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  • Bassett, Bingley, Brearley - Silence as an element of care - vAccepted for publication_3rd July 2017

    Rights statement: The final, definitive version of this article has been published in the Journal, Palliative Medicine, 32 (1), 2018, © SAGE Publications Ltd, 2018 by SAGE Publications Ltd at the Palliative Medicine page: http://journals.sagepub.com/home/PMJ on SAGE Journals Online: http://journals.sagepub.com/

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Silence as an element of care: A meta-ethnographic review of professional caregivers’ experience in clinical and pastoral settings

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Silence as an element of care: A meta-ethnographic review of professional caregivers’ experience in clinical and pastoral settings. / Bassett, Lynn; Bingley, Amanda Faith; Brearley, Sarah Grace.
In: Palliative Medicine, Vol. 32, No. 1, 01.01.2018, p. 185-194.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Bassett L, Bingley AF, Brearley SG. Silence as an element of care: A meta-ethnographic review of professional caregivers’ experience in clinical and pastoral settings. Palliative Medicine. 2018 Jan 1;32(1):185-194. Epub 2017 Aug 8. doi: 10.1177/0269216317722444

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Bibtex

@article{21b7a448614346fcb8964f6b08e4e90a,
title = "Silence as an element of care: A meta-ethnographic review of professional caregivers{\textquoteright} experience in clinical and pastoral settings",
abstract = "Background:In interactions between professional caregivers, patients and family members at the end of life, silence often becomes more prevalent. Silence is acknowledged as integral to interpersonal communication and compassionate care but is also noted as a complex and ambiguous phenomenon. This review seeks interdisciplinary experience to deepen understanding of qualities of silence as an element of care.Aim:To search for published papers which describe professional caregivers{\textquoteright} experience of silence as an element of care, in palliative and other clinical, spiritual and pastoral care settings and to synthesise their findings.Design:Meta-ethnography: employing a systematic search strategy and line-of-argument synthesis.Data sources:PsycINFO and seven other cross-disciplinary databases, supplemented by hand-search, review of reference lists and citation tracking. No date range was imposed. Inclusion criteria focused on reported experience of silence in professional caregiving. Selected papers (n = 18) were appraised; none were rejected on grounds of quality.Results:International, interdisciplinary research and opinion endorses the value of silence in clinical care. As a multi-functional element of interpersonal relationships, silence operates in partnership with speech to support therapeutic communication. As a caregiving practice, silence is perceived as particularly relevant in spiritual and existential dimensions of care when words may fail.Conclusion:Experience of silence as an element of care was found in palliative and spiritual care, psychotherapy and counselling supporting existing recognition of the value of silence as a skill and practice. Because silence can present challenges for caregivers, greater understanding may offer benefits for clinical practice.",
keywords = "Caregivers, interdisciplinary communication, palliative care, pastoral care, spirituality, silence",
author = "Lynn Bassett and Bingley, {Amanda Faith} and Brearley, {Sarah Grace}",
note = "The final, definitive version of this article has been published in the Journal, Palliative Medicine, 32 (1), 2018, {\textcopyright} SAGE Publications Ltd, 2018 by SAGE Publications Ltd at the Palliative Medicine page: http://journals.sagepub.com/home/PMJ on SAGE Journals Online: http://journals.sagepub.com/ ",
year = "2018",
month = jan,
day = "1",
doi = "10.1177/0269216317722444",
language = "English",
volume = "32",
pages = "185--194",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Silence as an element of care

T2 - A meta-ethnographic review of professional caregivers’ experience in clinical and pastoral settings

AU - Bassett, Lynn

AU - Bingley, Amanda Faith

AU - Brearley, Sarah Grace

N1 - The final, definitive version of this article has been published in the Journal, Palliative Medicine, 32 (1), 2018, © SAGE Publications Ltd, 2018 by SAGE Publications Ltd at the Palliative Medicine page: http://journals.sagepub.com/home/PMJ on SAGE Journals Online: http://journals.sagepub.com/

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background:In interactions between professional caregivers, patients and family members at the end of life, silence often becomes more prevalent. Silence is acknowledged as integral to interpersonal communication and compassionate care but is also noted as a complex and ambiguous phenomenon. This review seeks interdisciplinary experience to deepen understanding of qualities of silence as an element of care.Aim:To search for published papers which describe professional caregivers’ experience of silence as an element of care, in palliative and other clinical, spiritual and pastoral care settings and to synthesise their findings.Design:Meta-ethnography: employing a systematic search strategy and line-of-argument synthesis.Data sources:PsycINFO and seven other cross-disciplinary databases, supplemented by hand-search, review of reference lists and citation tracking. No date range was imposed. Inclusion criteria focused on reported experience of silence in professional caregiving. Selected papers (n = 18) were appraised; none were rejected on grounds of quality.Results:International, interdisciplinary research and opinion endorses the value of silence in clinical care. As a multi-functional element of interpersonal relationships, silence operates in partnership with speech to support therapeutic communication. As a caregiving practice, silence is perceived as particularly relevant in spiritual and existential dimensions of care when words may fail.Conclusion:Experience of silence as an element of care was found in palliative and spiritual care, psychotherapy and counselling supporting existing recognition of the value of silence as a skill and practice. Because silence can present challenges for caregivers, greater understanding may offer benefits for clinical practice.

AB - Background:In interactions between professional caregivers, patients and family members at the end of life, silence often becomes more prevalent. Silence is acknowledged as integral to interpersonal communication and compassionate care but is also noted as a complex and ambiguous phenomenon. This review seeks interdisciplinary experience to deepen understanding of qualities of silence as an element of care.Aim:To search for published papers which describe professional caregivers’ experience of silence as an element of care, in palliative and other clinical, spiritual and pastoral care settings and to synthesise their findings.Design:Meta-ethnography: employing a systematic search strategy and line-of-argument synthesis.Data sources:PsycINFO and seven other cross-disciplinary databases, supplemented by hand-search, review of reference lists and citation tracking. No date range was imposed. Inclusion criteria focused on reported experience of silence in professional caregiving. Selected papers (n = 18) were appraised; none were rejected on grounds of quality.Results:International, interdisciplinary research and opinion endorses the value of silence in clinical care. As a multi-functional element of interpersonal relationships, silence operates in partnership with speech to support therapeutic communication. As a caregiving practice, silence is perceived as particularly relevant in spiritual and existential dimensions of care when words may fail.Conclusion:Experience of silence as an element of care was found in palliative and spiritual care, psychotherapy and counselling supporting existing recognition of the value of silence as a skill and practice. Because silence can present challenges for caregivers, greater understanding may offer benefits for clinical practice.

KW - Caregivers

KW - interdisciplinary communication

KW - palliative care

KW - pastoral care

KW - spirituality

KW - silence

U2 - 10.1177/0269216317722444

DO - 10.1177/0269216317722444

M3 - Journal article

VL - 32

SP - 185

EP - 194

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 1

ER -