Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers ... more Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers (EHP; i.e., Emergency Room Nurses, Paramedics, Emergency Medical Technicians, etc.) frequent experience of witnessing death, the dying processes, and regular involvement at the end-of-life. Twenty interviews from across the United States offered accounts of witnessing the death of a patient, communicating with the patient’s families, coworkers, and personal networks. The first research question explored the population’s normalization of death and changed outlook of dying. This population sees death and dying in real-time and must disconnect at the moment from their emotions to do their jobs. The second research question focused on preparing patient families for death, coping with coworkers, and protecting personal networks. In communicating with patient families, EHP educates/answers questions, advocate for families to be present during life-saving procedures and offer verbal and nonverbal comfort. In talking with coworkers, EHP copes with reassuring skill competency and offering emotional social support. Lastly, in communicating with their networks, EHP struggle with discussing emotions and event details in a protective function. From these results, the benefits, and challenges of communicating about death regularly are offered through a CPM lens, and recommendations to help the general population deal with death are given.
Oxford Research Encyclopedia of Communication, 2016
End of life communication includes both verbal and nonverbal messages that transpire following a ... more End of life communication includes both verbal and nonverbal messages that transpire following a diagnosis of a terminal illness and death. The circumstances that occur at the end of life create opportunities for unique and important communication. Specifically, communication at the end of life is impacted by numerous and complicated factors: First, cultural views on death and dying often determine what is talked about, when it can be talked about, and who is included in the conversations. Second, the fears, desires, and needs of the terminally ill must be taken into account at the end of life as it is their personal end of life journey. Third, the nature of the relationships between the terminally ill and their family and friends have tremendous influence on the nature and topics of conversations that will be shared. Fourth, interactions with healthcare professionals (preferably with palliative care specialists) tend to be more task focused, emphasizing end of life decision making ...
In the current study, the authors expanded on a program of qualitative inquiry exploring final co... more In the current study, the authors expanded on a program of qualitative inquiry exploring final conversations (FCs) to the understudied population of children/adolescents. Participants were 61 children/adolescents aged 5–18, who participated in semi-structured interviews regarding their FCs with a dying family member. Inductive coding analysis led the authors to discover four overarching themes of children/adolescents’ FCs messages, in order of descending prominence, are: everyday communication, messages of love, messages of individual identity, and messages related to religion/spirituality. The authors applied Functional Theory to further delineate how participants used, and continue to use, the messages from each theme within their FCs. Discussion of results, including limitations and directions for further research, is outlined.
This article may be used for research, teaching, and private study purposes. Any substantial or s... more This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.
more specifically, and about health communication in particular.3 Pertinent to your concerns is o... more more specifically, and about health communication in particular.3 Pertinent to your concerns is our study into final conversations that describes, through the surviving party’s voice, the last interactions with a dying loved one.4 More than 80 survivors told us their stories, where we found common themes and enduring gifts. The 5 themes of love, identity issues, spirituality/faith, everyday talk, and difficult rela-tionship talk5 found in final conversations demon-strate that the communication that occurs at the end of life involves more than pain, caregiving, dying, and funeral arrangements. They tell us that communication at the end of life is as valuable to the surviving partner in the conversation as it is to the dying one.
The purpose of the current investigation was to examine associations between final conversations ... more The purpose of the current investigation was to examine associations between final conversations (FCs; i.e., relational communication with a terminally ill individual from the moment of terminal diagnosis to death) with the outcome of personal growth (PG). A total of 236 individuals who had previously engaged in FCs with a deceased loved one participated in an online survey. Analyses revealed significant, positive associations between the six FCs factors (i.e., messages of love, messages of spirituality/religion, messages of identity, everyday talk and routine interactions, difficult relationship talk, and instrumental death talk) with the PG factors. Implications are discussed along with limitations and future directions.
Social support in the context of chronic illness management is important, as individuals diagnose... more Social support in the context of chronic illness management is important, as individuals diagnosed with these conditions and their loved ones often experience increased distress, reduced relational quality, and diminished physical health as a result of coping with these long-term symptoms. Therefore, diagnosed individuals and their close relational partners rely on others to provide support in their time of need. The communication of social support is characterized by “verbal and nonverbal behavior produced with the intention of providing assistance to others perceived of needing that aid” (MacGeorge, Feng, & Burleson, 2011, p. 317). Individuals living with these chronic illnesses and their loved ones often turn to a variety of interpersonal others, including friends, family, health care providers, and support groups to manage the difficulties that accompany their physical symptoms. Although some researchers suggest that diagnosed individuals seek support most frequently from close ...
Behavioral sciences (Basel, Switzerland), Jan 5, 2017
The current paper presents a summary of a 12-year body of research on final conversations, which ... more The current paper presents a summary of a 12-year body of research on final conversations, which will be useful for healthcare providers who work with patients and family nearing the end-of-life, as well as for patients and their family members. Final conversations encompass any and all conversations that occur between individuals with a terminal diagnosis and their family members (all participants are aware that their loved one is in the midst of the death journey). Final conversations take the family member's perspective and highlights what are their memorable messages with the terminally ill loved one. In this paper the authors highlight the message themes present at the end-of-life for both adults and children, the functions each message theme serves for family members, and lastly, the communicative challenges of final conversations. Additionally, the authors discuss the current nature and future of final conversations research, with special attention paid to practical impli...
