Community nurses’ perceptions of a good death: a qualitative exploratory study

Griggs, Chloe

doi:10.12968/ijpn.2010.16.3.47326

Cited by 47 publications

(46 citation statements)

References 29 publications

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“…The other six did not provide enough information for assessment. More importantly, overall seven out of 20 studies had mental health confounding and four out of five studies examining relationships between spirituality and mental health outcomes used contaminated measures of spirituality that included psychological or mental health concepts (Chae & Seo 2010, Griggs 2010, Lundberg & Kerdonfag 2010, Mok et al 2010, Nixon & Narayanasamy 2010, Schlairet et al 2010, Noble & Jones 2010. This confounding the measurement of spirituality with mental health puts the meaning of the results in question.…”

Section: General Findings From Current Nursing Research On Spiritualitymentioning

confidence: 99%

“…However, among thousands of studies in this field, this review suggests that most of the nursing research articles over the last twenty years did not include measures of spirituality distinct from mental health concepts. The majority of nursing research studies have looked at cancer, palliative care and spirituality using measures contaminated with mental health that result in questionable claims about the benefits of spirituality on mental health or quality of life (Chae & Seo 2010, Griggs 2010, Lundberg & Kerdonfag 2010, Mok et al 2010, Nixon & Narayanasamy 2010, Schlairet et al 2010, Noble & Jones 2010. The predictors and outcomes have been linked by the concept and definition of spirituality, thereby leading to tautological results (Hill & Pargament 2003, Koenig 2008, Koenig et al 2012.…”

Section: Implications For Nursingmentioning

confidence: 99%

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Re‐examining definitions of spirituality in nursing research

Reinert

Koenig

2013

Journal of Advanced Nursing

168

117

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Aim This article presents a discussion of the definition of spirituality and its limitations for nursing research. It proposes a definition that will capture more accurately the role of spirituality in health outcomes. Background Studies have increasingly examined spirituality in nursing research as a coping mechanism attenuating the negative impact of traumatic stress on mental health. Existing definitions of spirituality in nursing research include elements of positive emotional states (meaning, purpose, general well-being) which confound mental health outcomes. Data sources Medline and CINAHL databases were searched from 2007–2011 for research articles examining spirituality definitions and measures used by nurse researchers. Discussion An analysis of the definitions of spirituality in nursing research reveals inconsistencies and confounding mental health concepts. The authors propose defining spirituality in the context of religious involvement when conducting research, while using a broader definition of spirituality when providing spiritual care. They argue such definition provides a more appropriate method of measuring this concept in research aimed at evaluating mental health outcomes while preserving the currently used patient- defined definition of spirituality when providing spiritual care. Nursing Implications A consistent definition of spirituality in nursing research evaluating mental health outcomes, distinct from ‘spiritual care’ in a clinical setting, is essential to avoid tautological results that are meaningless. Appropriate definitions will enable nursing researchers to more clearly identify resilience mechanisms and improved health outcomes in those exposed to traumatic stress. Conclusion A definition of spirituality that focuses on religious involvement provides a more uniform and consistent measure for evaluating mental health outcomes in nursing research.

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Section: General Findings From Current Nursing Research On Spiritualitymentioning

confidence: 99%

Section: Implications For Nursingmentioning

confidence: 99%

Re‐examining definitions of spirituality in nursing research

Reinert

Koenig

2013

Journal of Advanced Nursing

168

117

View full text Add to dashboard Cite

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“…There is a growing body of both quantitative and qualitative researches on the topic of a good death, including works on a Good Death Inventory and a Quality of Dying and Death scale (Tenzek & Depner, ). Several excellent reviews describe quality of death from the perspective of clinical caregivers (Cipolletta & Oprandi, ; Griggs, ), the dying person (Granda‐Cameron & Houldin, ) or a combination of healthcare participants or family caregivers (Morita et al, ; Steinhauser, Clipp, et al, ).…”

Section: Introductionmentioning

confidence: 99%

Nurse‐rated good death of Chinese terminally ill patients with cancer: A cross‐sectional study

Yang

Hou

et al. 2019

Eur J Cancer Care

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Objective To explore the good death of terminally ill patients with cancer rated by nurses and identify associated factors in the context of Chinese culture. Methods We conducted a cross‐sectional, anonymous questionnaire survey. Totally, convenience samples of 122 nurses in charge of 258 patients during their dying period were investigated. The questionnaire consisted nurses' information including demographics and the experience in palliative care, patients' demographic information and disease characteristics, and Good Death Inventory (GDI). Results Two hundred and fifty‐eight (98.10%) analysable questionnaires were obtained. The total good death score was (245.40 ± 36.91), and the last three were “Independence” (7.34 ± 4.26), “Physical and psychological comfort” (8.12 ± 4.70) and “Religious and spiritual comfort” (8.44 ± 4.55); the first three were “Being respected as an individual” (18.31 ± 2.90), “Good relationship with medical staff” (18.26 ± 2.37) and “Natural death” (18.16 ± 3.22). The unit type, treatment patients received during their last 3 months and nurse's training experience in palliative care were associated factors of good death (R2 = 0.135, F = 9.160, p < .001). Conclusion The good death status of terminally ill cancer patients is poor. It's urgent to promote palliative care and strengthen the training about the knowledge and skills to improve the quality of life of the patients, so as to achieve the goal of good death.

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“…There is a growing body of both quantitative and qualitative research on the topic of a good death [3,4,5], including work on a Good Death Inventory [6] and a Quality of Dying and Death scale [7]. Research on quality of death has focused on the perspective of clinical caregivers [8,9], the dying person [10,11] or a combination of healthcare participants [12,13,14,15]. Although there is not full consensus in the literature about what factors or qualities contribute to a good death, there are clear overlapping aspects to a good death, including “pain and symptom management, clear decision making, preparation for death, completion, contributing to others and affirmation of the whole person” [12] (p. 825).…”

Section: Introductionmentioning

confidence: 99%

Still Searching: A Meta-Synthesis of a Good Death from the Bereaved Family Member Perspective

Tenzek

Depner

2017

Behavioral Sciences

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The concept of a good death continues to receive attention in end-of-life (EOL) scholarship. We sought to continue this line of inquiry related to a good death by conducting a meta-synthesis of published qualitative research studies that examined a good death from the bereaved family member’s perspective. Results of the meta-synthesis included 14 articles with 368 participants. Based on analysis, we present a conceptual model called The Opportunity Model for Presence during the EOL Process. The model is framed in socio-cultural factors, and major themes include EOL process engagement with categories of healthcare participants, communication and practical issues. The second theme, (dis)continuity of care, includes categories of place of care, knowledge of family member dying and moment of death. Both of these themes lead to perceptions of either a good or bad death, which influences the bereavement process. We argue the main contribution of the model is the ability to identify moments throughout the interaction where family members can be present to the EOL process. Recommendations for healthcare participants, including patients, family members and clinical care providers are offered to improve the quality of experience throughout the EOL process and limitations of the study are discussed.

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Community nurses’ perceptions of a good death: a qualitative exploratory study

Cited by 47 publications

References 29 publications

Re‐examining definitions of spirituality in nursing research

Re‐examining definitions of spirituality in nursing research

Nurse‐rated good death of Chinese terminally ill patients with cancer: A cross‐sectional study

Still Searching: A Meta-Synthesis of a Good Death from the Bereaved Family Member Perspective

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