A Scoping Review on the Experience of Participating in Dignity Therapy for Adults at the End of Life

Mailhot, Mael Gagnon; Léonard, Guillaume; Gadoury-Sansfaçon, Georges-Philippe; Stout, Dale; Ellefsen, Édith

doi:10.1089/jpm.2021.0498

Cited by 2 publications

(4 citation statements)

References 48 publications

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“…Numerous reviews and metanalysis of RCTs are now available and confirm the effectiveness of DT in improving the psychological well-being of patients and enhancing their quality of life [ 123 – 128 ]. Also, DT has been evaluated regarding the impact on the family members, with benefits underscored in terms of comfort given to the family and improvement of the process of bereavement [ 75 , 129 , 130 ]*.…”

Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

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Purpose of Review Over the last 20 years, dignity and dignity-conserving care have become the center of investigation, in many areas of medicine, including palliative care, oncology, neurology, geriatrics, and psychiatry. We summarized peer-reviewed literature and examined the definition, conceptualization of dignity, potential problems, and suggested interventions. Recent Findings We performed a review utilizing several databases, including the most relevant studies in full journal articles, investigating the problems of dignity in medicine. It emerged that dignity is a multifactorial construct and that dignity-preserving care should be at the center of the health organization. Dignity should be also regularly assessed through the tools currently available in clinical practice. Among dignity intervention, besides dignity models of care, dignity intervention, such as dignity therapy (DT), life review and reminiscence therapy, have a role in maintaining both the extrinsic (preserved when health care professionals treat the patient with respect, meeting physical and emotional needs, honors the patient’s wishes, and makes attempts to maintain privacy and confidentiality) and intrinsic dignity (preserved when the patient has appropriate self-esteem, is able to exercise autonomy and has a sense of hope and meaning). Summary Unified trends across diverse medical contexts highlight the need for a holistic, patient-centered approach in healthcare settings. Challenges compromising dignity are pervasive, underscoring the importance of interventions and systematic efforts to address these issues. Future research and interventions should prioritize the multifaceted nature of dignity, striving to create healthcare environments that foster compassion, respect, and dignity across all medical settings.

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Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

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“…Included reviews reported that studies conducted in Canada, the UK, the USA, Australia, Portugal, Spain and Germany found that DT had good acceptability. Patients reported that DT was useful to them and their families 9–11,15 . However, reviews have highlighted that revisions to DT should be made to ensure it is culturally congruent with the values, norms and perspectives of Taiwanese, Japanese and Chinese people 9,16,17▪,20 .…”

Section: Discussionmentioning

confidence: 99%

“…Six reviews focused on the cultural aspects of DT for people with supportive and palliative care needs [9,13,16,17 ▪ ,20,23 ▪ ,24]. However, there was insufficient knowledge regarding the cultural features of participants focusing on individuals' norms and values in eight reviews [10][11][12]14,15,18,19,21]. Included reviews reported that studies conducted in Canada, the UK, the USA, Australia, Portugal, Spain and Germany found that DT had good acceptability, and patients reported that DT was useful to them and their families [9][10][11][12].…”

Section: Cultural Aspects Of Dtmentioning

confidence: 99%

“…During the last two decades, there has been a growing number of papers regarding DT concerning psychosocial and spiritual outcomes for people with palliative care needs. Studies have found various benefits, such as decreased anxiety and depression and an improved sense of dignity, meaning and purpose among people approaching the end of their life 1–17▪,18–23▪,24 . DT is a well-accepted, tested and effective intervention; nevertheless, there needs to be a clear cultural understanding of the effectiveness of DT, particularly since it was developed and tested in Western countries.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of dignity therapy in the context of culturally competent care in people with palliative care needs: a systematic review of systematic reviews

Johnston

Dönmez

Julião³

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review This review aims to synthesise the evidence from systematic reviews and meta-analyses on the efficacy of dignity therapy (DT) in relation to psychosocial and spiritual outcomes in the context of person-centred and culturally competent care for people with supportive and palliative care needs. Recent findings Thirteen reviews were found, including seven conducted by nurses. Most reviews were of high quality, including various study populations such as cancer, motor neurone disease and non-malignant conditions. Six psychosocial and spiritual outcomes were identified: quality of life, anxiety, depression, hopefulness, meaning and purpose in life, and suffering based on the cultural variations in the implementation of DT. Summary DT has a positive impact on anxiety, depression, suffering, and meaning and purpose in life for people with palliative care needs, but the evidence is somewhat conflicted as to whether DT is effective in improving hope, quality of life and spiritual outcomes in the context of culturally competent care. Nurse-led DT seems desirable given its pivotal role when caring for people with palliative care needs. More randomised controlled trials should be conducted for people with different cultural backgrounds to provide person-centred, culturally competent supportive and palliative care.

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A Scoping Review on the Experience of Participating in Dignity Therapy for Adults at the End of Life

Cited by 2 publications

References 48 publications

Dignity in Medicine: Definition, Assessment and Therapy

Dignity in Medicine: Definition, Assessment and Therapy

Effectiveness of dignity therapy in the context of culturally competent care in people with palliative care needs: a systematic review of systematic reviews

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