People often feel awkward and ill at ease when faced with the opportunity for communication at th... more People often feel awkward and ill at ease when faced with the opportunity for communication at the end of life, thus the overall theme for the articles in this special issue is the creation of more awareness and knowledge regarding the depth, breadth, and importance of current research exploring family communication at the end of life. This introductory essay attempts to accomplish the following: (1) discuss the importance of talk regarding death; (2) highlight the formative role of family interactions on the death and dying process; and (3) outline the articles in this special issue. Scholars contributing to this special issue on "Family Communication at the End of Life" have provided evidence that communication is important between and for terminally ill individuals, family members, and healthcare/palliative care specialists. Overall, research exploring communication at the end of life is especially relevant because every person experiences the death and loss of loved ones, and ultimately faces the reality of their own death.
The International Encyclopedia of Interpersonal Communication, 2015
End of life communication focuses on verbal and nonverbal communication that occurs between indiv... more End of life communication focuses on verbal and nonverbal communication that occurs between individuals following the diagnosis of a terminal illness until the point of death. It is the context of an impending death that shapes the communication for the participants. The communication encompasses personal conversations with family and friends through final conversations, clinical-task focused conversations with palliative healthcare professionals, as well as interactions with care-givers and Hospice volunteers.
Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers ... more Using Communication Privacy Management (CPM), this study analyzed Emergency Healthcare Providers (EHP; i.e., Emergency Room Nurses, Paramedics, Emergency Medical Technicians, etc.) frequent experience of witnessing death, the dying processes, and regular involvement at the end-of-life. Twenty interviews from across the United States offered accounts of witnessing the death of a patient, communicating with the patient’s families, coworkers, and personal networks. The first research question explored the population’s normalization of death and changed outlook of dying. This population sees death and dying in real-time and must disconnect at the moment from their emotions to do their jobs. The second research question focused on preparing patient families for death, coping with coworkers, and protecting personal networks. In communicating with patient families, EHP educates/answers questions, advocate for families to be present during life-saving procedures and offer verbal and nonverbal comfort. In talking with coworkers, EHP copes with reassuring skill competency and offering emotional social support. Lastly, in communicating with their networks, EHP struggle with discussing emotions and event details in a protective function. From these results, the benefits, and challenges of communicating about death regularly are offered through a CPM lens, and recommendations to help the general population deal with death are given.
Oxford Research Encyclopedia of Communication, 2016
End of life communication includes both verbal and nonverbal messages that transpire following a ... more End of life communication includes both verbal and nonverbal messages that transpire following a diagnosis of a terminal illness and death. The circumstances that occur at the end of life create opportunities for unique and important communication. Specifically, communication at the end of life is impacted by numerous and complicated factors: First, cultural views on death and dying often determine what is talked about, when it can be talked about, and who is included in the conversations. Second, the fears, desires, and needs of the terminally ill must be taken into account at the end of life as it is their personal end of life journey. Third, the nature of the relationships between the terminally ill and their family and friends have tremendous influence on the nature and topics of conversations that will be shared. Fourth, interactions with healthcare professionals (preferably with palliative care specialists) tend to be more task focused, emphasizing end of life decision making ...
In the current study, the authors expanded on a program of qualitative inquiry exploring final co... more In the current study, the authors expanded on a program of qualitative inquiry exploring final conversations (FCs) to the understudied population of children/adolescents. Participants were 61 children/adolescents aged 5–18, who participated in semi-structured interviews regarding their FCs with a dying family member. Inductive coding analysis led the authors to discover four overarching themes of children/adolescents’ FCs messages, in order of descending prominence, are: everyday communication, messages of love, messages of individual identity, and messages related to religion/spirituality. The authors applied Functional Theory to further delineate how participants used, and continue to use, the messages from each theme within their FCs. Discussion of results, including limitations and directions for further research, is outlined.
This article may be used for research, teaching, and private study purposes. Any substantial or s... more This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.
more specifically, and about health communication in particular.3 Pertinent to your concerns is o... more more specifically, and about health communication in particular.3 Pertinent to your concerns is our study into final conversations that describes, through the surviving party’s voice, the last interactions with a dying loved one.4 More than 80 survivors told us their stories, where we found common themes and enduring gifts. The 5 themes of love, identity issues, spirituality/faith, everyday talk, and difficult rela-tionship talk5 found in final conversations demon-strate that the communication that occurs at the end of life involves more than pain, caregiving, dying, and funeral arrangements. They tell us that communication at the end of life is as valuable to the surviving partner in the conversation as it is to the dying one.
The purpose of the current investigation was to examine associations between final conversations ... more The purpose of the current investigation was to examine associations between final conversations (FCs; i.e., relational communication with a terminally ill individual from the moment of terminal diagnosis to death) with the outcome of personal growth (PG). A total of 236 individuals who had previously engaged in FCs with a deceased loved one participated in an online survey. Analyses revealed significant, positive associations between the six FCs factors (i.e., messages of love, messages of spirituality/religion, messages of identity, everyday talk and routine interactions, difficult relationship talk, and instrumental death talk) with the PG factors. Implications are discussed along with limitations and future directions.
