Decision-Making about the Place of Death for Cancer Patients: A Concept Analysis

Minamiguchi, Yoko

doi:10.4103/apjon.apjon_38_19

Cited by 5 publications

(7 citation statements)

References 39 publications

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“…The most obvious and notable finding of this analysis was that consequences of "good death" are more likely to occur for patients, families, and healthcare providers. Nurses should discuss the meaning of 'good death" with patients and their families, assess their feelings and ideas about death, and collaborate with them in deciding where to dye, and reach a mutual understanding with them about the process of end-of-life care (62). Clear and honest communication between health care providers and patients and their families is a cornerstone of "good death" and prepares the family for the death of their loved one (63).…”

Section: Discussionmentioning

confidence: 99%

Analyzing the Concepts of “Good Death” from the Perspective of Nursing: A systematic review and concept analysis

Esmaeili-Abdar

2022

Electron Physician

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Background: Words such as “dying well,” “dying peacefully,” “appropriate death,” “desired death,” “dignified death” and “good death,” are often used interchangeably. However, there is no clear definition of the concept of "good death" and its defining attributes. Further studies seem to be needed to clarify and develop the concept of “good death” and its attributes. This study aimed to analyze and clarify the concept of “good death”. Methods: A systematic literature search was conducted from 1980 to the end of 2020 using Magiran, SID, Scopus, Science Direct, PubMed, CINAHL, Google Scholar, ProQuest, Wiley, and Ovid, databases. The title, abstract, and keywords of the articles were searched using keywords of “death,” “dying,” “good death,” “quality of death,” “end of life preferences,” “quality of dying,” “attitude to death,” “terminal care,” “dignity,” “successful,” and “peaceful”. The Boolean search operators “AND” and “OR” were employed to merge search results. We also reviewed the reference lists of all retrieved articles to find other pertinent documents. Concept analysis was conducted using Walker and Avant’s eight-step method. The attributes, antecedents, consequences, and uses of the concept of “good death” were recognized. Results: A total of 7207 titles were identified; after elimination of duplicates, screening, and final selection, 36 relevant publications remained for analysis. The most common defining attributes of “good death” included compatibility with socio-cultural norms, personal experiences, being an ongoing process, having control and autonomy, and attention to religion and spirituality. Antecedents of a good death might vary for the dying person, the caregivers, and the family. The most important consequences of “good death” were mainly related to the family of the deceased (satisfaction with care providers, access to supports, respect, integrity, socially appropriate behavior, satisfaction with mourning, and reducing family grief), and those related to the care providers (quick passing of the process of mourning, being sure of doing their best for the patient and family, job satisfaction, a sense of self-worth and integration). Conclusion: The concept of “good death” was a dynamic process that its meaning heavily depends on the peoples lived experiences. It entails having control and autonomy, fulfilling the basic human needs, attention to religion and spirituality, and accompanies positive and peaceful lived experiences for the dying person, his/her family, and the caregivers. To provide patients with "good death" and quality end-of-life care, caregivers especially nurses should develop their knowledge and proficiency in end-of-life care.

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Section: Discussionmentioning

confidence: 99%

Analyzing the Concepts of “Good Death” from the Perspective of Nursing: A systematic review and concept analysis

Esmaeili-Abdar

2022

Electron Physician

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“…Decision making about the place of death: the best choice made by terminal cancer patients among the various options for a place of care and death, resulting from careful evaluation and deliberation regarding the patient's wishes and considering the burden on the family, as well as through open-minded discussions with other concerned persons 11 …”

Section: Research Objective and Definitionsmentioning

confidence: 99%

“…The following are the terms or phrases used and their corresponding definitions: Decision making about the place of death: the best choice made by terminal cancer patients among the various options for a place of care and death, resulting from careful evaluation and deliberation regarding the patient's wishes and considering the burden on the family, as well as through open-minded discussions with other concerned persons. 11 Family: regardless of marital status or blood relationship, the person or persons who are mainly involved in patient care and decision making and who are mutually recognized as family members.…”

Section: Definitionsmentioning

confidence: 99%

Creation of a Nursing Intervention Model to Support Decision Making by Elderly Advanced Cancer Patients and Their Families About the Place of Death, and Evaluation of the Model's Appropriateness and Clinical Applicability

Minamiguchi

Suzuki

2021

J Hosp Palliat Nurs

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Elderly patients with advanced cancer and their families need to be supported in the process of making a decision about a place to die. The objective of this research was to evaluate the appropriateness and clinical applicability of a nursing intervention model we developed to support decision making by elderly advanced cancer patients and their families about the place of death. We created the Nursing Intervention Model using the framework of the nursing intervention model reported by McEvoy and Egan (1979). Our survey was performed on 5 physicians and 9 nurses engaged in decision making about the place of terminal care and death for cancer patients. Focus group interviews were conducted to determine the appropriateness of the model. A content analysis technique was used to analyze the data obtained. Survey participants expressed an overall view that the contents of “Intervention Focus” and “Nursing Activity” are generally appropriate. On the other hand, the challenges to be addressed include clarification of which patients the model is applicable to support their decision making, positioning within the model of factors that influence the decision-making process, and further identification of the roles of nurses in an interdisciplinary approach to health care.

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“…1) Decision making about the place of death: The best choice according to circumstances of the cancer patients among different options for a place of death, resulting from a careful evaluation of the wishes of these patients and the burden on the family, as well as through open discussions with other persons concerned [16].…”

Section: Definitions Of Termsmentioning

confidence: 99%

Decision-Making Process for the Place of Death of Elderly Patients with Advanced Cancer and Their Families

Minamiguchi¹,

Suzuki²

2019

OJN

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Purpose: This study aims to understand how elderly patients with advanced cancer and their families make a decision for a place of death for the patient. Methods: Semi-structured interviews were conducted with 17 pairs of elderly patients and members of their family. The patients had finished anticancer treatment and made some decision about the preferred place of death. A modified grounded-theory approach was used for the data analysis. Results: Making a "tentative" decision for the place of death of the elderly patients is a process with the core category [carefully choosing the final place for self-fulfillment]. The patients were "conducting a comprehensive review of the place of death" and "embracing the wishes for a way of life without difficulty". Involving the family in making a "tentative" decision about the place of death of the elderly patients is the process with the core category [realizing the wish of patients in the terminal condition for the way for death]. The families were "examining the place of death from different aspects" and "respecting the patient's intention as far as possible". Conclusions: When the patients [carefully choosing the final place for self-fulfillment], it was important to reconcile their wishes with the burden on the families. When the families were trying to [realize the wish of patients in the terminal condition for the way for dying], it was important to balance the respect for the patient intentions and homecare they can provide for the patient. For the patients and their families, it is essential to mutually understand the intentions and wishes of the other party in decision making about the place of death.

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Decision-Making about the Place of Death for Cancer Patients: A Concept Analysis

Cited by 5 publications

References 39 publications

Analyzing the Concepts of “Good Death” from the Perspective of Nursing: A systematic review and concept analysis

Analyzing the Concepts of “Good Death” from the Perspective of Nursing: A systematic review and concept analysis

Creation of a Nursing Intervention Model to Support Decision Making by Elderly Advanced Cancer Patients and Their Families About the Place of Death, and Evaluation of the Model's Appropriateness and Clinical Applicability

Decision-Making Process for the Place of Death of Elderly Patients with Advanced Cancer and Their Families

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