A good death: A synthesis review of concept analyses studies

Morgan, Jennifer; Gazarian, Priscilla

doi:10.1016/j.colegn.2022.08.006

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the other 3 highly rated essential items of spiritual needs, peace, and pain free had higher percentages for the VA nurses. Previous literature 1-4 provides support for the strong positive emphasis on spiritual needs and a pain-free death experienced by VA nurses in this study. A painless or largely pain-free death experience speaks to control, a core attribute of a dignified death.…”

Section: Discussionsupporting

confidence: 65%

“…Hemati et al 2 emphasized the importance of considering culture when caring for dying patients, which can result in creating spiritual peace and hope. A synthesis of 9 published concept analyses on the concept of a good death highlighted 2 key attributes of symptom control and presence of emotional support 3 . A 2022 published systematic review of older individuals' perceptions of a good death included 16 studies resulting in 4 core elements of (1) dignity; (2) factors that enhance desire to live such as comfort, presence of loved ones, and hope; (3) actively adapting to death with preparation and saying good-bye; and (4) interpersonal relationships without burden 4 …”

Section: The Conceptmentioning

confidence: 99%

“…A synthesis of 9 published concept analyses on the concept of a good death highlighted 2 key attributes of symptom control and presence of emotional support. 3 A 2022 published systematic review of older individuals' perceptions of a good death included 16 studies resulting in 4 core elements of (1) dignity; (2) factors that enhance desire to live such as comfort, presence of loved ones, and hope; (3) actively adapting to death with preparation and saying goodbye; and (4) interpersonal relationships without burden. 4 In 1999, 12 dignified death principles were delineated by the Debate of the Age, Health and Care Study Group 5 with an emphasis on need for control of older people and health care decisions (see Table 1).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Veterans Affairs Nurses' Perception of a Dignified Death

Fowler

2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

A dignified death is described as a good death or dying with dignity. Nurses caring for veterans are aware of the honor veterans can receive at the time of death. The purpose of this study was to describe and compare perceptions of a dignified death in nurses who care for veterans in Veterans Affairs settings. This descriptive, exploratory design used an online survey including scales of dying with dignity and a good death. Subjects were nurses who worked at Veterans Affairs facilities. Dying with dignity scores were high and moderately high for a good death. Good death items of wishes, peace, spirituality, and pain free were considered essential by most nurses. There was no difference in scores based on age or end-of-life experiences. Veterans Affairs nurses had a good perception of a dignified death providing a foundation for veteran support before, during, and after death.

show abstract

Section: Discussionsupporting

confidence: 65%

Section: The Conceptmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Veterans Affairs Nurses' Perception of a Dignified Death

Fowler

2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

show abstract

Providing holistic end-of-life care for people with a history of problem substance use: a mixed methods cohort study of interdisciplinary service provision and integrated care

Webb,

Yarwood,

Witham

et al. 2024

BMC Palliat Care

View full text Add to dashboard Cite

Harmful use of illicit drugs and/or alcohol is linked to life-limiting illness and complex health and social care needs, but people who use substances and have complex needs do not receive timely palliative care and fail to achieve quality standards for a good death. They and their families often require support from multiple health and social care services which are shown to be poorly integrated and fail to deliver interdisciplinary care. This study aimed to identify the existing barriers and facilitators within and between services in providing this population with a good death. Using a mixed methods approach of survey, focus groups and semi-structured interviews, we explored the perspectives of practitioner and management staff across a range of health and social disciplines and organisations in one combined authority in a large city in the north west of England. Our findings indicate that practitioners want to provide better care for this client group, but face structural, organisational and professional boundary barriers to delivering integrated and shared care. Differences in philosophy of care, piecemeal commissioning and funding of services, and regulatory frameworks for different services, lead to poor and inequitable access to health and social care services. Ways forward for improving care are suggested as bespoke hostel-based accommodation for palliative care for this client group, and specialist link workers who can transcend professional and organisational boundaries to support co-ordination of services and support. We conclude that it is no longer adequate to call for more training, better communication and improved joint working. Complex care at the end of life requires creative and cohesive systemic responses that enable multi-disciplinary practitioners to provide the care they wish to give and enables individuals using substances to get the respect and quality service they deserve.

show abstract

An integrated review: connecting Covid-era hospital visiting policies to family engagement

Morgan,

Gazarian,

Hayman

2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionFamily engagement and patient-family-centered care are vitally important to improve outcomes for patients, families, providers, hospitals, and communities. Both constructs prioritize providers forming partnerships with patients and their families. The domains of family-engaged care include presence, communication, shared-decision making, family needs, contribution to care, and collaboration at the institutional level. This integrative review describes the extent to which the domains of family engagement are present in the literature about Covid-era hospital visiting policies.MethodsA search of four databases resulted in 127 articles and one added through data mining. After review, 28 articles were synthesized and analyzed into an integrative review of family engagement in the hospital with Covid-era visiting policies as the backdrop.ResultsThe 28-article review resulted in an international, multidisciplinary perspective of diverse study designs. The review’s sample population includes 6,984 patients, 1,126 family members, 1,174 providers, 96 hospitals, 50 health centers, 1 unit, and 257 documents. While all the domains are represented, presence is the prevailing domain, identified in 25 out of the 28 (89%).DiscussionPresence is recognized as facilitating the other domains. Because the concept of collaboration is largely absent in the literature, it may provide healthcare institutions with a growth opportunity to facilitate and promote family engagement. This review is the first step in operationalizing family engagement in the hospital setting, especially when presence is challenging.

show abstract

A good death: A synthesis review of concept analyses studies

Cited by 4 publications

References 18 publications

Veterans Affairs Nurses' Perception of a Dignified Death

Veterans Affairs Nurses' Perception of a Dignified Death

Providing holistic end-of-life care for people with a history of problem substance use: a mixed methods cohort study of interdisciplinary service provision and integrated care

An integrated review: connecting Covid-era hospital visiting policies to family engagement

Contact Info

Product

Resources

About