Social support in the context of chronic illness management is important, as individuals diagnose... more Social support in the context of chronic illness management is important, as individuals diagnosed with these conditions and their loved ones often experience increased distress, reduced relational quality, and diminished physical health as a result of coping with these long-term symptoms. Therefore, diagnosed individuals and their close relational partners rely on others to provide support in their time of need. The communication of social support is characterized by “verbal and nonverbal behavior produced with the intention of providing assistance to others perceived of needing that aid” (MacGeorge, Feng, & Burleson, 2011, p. 317). Individuals living with these chronic illnesses and their loved ones often turn to a variety of interpersonal others, including friends, family, health care providers, and support groups to manage the difficulties that accompany their physical symptoms. Although some researchers suggest that diagnosed individuals seek support most frequently from close ...
Behavioral sciences (Basel, Switzerland), Jan 5, 2017
The current paper presents a summary of a 12-year body of research on final conversations, which ... more The current paper presents a summary of a 12-year body of research on final conversations, which will be useful for healthcare providers who work with patients and family nearing the end-of-life, as well as for patients and their family members. Final conversations encompass any and all conversations that occur between individuals with a terminal diagnosis and their family members (all participants are aware that their loved one is in the midst of the death journey). Final conversations take the family member's perspective and highlights what are their memorable messages with the terminally ill loved one. In this paper the authors highlight the message themes present at the end-of-life for both adults and children, the functions each message theme serves for family members, and lastly, the communicative challenges of final conversations. Additionally, the authors discuss the current nature and future of final conversations research, with special attention paid to practical impli...
People often feel awkward and ill at ease when faced with the opportunity for communication at th... more People often feel awkward and ill at ease when faced with the opportunity for communication at the end of life, thus the overall theme for the articles in this special issue is the creation of more awareness and knowledge regarding the depth, breadth, and importance of current research exploring family communication at the end of life. This introductory essay attempts to accomplish the following: (1) discuss the importance of talk regarding death; (2) highlight the formative role of family interactions on the death and dying process; and (3) outline the articles in this special issue. Scholars contributing to this special issue on "Family Communication at the End of Life" have provided evidence that communication is important between and for terminally ill individuals, family members, and healthcare/palliative care specialists. Overall, research exploring communication at the end of life is especially relevant because every person experiences the death and loss of loved ones, and ultimately faces the reality of their own death.
The International Encyclopedia of Interpersonal Communication, 2015
End of life communication focuses on verbal and nonverbal communication that occurs between indiv... more End of life communication focuses on verbal and nonverbal communication that occurs between individuals following the diagnosis of a terminal illness until the point of death. It is the context of an impending death that shapes the communication for the participants. The communication encompasses personal conversations with family and friends through final conversations, clinical-task focused conversations with palliative healthcare professionals, as well as interactions with care-givers and Hospice volunteers.
To understand more about final conversations (communication between loved ones from the point of ... more To understand more about final conversations (communication between loved ones from the point of terminal diagnosis until death), 49 children=adolescents provided final conversation advice for other youth and for the dying person. Advice for fellow youth included (a) confirming the relationship with the dying person, (b) remaining positive throughout the death process, and (c) using external support networks. Advice for the dying person included (a) confirming the relationship with the youth, (b) engaging in open, honest communication with youth, and (c) confirming the identities of the youth. The main implication is that youth should be included in the death process.
In the current study, the authors expanded on a program of qualitative inquiry exploring final co... more In the current study, the authors expanded on a program of qualitative inquiry exploring final conversations (FCs) to the understudied population of children/adolescents. Participants were 61 children/adolescents aged 5-18, who participated in semi-structured interviews regarding their FCs with a dying family member. Inductive coding analysis led the authors to discover four overarching themes of children/adolescents' FCs messages, in order of descending prominence, are: everyday communication, messages of love, messages of individual identity, and messages related to religion/spirituality. The authors applied Functional Theory to further delineate how participants used, and continue to use, the messages from each theme within their FCs. Discussion of results, including limitations and directions for further research, is outlined.
Final conversations (FCs) are defined as the communicative interactions, both verbal and nonverba... more Final conversations (FCs) are defined as the communicative interactions, both verbal and nonverbal, that occur between terminally ill patients and relational partners. In this study, the ''Final Conversations Scale'' was developed and tested. A total of 152 participants that had engaged in final conversations with individuals that were terminally ill completed the newly developed instrument. Factor analysis produced a five-factor structure, including: messages of spirituality=religion; expressions of love; proactive difficult relationship talk; everyday communication; and talk about illness=death. Participants' perceptions of the relational closeness and difficulty with the deceased significantly influenced the individuals' recalled frequency of FCs messages. Practical and scholarly implications focus on the needs of the family members regarding their communication with terminally ill individuals, as well as directions for future research with the FCs Scale.
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Papers by Maureen Keeley