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The 6S Dialogue Tool to Facilitate Person-centered Palliative Care

Conference paper
Authors Ingela Henoch
Jane Österlind
Published in Palliative Medicine : A Multiprofessional Journal
ISSN 0269-2163
Publication year 2019
Published at Institute of Health and Care Sciences
Language en
Keywords palliative care, nursing, 6S, personcentred palliative care
Subject categories Nursing

Abstract

Background: Palliative care must be planned in accordance with patients’ needs, beliefs and preferences. The 6S person-centered palliative care model aims to co-create care together with patient and family in order to achieve good quality palliative care and a peaceful death for patients. The model includes six concepts that will facilitate to plan a person-centered care for patients in palliative care. The concepts are Self-image, Symptom relief, Self-determination, Social relationships, Synthesis, and Strategies. The 6S Dialogue Tool was elaborated to concretize the concepts. Aim: To explore if the 6S Dialogue Tool covers the meaning of the S-concepts in the 6S person-centered palliative care model. Methods: This is a qualitative study where data was collected with structured questions and patients responded in an open-ended format to the 15 questions in the 6S Dialogue Tool. Forty-six patients in palliative care services in Sweden responded to the 6S Dialogue Tool from May 2015 to August 2016. Responses were analyzed with qualitative content analysis. Results: Six categories related to the 6S concepts were formulated: Selfimage was illustrated of Maintaining everyday life, Symptom relief was related to Challenges in everyday life, Self-determination concerned Maintaining control, Social relations was illustrated by Maintaining selected relations, Synthesis was related to Appraisal of life, and Strategies was illustrated by Appraisal of future. Conclusion: The responses to the 6S Dialogue Tool questions illuminated the intent and meaning of the 6S-concepts. The 6S Dialogue Tool questions are suitable for obtaining patients’ preferences and could be used as an approach in palliative care. Nurses should integrate both 6S-concepts and questions in their approach to obtain the patient’s own view of the situation and make it possible to co-create palliative care in dialogue with the patient and improve the possibilities for patients to have an appropriate death.

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