51. End-of-Life Conversation Game Increases Confidence for Having End-of-Life Conversations for Chaplains-in-Training
- Author
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Benjamin H. Levi, Tiffany A. Bohr, Elizabeth Watson-Martin, Michael J. Green, and Lauren Jodi Van Scoy
- Subjects
Adult ,Male ,Palliative care ,Attitude to Death ,media_common.quotation_subject ,Chaplaincy Service, Hospital ,Context (language use) ,Training (civil) ,03 medical and health sciences ,Advance Care Planning ,0302 clinical medicine ,Professional Role ,Terminal care ,Pastoral care ,Medicine ,Humans ,Conversation ,030212 general & internal medicine ,Qualitative Research ,media_common ,Medical education ,Terminal Care ,business.industry ,General Medicine ,Middle Aged ,Games, Experimental ,Hospice Care ,030220 oncology & carcinogenesis ,Female ,business ,Clergy ,Social psychology - Abstract
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.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.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.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).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.
- Published
- 2017