End-of-Life communication with non-traditional families and lesbian, gay, bisexual and transgender patients for nurses

Abstract

Objective: The purpose of this article was to describe a concept synthesis on communication at end-of-life (EOL), and specifically when the family framework is non-traditional.
Methods: An electronic database search of online publications generically and within healthcare disciplines and education was performed. The terms communication, EOL communication, EOL, simulation, communication concept analysis, and EOL concept analysis, singularly and in all combinations were used. The search was limited to peer-reviewed articles, available through the University of Missouri-Kansas City library, written in English, and appeared to have a research focus, resulted in 24 articles which were reviewed for this concept analysis.
Results: Uses and definitions associated with communication during EOL were used to articulate the attributes, antecedents, consequences, and empirical referents. Model, borderline, and contrary cases were developed.
Conclusions: Communication is conceptually defined; a foundation for the development of an operational definition is begun. The use of appropriate and respectful communication, among and between interprofessionals, the patient, and his/her family members or emotionally attached persons enhances the ability to ensure that EOL desires are known and documented. This activity will improve the capability for healthcare professionals to provide appropriate and desired care.