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Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.

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Title: Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.
Authors: Wallace, Cara L.1 Cara.wallace@slu.edu, Trees, April2, Ohs, Jennifer2, Hinyard, Leslie3
Source: Omega: Journal of Death & Dying. May2023, Vol. 87 Issue 1, p87-102. 16p. 3 Charts.
Subject Terms: *Continuing education, *Qualitative research, *Communication, *Listening, *Adult education workshops, Professional practice, Evaluation of medical care, Terminal care, Attitudes of medical personnel, Advance directives (Medical care), Health literacy, Quality assurance, Descriptive statistics, Thematic analysis, Narrative medicine
Abstract: Advance care planning (ACP) conversations about treatment preferences and end-of-life goals relate to positive outcomes for patients and families, though ongoing barriers exist. Additionally, providers personal discomfort and personal experiences may influence how they engage (or avoid) ACP conversations. Narrative medicine (NM) offers one approach to help practitioners develop ability to hear and understand the story of others in ways that may overcome barriers to quality conversations. This study investigated the effectiveness of a 3-hour NM workshop to develop communication skills around ACP and facilitate reflection on the relationship between personal experiences and professional practices in ACP and end-of-life care. Twenty-five participants completed post-assessments of the workshop. Key themes included increased awareness, improved skills for active listening and eliciting stories, and improved understanding of how personal experiences shape professional practice. Results indicate practitioners value the NM approach to ACP suggesting this approach may provide impactful change in practice. [ABSTRACT FROM AUTHOR]
Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.
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  Data: <searchLink fieldCode="AR" term="%22Wallace%2C+Cara+L%2E%22">Wallace, Cara L.</searchLink><relatesTo>1</relatesTo><i> Cara.wallace@slu.edu</i><br /><searchLink fieldCode="AR" term="%22Trees%2C+April%22">Trees, April</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ohs%2C+Jennifer%22">Ohs, Jennifer</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Hinyard%2C+Leslie%22">Hinyard, Leslie</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Omega%3A+Journal+of+Death+%26+Dying%22">Omega: Journal of Death & Dying</searchLink>. May2023, Vol. 87 Issue 1, p87-102. 16p. 3 Charts.
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  Data: *<searchLink fieldCode="DE" term="%22Continuing+education%22">Continuing education</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Listening%22">Listening</searchLink><br />*<searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br /><searchLink fieldCode="DE" term="%22Professional+practice%22">Professional practice</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Advance+directives+%28Medical+care%29%22">Advance directives (Medical care)</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Narrative+medicine%22">Narrative medicine</searchLink>
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  Data: Advance care planning (ACP) conversations about treatment preferences and end-of-life goals relate to positive outcomes for patients and families, though ongoing barriers exist. Additionally, providers personal discomfort and personal experiences may influence how they engage (or avoid) ACP conversations. Narrative medicine (NM) offers one approach to help practitioners develop ability to hear and understand the story of others in ways that may overcome barriers to quality conversations. This study investigated the effectiveness of a 3-hour NM workshop to develop communication skills around ACP and facilitate reflection on the relationship between personal experiences and professional practices in ACP and end-of-life care. Twenty-five participants completed post-assessments of the workshop. Key themes included increased awareness, improved skills for active listening and eliciting stories, and improved understanding of how personal experiences shape professional practice. Results indicate practitioners value the NM approach to ACP suggesting this approach may provide impactful change in practice. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=162839414
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        Value: 10.1177/00302228211015596
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 87
    Subjects:
      – SubjectFull: Continuing education
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Listening
        Type: general
      – SubjectFull: Adult education workshops
        Type: general
      – SubjectFull: Professional practice
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Terminal care
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Advance directives (Medical care)
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Narrative medicine
        Type: general
    Titles:
      – TitleFull: Narrative Medicine for Healthcare Providers: Improving Practices of Advance Care Planning.
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            NameFull: Wallace, Cara L.
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            NameFull: Trees, April
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            NameFull: Ohs, Jennifer
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            – D: 01
              M: 05
              Text: May2023
              Type: published
              Y: 2023
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              Value: 87
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            – TitleFull: Omega: Journal of Death & Dying
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