Evaluation of the dignity care pathway for community nurses caring for people at the end of life

Bridget Johnston, Ulrika Ostlund, Hilary Brown

    Research output: Contribution to journalArticlepeer-review

    18 Citations (Scopus)

    Abstract

    People nearing the end of life fear loss of dignity, and a central tenet of palliative care is to help people die with dignity. The Dignity Care Pathway (DCP) is an intervention based on the Chochinov theoretical model of dignity care. It has four sections: a manual, a Patient Dignity Inventory, reflective questions, and care actions. Method: The feasibility and acceptability of the DCP were evaluated using a qualitative design with a purposive sample of community nurses. Data was collected from April to October 2010 using in-depth interviews, reflective diaries, and case studies and then analysed using framework analysis. Results: The DCP was acceptable to the community nurses, helped them identify when patients were at the end of life, identified patients' key concerns, and aided nurses in providing holistic end-of-life care. It requires the nurse to have excellent communication skills. Some of the nurses found it hard to initiate a conversation on dignity-conserving care. Conclusion: The DCP helps nurses to deliver individualised care and psychological care, which has previously been identified as a difficult area for community nurses. All of the nurses wished to continue to use the DCP and would recommend it to others.
    Original languageEnglish
    Pages (from-to)483-489
    Number of pages7
    JournalInternational Journal of Palliative Nursing
    Volume18
    Issue number10
    Publication statusPublished - 2012

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