P84 | Shared decision-making with the person- and family-centered care approach in palliative care. Narrative Literature Review

J.F.J. Leon Garcia¹, F. Maugeri¹, H. Tsogo², A. Sorrenti¹ | ¹Fondazione Don Gnocchi, IRCCS Santa Maria Nascente, Milano, ²Istituto Clinico Città Studi, Milano, Italy

Background and Study Purpose: The transition to palliative care can generate decision-making and ethical conflicts between the team, the patient, and the family. Shared Decision Making (SDM) with a Person-Family Centered Care (PFCC) approach can help reduce conflicts and improve quality of life. The aim is to explore the role of SDM with the PFCC approach in relation to improving care, reducing ethical and decision-making conflicts between patients, families, and the care team.
Materials and Methods: A narrative review of the literature was conducted, querying the CINAHL, Pubmed, and PsycINFO databases. The research took place from September to November 2023. Studies conducted in the last 10 years in Italian, French, and English regarding people aged ≥18 years were included.
Results: Seven articles were selected, converging on four themes: Open communication about end-of-life care; Involvement of patients/families in the care process; Respect for preferences and values in SDM; Autoculture of the care team and the patients/families. Specifically, the active involvement of the person/family encouraged by the PFCC approach in SDM improves the satisfaction of the person/family, promoting a better quality of care and fostering a strong therapeutic relationship of trust between the person, family, and team.
Conclusions: Nurses who establish a privileged relationship with patients/families play a crucial role in this process. Further studies are needed regarding this still little-used approach.