title: Reflective research: supporting researchers engaged in analyzing end-of-life communication.
abstract: OBJECTIVE
  The objectives of this commentary are to: (1) identify unique aspects of communication at end-of-life as compared to more commonly studied healthcare encounters; (2) outline challenges and opportunities research team members may encounter in coding and analyzing end-of-life communication; and (3) offer recommendations for quantitative communication research teams. This commentary is based on ours and others' experiences in studying the communication among patients with terminal illnesses, their families and their providers. Provider-patient/caregiver communication at end-of-life has some differences as compared to other forms of healthcare communication and, thus, has implications for researcher response. Challenges and opportunities for research team members include gaining new knowledge, developing feelings of attachment to study participants, burn-out, and emotional and existential impact on personal life. Practical and psychological considerations for conducting end-of-life communication research are discussed.
  
  
  CONCLUSIONS
  Researchers engaged in the study of end-of-life interactions may experience unique challenges, potentially compromising the validity of the research results and interpretation of communication processes. A balance between likely coder emotions and objectivity must be achieved.
  
  
  CONCLUSIONS
  Anticipating and facilitating the research teams' reactions to end-of-life interactions while still maintaining scientific standards may be achieved by using a reflective, mindful approach.
authors.affiliation: University of Utah College of Nursing, Salt Lake City, UT 84112-5880, USA. lee.ellington@nurs.utah.edu
authors.forename: Lee
authors.initials: L
authors.lastname: Ellington
authors.forename: Maija
authors.initials: M
authors.lastname: Reblin
authors.forename: Patricia
authors.initials: P
authors.lastname: Berry
authors.forename: Janine
authors.initials: J
authors.lastname: Giese-Davis
authors.forename: Margaret F
authors.initials: MF
authors.lastname: Clayton
mesh_terms: D002755:Choice Behavior; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D014956:Writing