lemaigre V, Pype P, Deliens L, et al. Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice. PATIENT EDUCATION AND COUNSELING. 2023;107.
- IEEE
- [1]A. De Vleminck et al., “Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice,” PATIENT EDUCATION AND COUNSELING, vol. 107, 2023.
@article{01GK404EN1H73T037GAQQK6EKF, abstract = {{Objective: To explore a) to what extent patients with serious illness express emotional cues and concerns during advance care planning (ACP) conversations with their general practitioner (GP), b) the content of cues/concerns and c) GPs' responses to cues/concerns. Methods: Cues/concerns and GPs' responses in 20 conversations were coded using the Verona Codes (VR-CoDES and Verona Codes-P). A qualitative thematic analysis was used to identify overarching themes within the content of the cues/concerns. Results: A total of 216 cues/concerns were identified (range: 1-28; mean: 13) in 85% of conversations; with 85% of these being cues/implicit expressions of emotions. In 72% of responses, the GP provided space for the patient to elaborate on cues/concerns. The most common theme cues/concerns were expressed about was "the conse-quences of illness on quality of life and burdening others". Conclusion: Emotions were mainly communicated implicitly as cues and the content varied greatly. The amount of cues/concerns expressed show that ACP can evoke many emotions. Practice implications: GPs should be attentive to implicit expressions of emotions as these provide opportunities to engage patients in tailored ACP conversations. As patients expressed many cues/concerns, GPs are recommended to have recurrent conversations with patients and actively ask about diverse ACP topics.}}, articleno = {{107563}}, author = {{De Vleminck, Aline and Craenen, Lara and Stevens, Julie and Lemaigre, Valentine and Pype, Peter and Deliens, Luc and Pardon, Koen}}, issn = {{0738-3991}}, journal = {{PATIENT EDUCATION AND COUNSELING}}, keywords = {{General Medicine,Advance care planning,Concern,Cue,General practice,Communication,Emotions,TERMINALLY-ILL PATIENTS,EMPATHIC COMMUNICATION,MEDICAL CONSULTATIONS,FAMILY PHYSICIANS,END,PRACTITIONERS,FACILITATORS,PERSPECTIVE,ADOLESCENT,BARRIERS}}, language = {{eng}}, pages = {{9}}, title = {{Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice}}, url = {{http://doi.org/10.1016/j.pec.2022.11.005}}, volume = {{107}}, year = {{2023}}, }
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