On ethical locations: The good death in Thailand, where ethics sit in places

Stonington, Scott

doi:10.1016/j.socscimed.2012.03.045

Cited by 46 publications

(38 citation statements)

References 29 publications

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“…A high percentage of participants agreed that patients should pass away at home, supporting the traditional beliefs of the Thai people, in which dying at home is related to a better rebirth (Stonington, ). Therefore, it is important to develop and improve in‐home care service to enhance the quality of the palliative care system in Thailand.…”

Section: Discussionmentioning

confidence: 72%

Perspectives regarding what constitutes a “good death” among Thai nurses: A cross‐sectional study

Srinonprasert

Limpawattana

Manjavong

et al. 2019

Nursing & Health Sciences

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Palliative care is a crucial component in improving peoples' end-of-life period. It is important to understand the wishes of people at the end of life and the perceptions of their healthcare providers regarding these wishes. As nurses play a key role in patient care, in this study we set out to determine nurses' perceptions regarding what constitutes a "good death", comparing what they thought their older patients would prefer to their own preferences for their own end-of-life care. Questionnaires asking about various options of end-of-life care were distributed to nurses, and they were asked how they thought older people would respond to each of the questions and what their own preferences would be if they were terminally ill. In total, 656 participants were enrolled and they rated relief from suffering as the most important component, both for themselves and for those in their care. More than 80% of nurses agreed with all of the statements on the questionnaire. However, some of the nurses' preferences for their own end of life differed from those they expected their patients to value. K E Y W O R D Send-of-life care, good death, nurse, palliative care

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Section: Discussionmentioning

confidence: 72%

Perspectives regarding what constitutes a “good death” among Thai nurses: A cross‐sectional study

Srinonprasert

Limpawattana

Manjavong

et al. 2019

Nursing & Health Sciences

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“…Social context that perceived death as a sensitive subject is another challenge that make it harder to talk about ACP (Walter, 2003;Meeuwesen, van den Brink-Muinen and Hofstede, 2009;S. Stonington, 2011;S. D. Stonington, 2012), reflecting Hofstedt's work that describe Thailand as a country with high certainty avoidance dimension and prefers not to confront any ambiguity Hofstede GH, Hofstede GJ, Minkov M. Cultures and organizations : software of the mind : intercultural cooperation and its importance for survival.…”

Section: Introductionmentioning

confidence: 99%

Life unlocking card game in death and dying classroom for medical students

Phenwan¹,

Apichanakulchai²,

Sittiwantana³

2018

MedEdPublish

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Introduction: Advance Care Planning (ACP) is a part of comprehensive palliative care but there are challeges for its implementation. In Thailand, undergraduate medical curriculum also has not implemented palliative care and ACP as a core teaching topic for the medical students yet. Life Unlocking Card Game is an end-of-life conversation card game that aims to bridge this gap. Objective: To assess second year medical students' attitude of death by using Life Unlocking Card Game and its effectiveness to teach about death and dying. Methods: Non-equivalent quasi-experimental design with convenience sampling method. All (48) of second year medical students participated in an end-of-life conversation game (8 games in total with one facilitator within each group). After that, each group formed an after-game focus group interview. Seven students also joined individual semi-structured interviews. We used content analysis approach along with investigator triangulation and methodological triangulation methods for the qualitative analysis. Results: Participants (n = 48) were second-year preclinical medical students. 26 of them were male (54.2%), 22 were female (45.8%), with the mean age of 20 years (SD 0.6). Five primary themes regarding the card game emerged: 1) Safe space to disclose personal issues 2) Seeing the world through different views 3) Surprise elements 4) Death distant closure 5) Changed behaviour. Conclusions: Life Unlocking Card Game proves to be an effective tool to teach death and dying issues and also ACP in second year medical students. Further study in clinical year students or postgraduate students are recommended.

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“…[2] Furthermore, some studies highlight the differences and similarities in peaceful death between ethnic groups and countries. [3][4][5][6][7] Our review about peaceful death at home in Japan will contribute to the understanding of death with regard to the Japanese culture and society.…”

Section: Introductionmentioning

confidence: 99%

Strategies for caring for the peaceful death of cancer patients at home in Japan – A meta-synthesis of the literature

Kondo

2018

CNS

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This study aimed to identify strategies that enable the provision of high quality home care for dying patients with cancer. We searched the NPO Japan Medical Abstracts Society database through Ichushi-Web and selected literature that focused on home care for dying patients with cancer of Japanese origin. In particular, we chose research papers published between 2005 and 2015 that used the qualitative research methodology. The research subjects comprised patients (excluding children), family members of patients, and medical staff who were primary caregivers. We identified the following four research questions by reviewing 13 articles: "A. What enables patients to live at home until they die?", "B. What difficulties does a dying patient encounter while living at home until death?", "C. What represents effective support for patients living at home until they die?", and "D. What represents ineffective support for patients who live at home until they die?". All results were grouped depending on their relevance to these research questions. We identified 4 categories each pertaining to Research Question A (RQ-A) and RQ-D, and 3 each pertaining to RQ-B and RQ-C. We identified the following five factors that can promote the peaceful death of patients with cancer at home: 1) strong family bonds; 2) caring for the dying patient by the family, according to a framework provided by the medical staff; 3) a guaranteed unconstrained daily life; 4) support for the family's range of emotions; and 5) systematic support from visiting medical staff and the hospital.

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On ethical locations: The good death in Thailand, where ethics sit in places

Cited by 46 publications

References 29 publications

Perspectives regarding what constitutes a “good death” among Thai nurses: A cross‐sectional study

Perspectives regarding what constitutes a “good death” among Thai nurses: A cross‐sectional study

Life unlocking card game in death and dying classroom for medical students

Strategies for caring for the peaceful death of cancer patients at home in Japan – A meta-synthesis of the literature

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