Yip Wing Ki Agnes, Chung Pui Man Betty, Christensen Martin
School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong.
School of Nursing, Tung Wah College, Kowloon, Hong Kong.
Scand J Caring Sci. 2024 Sep;38(3):614-635. doi: 10.1111/scs.13263. Epub 2024 May 22.
The aim of this concept analysis is to seek clarity as to what end-of-life conversations involve by developing a clear working definition and using model cases to conceptualise the defining attributes of an end-of-life conversations with the older person.
Walker and Avant's eight step approach to Concept Analysis.
Four databases were searched, including PubMed, CINAHL, PsycINFO, and Scopus. A total of 339 publications were identified with 30 papers meeting the inclusion criteria and put forward for the final conceptual analysis.
The defining attributes associated with end-of life conversations included (1) an ongoing process of older person empowerment, (2) discussion's concerning values and preferences concerning end-of-life issues, and (3) maintaining an open dialogue between all concerned individuals. Antecedents were associated with the older person is their readiness to talk openly about death and dying. Consequences were identified as having a better understanding of what death and dying may mean to the older person in a more specific manner.
End-of-life conversations are vital in understanding an individual's values and preferences at the end of life, and yet, the concept of the end-of-life conversation has not been well defined in the literature. End-of-life conversations with the older person encompass ongoing discussions and maintaining open dialogue around end-of-life care while developing strategies to promote individual empowerment in making informed choices. Using a conceptual model, aides in addressing aspects of end-of-life conversations and an acknowledgment of the dynamic process of end-of-life conversations.
本概念分析的目的是通过制定清晰的工作定义并使用典型案例来概念化与老年人进行的临终谈话的定义属性，从而明确临终谈话所涉及的内容。
采用沃克和阿凡特的八步概念分析方法。
检索了四个数据库，包括PubMed、CINAHL、PsycINFO和Scopus。共识别出339篇出版物，其中30篇符合纳入标准，并被提出进行最终的概念分析。
与临终谈话相关的定义属性包括：（1）老年人赋权的持续过程；（2）关于临终问题的价值观和偏好的讨论；（3）在所有相关个体之间保持开放的对话。先兆与老年人愿意公开谈论死亡和临终相关。结果被确定为能更具体地理解死亡和临终对老年人可能意味着什么。
临终谈话对于理解个体在生命末期的价值观和偏好至关重要，然而，临终谈话的概念在文献中尚未得到很好的定义。与老年人进行的临终谈话包括围绕临终护理进行持续讨论并保持开放对话，同时制定策略以促进个体在做出明智选择时的赋权。使用概念模型有助于处理临终谈话的各个方面，并认识到临终谈话的动态过程。
