Vulnerability has typically been addressed in the context of research ethics from point view participants, with a focus on how to prevent potential or exacerbation existing harm caused by power and role asymmetries between researchers participants. However, more recent approaches question whether are, definition, located privileged position during process safe any kind vulnerability. In line this, we reflect dimensions researcher vulnerability specific studies using qualitative methodology...

Abstract Background Advance care planning (ACP) is particularly appropriate for persons with early dementia (PWED) since it promotes conversations about dementia-specific illness scenarios, addresses inconsistencies between advance directives and patients’ observed behavior, emphasizes prospective relational autonomy, may be generally consistent older persons’ decision-making needs. However, despite evidence of its benefits, ACP yet to become widely used among PWED. In this paper, we present...

Clinical hypnosis appears to hold some promising effects for patients at end-of-life. Patients and health care professionals (HPs) are inclined adopt the practice. Yet, experience of in this context remains under-researched.

Plus des deux tiers personnes résidant dans établissements médico-sociaux en Suisse vivent avec troubles neurocognitifs. Les symptômes associés à ce diagnostic renforcent leur dépendance les activités de la vie quotidienne et interfèrent communication autrui. Cet article se focalise sur ressources utilisées par assistantes soins communautaires lors l’habillage intime pour permettre personne résidente participer au mieux cette activité, une optique care. De manière exploratoire, il analyse...

Palliative care patients facing the end of their life often experience severe symptoms and seek complementary therapies for relief improved well-being. Clinical hypnosis is a promising mind-body therapy in palliative settings, benefiting both relatives. Nevertheless, access at end-of-life can be limited due to symptom severity restricted mobility. This study aimed assess feasibility acceptability home-based intervention alleviate relatives enhance coping resources. A mixed-method...

Background: During advance care planning, individuals can benefit from the support of a healthcare professional to navigate intricacies decision-making. There are specific roles be played at each level process. Evidence is lacking about how professionals understand their role when conducting planning conversations. Aim: To explore perceive, define and describe Design: We conducted this exploratory cross-sectional study in Switzerland November 2019 June 2020 by using semi-structured...

The Integrated Palliative care Outcome Scale (IPOS) was developed for evaluating essential outcomes palliative patients. Our objectives here are to describe the process of a six-phase cross-cultural adaptation IPOS French (IPOS-Fr), highlight difficulties encountered and strategies solve them, discuss implications that may have on validity reliability questionnaire. consisted six phases: (i) literature review interviews with target population; (ii) forward translation French; (iii) backward...

Abstract Background Discussing patient preferences for cardio‐pulmonary resuscitation (CPR) is routine in hospital admission older people. The way the conversation conducted plays an important role comprehension and ethics of decision making. Objective objective was to examine how CPR explained geriatric rehabilitation interviews, focussing on circumstances which physicians explain content these explanations. Method We recorded forty‐three physician‐patient interviews taking place a...

To explore how physicians elicit patients' preferences about cardio-pulmonary resuscitation (CPR) during hospital admission interviews.Conversation analysis of 37 audio-recorded CPR patient-physician discussions at to a geriatric hospital.The most encountered practice is when submit an option the patient's validation ("do you want us resuscitate"). Through it, display presuppositions preference, which not elicited as autonomous contribution. open elicitors ("what would wish"), treat patients...

Abstract Background Health decisions occur in a context with omnipresent social influences. Information concerning what other patients decide may present certain interventions as more desirable than others. Objectives To explore how physicians refer to people conversations about the relevancy of cardio-pulmonary resuscitation (CPR) or do-not-attempt-resuscitation orders (DNAR). Methods We recorded forty-three physician–patient admission interviews taking place hospital French-speaking...

Abstract Aims The aim of this study was (i) to document the main features surgery nurses' telephone calls, with a special focus on newcomers' calls; and (ii) identify activities accomplished during calls. Design Mixed methods study. Methods We audio recorded calls internal hospital in two nursing stations. performed statistical descriptive analysis total collection those specifically involving newcomers compared both sets. also conversation analysis‐based coding Results Surgery are extremely...

Background: Documenting decisions about the relevance cardiopulmonary resuscitation (CPR) is a standard practice at hospital admission yet complex task. Objective: Our aim was to explore how physicians approach and discuss CPR prognosis with older patients recently admitted post-acute care unit. Method: We recorded 43 conversations between relevancy of that took place geriatric rehabilitation service Swiss university hospital. Thematic analysis determined (i) who initiated talk prognosis,...

Decisions about the relevance of life-sustaining treatment, such as cardiopulmonary resuscitation (CPR), are commonly made when a patient is admitted to hospital. This article aims refine our understanding how discussions CPR introduced, identify and classify components frequently occurring in these introductions, discuss their implications within overarching activity (discussing CPR). We recorded 43 between physicians patients, taking place during admission interview. applied an inductive...

In the end of life context, patients are often seen as somewhat passive recipients care provided by health professionals and relatives, with little opportunity to be perceived autonomous active agents. Since studies show a very high prevalence altruistic dispositions in palliative patients, we strive investigate concept patient altruism set six interdisciplinary considering three settings: (1) general context-by studying what extent is associated essential psychological outcomes (subproject...

Life-sustaining treatments (LST) aim to prolong life without reversing the underlying medical condition. Being associated with a high risk of developing unwanted adverse outcomes, decisions about LST are routinely discussed patients at hospital admission, particularly when it comes cardiopulmonary resuscitation. Physicians may encounter many challenges enforcing shared decision-making in this domain. In study, we map out how junior physicians Southern Switzerland refer their experiences...