End-of-life Conversation Game Increases Confidence For Having End-of-life Conversations For Chaplains-in-training

Title

End-of-life Conversation Game Increases Confidence For Having End-of-life Conversations For Chaplains-in-training

Creator

Van Scoy L J; Watson-Martin E; Bohr T A; Levi B H; Green M J

Identifier

10.1177/1049909117723619

Publisher

American Journal Of Hospice And Palliative Medicine

Date

2017

Subject

Communication; End-of-life Conversations; Health Games; Palliative Care; Pastoral Care; Terminal Care

Description

CONTEXT: Discussing end-of-life issues with patients is an essential role for chaplains. Few tools are available to help chaplains-in-training develop end-of-life communication skills. OBJECTIVE: This study aimed to determine whether playing an end-of-life conversation game increases the confidence for chaplain-in-trainings to discuss end-of-life issues with patients. METHODS: We used a convergent mixed methods design. Chaplains-in-training played the end-of-life conversation game twice over 2 weeks. For each game, pre- and postgame questionnaires measured confidence discussing end-of-life issues with patients and emotional affect. Between games, chaplains-in-training discussed end-of-life issues with an inpatient. One week after game 2, chaplains-in-training were individually interviewed. Quantitative data were analyzed using descriptive statistics and Wilcoxon rank-sum t tests. Content analysis identified interview themes. Quantitative and qualitative data sets were then integrated using a joint display. RESULTS: Twenty-three chaplains-in-training (52% female; 87% Caucasian; 70% were in year 1 of training) completed the study. Confidence scores (scale: 15-75; 75 = very confident) increased significantly after each game, increasing by 10.0 points from pregame 1 to postgame 2 ( P < .001). Positive affect subscale scores also increased significantly after each game, and shyness subscale scores decreased significantly after each game. Content analysis found that chaplains-in-training found the game to be a positive, useful experience and reported that playing twice was beneficial (not redundant). CONCLUSION: Mixed methods analysis suggest that an end-of-life conversation game is a useful tool that can increase chaplain-in-trainings' confidence for initiating end-of-life discussions with patients. A larger sample size is needed to confirm these findings.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

October 2017 List

Notes

1938-2715
Van Scoy, Lauren Jodi
Watson-Martin, Elizabeth
Bohr, Tiffany A
Levi, Benjamin H
Green, Michael J
Journal Article
United States
Am J Hosp Palliat Care. 2017 Jan 1:1049909117723619. doi: 10.1177/1049909117723619.

Citation

Van Scoy L J; Watson-Martin E; Bohr T A; Levi B H; Green M J, “End-of-life Conversation Game Increases Confidence For Having End-of-life Conversations For Chaplains-in-training,” Pediatric Palliative Care Library, accessed December 13, 2018, https://pedpalascnetlibrary.omeka.net/items/show/10801.

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