Dignity conserving care at end-of-life: A narrative review

Ulrika Ostlund (Lead / Corresponding author), Hilary Brown, Bridget Johnston

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)

    Abstract

    Purpose of the research
    This narrative literature review uses systematic principles to define evidence regarding dignity conserving care at end-of-life from published research on dignity or distress in end-of-life care.

    Methods
    The Chochinov model of dignity was used as a pre-defined framework. Articles were reviewed using thematic analysis to produce a synthesis of findings. A total of 39 articles (26 qualitative and 13 quantitative) fulfilled the inclusion criteria and were found to give suggestions on care actions.

    Key results
    Several care actions were identified related to all themes contained within the Dignity Model, except aftermath concerns. Examples include: controlling symptoms; listening to the patient and taking them seriously; providing advice concerning how to cope on a daily basis; treating patients as equals and with respect, and; encouraging the family members’ presence.

    Conclusions
    Evidence for supporting palliative care services has previously been found to be weak in determining solutions to meet individual’s important needs. Drawing together primary research, as in this study, is therefore of importance. The suggested care actions will be used to develop a dignity care pathway for end-of-life care, which is currently being evaluated by the authors. The intention is to provide more valid evidence for the effectiveness of the care actions suggested.
    Original languageEnglish
    Pages (from-to)353-367
    Number of pages15
    JournalEuropean Journal of Oncology Nursing
    Volume16
    Issue number4
    DOIs
    Publication statusPublished - Sep 2012

    Keywords

    • Dignity
    • Distress
    • End-of-life care
    • Palliative care
    • Review

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