Exploring Rapport Formation Between Nurses and End-of-Life Patients: A Meta-ethnographic Synthesis

J Hosp Palliat Nurs. 2024 Dec 23. doi: 10.1097/NJH.0000000000001095. Online ahead of print.

Abstract

This study aims to deepen the understanding of rapport formation between nurses and end-of-life patients by synthesizing existing qualitative research. Using meta-ethnography, this research integrates findings from various studies to explore the essence and process of rapport formation from nurses' perspectives. A comprehensive search across MEDLINE, EMBASE, CINAHL, and Web of Science databases in August 2024 identified 13 relevant studies. The quality of these studies was assessed using the Critical Appraisal Skills Programme checklist. The analysis identified 5 key themes in rapport building: "secure acceptance and safety," "genuine and transparent interaction," "insight into the patient's world," "bonding enhanced by professional support," and "advancing connections within boundaries." These themes underscore the role of rapport in enhancing the quality of palliative care, providing emotional stability, and improving the nurse-patient relationship. This study offers valuable insights for health care professionals to strengthen nurse-patient interactions, emphasizing the importance of rapport in end-of-life care.