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Peer-reviewedCC BYRevista da Escola de Enfermagem da U S P

Identifying patient-centered communication barriers in palliative care.

  1. 1University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Turkey.
  2. 2Pursaklar State Hospital, Ankara Provincial Health Directorate, Ankara, Turkey.
  3. 3Başkent University, Faculty of Health Sciences, Department of Nursing, Ankara, Turkey.

Abstract

Objective

To identify patient-centered communication barriers among palliative care patients and to explore their relationship with sociodemographic and clinical characteristics.Method

This cross-sectional study was conducted with 124 patients hospitalized in the palliative care clinic of a state hospital. Data were collected using the Sociodemographic Data Form and the Patient-Centered Communication Barriers Scale. Mann-Whitney U test, Kruskal-Wallis test, and multiple linear regression analysis were used for statistical analysis.Results

Analysis showed that the presence of a caregiver was significantly associated with lower levels of insecurity (β = -0.542, p = 0.022, 95% CI [-1.001, -0.081]), explaining 7.6% of the variance in insecurity (Adjusted R2 = 0.076). However, the association between caregiver presence and perceived prejudice was not statistically significant (β = 0.202, p = 0.08).Conclusion

The findings indicate that palliative care patients experience notable communication barriers, particularly related to insecurity. Structured caregiver involvement may help reduce insecurity-related communication barriers and support more effective patient-centered communication in palliative care settings.

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BibTeX
@article{kilic2026identifying,
  title = {{Identifying patient-centered communication barriers in palliative care.}},
  author = {Betülay Kiliç and Ece Kafadar and Tuğba Yardimci Gürel},
  journal = {Revista da Escola de Enfermagem da U S P},
  year = {2026},
  month = oct,
  doi = {10.1590/1980-220x-reeusp-2025-0262en},
  url = {https://europepmc.org/article/MED/42899712},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Identifying patient-centered communication barriers in palliative care.
AU  - Betülay Kiliç
AU  - Ece Kafadar
AU  - Tuğba Yardimci Gürel
PY  - 2026
DA  - 2026/10/16
JO  - Revista da Escola de Enfermagem da U S P
DO  - 10.1590/1980-220x-reeusp-2025-0262en
UR  - https://europepmc.org/article/MED/42899712
AB  - Objective  To identify patient-centered communication barriers among palliative care patients and to explore their relationship with sociodemographic and clinical characteristics.Method  This cross-sectional study was conducted with 124 patients hospitalized in the palliative care clinic of a state hospital. Data were collected using the Sociodemographic Data Form and the Patient-Centered Communication Barriers Scale. Mann-Whitney U test, Kruskal-Wallis test, and multiple linear regression analysis were used for statistical analysis.Results  Analysis showed that the presence of a caregiver was significantly associated with lower levels of insecurity (β = -0.542, p = 0.022, 95% CI [-1.001, -0.081]), explaining 7.6% of the variance in insecurity (Adjusted R2 = 0.076). However, the association between caregiver presence and perceived prejudice was not statistically significant (β = 0.202, p = 0.08).Conclusion  The findings indicate that palliative care patients experience notable communication barriers, particularly related to insecurity. Structured caregiver involvement may help reduce insecurity-related communication barriers and support more effective patient-centered communication in palliative care settings.
SN  - 0080-6234
SN  - 1980-220X
ER  -