Dignity in the terminally ill: a cross-sectional, cohort study

Chochinov, Harvey Max; Hack, Thomas F.; Hassard, Thomas; Kristjanson, Linda J.; McClement, Susan; Harlos, Mike

doi:10.1016/s0140-6736(02)12022-8

Cited by 381 publications

(405 citation statements)

References 29 publications

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“…The findings of Chochinov et al (2006) revealed that 87% of terminally ill cancer patients were not treated based on dignity (Chochinov et al, 2006). In another study Chochinov et al (2002) also showed that 46% of hospitalized cancer patients expressed their concerns regarding lack of preserved dignity in medical centers (Chochinov et al, 2002). The findings of a qualitative study by Matiti et al (2008) in the UK revealed that many patients were not satisfied with the maintenance of their dignity in clinical settings (v et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Avestan¹,

Rahmani²,

Nabavi³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: There are several factors that threaten the dignity of cancer patients in hospital settings. However, there is limited literature regarding the degree to which dignity of cancer patients is actually respected in daily clinical practice. The aims of this study were therefore to explore cancer patient perceptions of respecting their dignity and related variables in an Iranian cancer specific center. Materials and Methods: This descriptivecorrelational study was carried out among 250 cancer patients admitted to a cancer specific center in East Azerbaijan Province, Iran. These patients were selected using a convenience sampling method. The Patient Dignity Inventory (PDI) was used for data collection. Descriptive and inferential statistics were used for data analysis. Results: The patients' scores in 18 out of 25 items of PDI were 3 or greater which indicate the importance of considering these items in clinical settings. Also, the score of patients in three sub-scales of PDI including illnessrelated concerns, personal dignity, and social dignity were 74, 65 and 57, respectively (based on a total 100). The overall score of PDI was statistically associated with age, history of disease recurrence, education, employment and economic status of participants. Conclusions: According to the study findings the dignity of Iranian cancer patients is not completely respected in clinical settings which require special considerations. As nurses spend more time at patients' bedsides, they have an important role in maintaining and promoting dignified care.

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Section: Discussionmentioning

confidence: 99%

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Avestan¹,

Rahmani²,

Nabavi³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…15 Finally, dignity, the third model variable, has been shown to be a complex construct, with various dimensions and layers of meaning. 6,13,14 Like burden to others, dignity has frequently been invoked in death-hastening discussions. It has been shown to correlate with appearance or the perception of how one perceives oneself to be seen.…”

Section: Discussionmentioning

confidence: 99%

“…6 They were recruited from two palliative care units in Winnipeg, Manitoba, Canada. These units provide inpatient care and coordinate community-based endof-life care services.…”

Section: Methodsmentioning

confidence: 99%

“…For instance, feeling a burden to others or a sense of losing dignity, meaning, and purpose have each been shown to have an important influence on a dying patient's outlook and the wish to go on living. 5,6 In the present study, we attempted to concurrently examine a broad range of these diverse variables, including psychiatric, physical, social, and existential influences on the will to live in a cohort of patients with endstage cancer.…”

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confidence: 99%

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Understanding the Will to Live in Patients Nearing Death

et al. 2005

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“…Empirical work conducted outside of nursing research also has the potential to offer rich insights particularly into end of life care. The work of Chochinov, for example, regarding dignity therapy is particularly interesting (54)(55) . In Brazil, the results of some empirical studies summarize the close relation of healthcare humanization and the protection of patients' dignity by a dialogical nurse-user relationship (56)(57)(58) .…”

Section: Dignity and Nursing Ethics Researchmentioning

confidence: 99%

Dignity in care: where next for nursing ethics scholarship and research?

Gallagher

Zóboli

Ventura

2012

Rev. esc. enferm. USP

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Rev Esc Enferm USP2012; 46(Esp):51-7 www.ee.usp.br/reeusp/ RESUMO A Dignidade é reconhecida como valor central e, também, controverso no discurso bioético. O objetivo deste artigo é examinar algumas das vertentes principais da extensa produção acadêmica e de literatura sobre o tema, na ética e prática da enfermagem. O método é a avaliação crítica de uma seleção de artigos publicados na Nursing Ethics e de outros manuscritos e textos identificados como influentes por pesquisadores do Reino Unido e Brasil. Os resultados sugerem um leque amplo e confuso de perspectivas e achados, embora haja temas gerais relacionados às características objetivas e subjetivas da dignidade. Em conclusão, os autores apontam para a necessidade de só-lidos estudos filosóficos para contextualizar a dignidade humana dentro da pluralidade de valores profissionais. Pesquisas empíri-cas futuras devem explorar o que importa para pacientes, familiares, profissionais e cidadãos em diferentes contextos culturais, em vez de seguir desenvolvendo pesquisas qualitativas embasadas em um conceito impreciso e contestado. DESCRITORES RESUMENLa dignidad es reconocida como un valor fundamental y, también, controvertido en el discurso bioético. El propósito del artículo es examinar algunos de los aspectos principales de la producción académica y bibliográfica sobre el tema en la ética y práctica de enfermería. El método es una evaluación crítica de una selección de artículos del Nursing Ethics y de otros textos identificados como influyentes por investigadores del Reino Unido y Brasil. Los resultados plantean la amplitud y confusión de perspectivas y conclusiones, aunque hay temas generales relacionados con características objetivas y subjetivas de la dignidad. En conclusión, los autores señalan la necesidad de sólidos estudios filosóficos a fin de contextualizar la dignidad humana en la pluralidad de valores profesionales. Los futuros estudios empíri-cos deben explorar lo importante para pacientes, familias, profesionales y ciudadanos en diferentes contextos culturales, en lugar de seguir desarrollando investigaciones cualitativas basadas en un concepto impreciso y controvertido. DESCRIPTORESÉtica en enfermería Bioética Personeidad Humanismo

show abstract

Dignity in the terminally ill: a cross-sectional, cohort study

Cited by 381 publications

References 29 publications

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Understanding the Will to Live in Patients Nearing Death

Dignity in care: where next for nursing ethics scholarship and research?

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