scholarly journals Peaceful End of Life Theory: A Critical Analysis of Its Use to Improve Nursing Practice

2021 ◽  
Vol 4 (3) ◽  
pp. 412-417
Author(s):  
Schadrack Ngabonziza ◽  
Marie Chantal Murekatete ◽  
Gerard Nyiringango ◽  
Sandra Marie Grace Musabwasoni
Keyword(s):  
End Of Life ◽  
Nursing Practice ◽  
Healthcare Providers ◽  
Terminally Ill ◽  
Practice Research ◽  
Nursing Interventions ◽  
Theory Analysis ◽  
Terminally Ill Patients ◽  
Research And Education ◽  
End Stage

BackgroundProvision of empathetic palliative care in agreement with patient’s favorites is an indispensable attitude of healthcare providers. A Peaceful End of Life Theory was designed by Rulandand Moore (1998),to provide theoretical framework for nurses who care for patients at end stage of their life.MethodsChinn and Kramer theory analysis guideline was used to analyse this theory to suggest its improvement.ResultsFive major concepts and sub-concepts are identified.This theory informs the nursing profession on the relieving interventions at the end of life. It provides a guidance to supportively manage terminally ill patients in collaboration with their families.ConclusionThis theory is important to guide nursing practice,research, and education. However, there is a lack of an instrument to measure the desired outcomes, some subconcepts do not cleary specify the nursing interventions, and it lacks the spiritual comfort to the terminally ill patients who believe in eternal life.Rwanda J Med Health Sci 2021;4(3):412-417

scholarly journals Facing Death: Attitudes toward Physician-Assisted End of Life among Physicians Working at a Tertiary-Care-Hospital in Israel

2021 ◽  
Vol 18 (12) ◽  
pp. 6396
Author(s):  
Keren Dopelt ◽  
Dganit Cohen ◽  
Einat Amar-Krispel ◽  
Nadav Davidovitch ◽  
Paul Barach
Keyword(s):  
End Of Life ◽  
Tertiary Care Hospital ◽  
Human Life ◽  
Tertiary Care ◽  
Terminally Ill ◽  
Background Information ◽  
Care Hospital ◽  
Medical Assistance In Dying ◽  
Terminally Ill Patients ◽  
The Right

The demand for medical assistance in dying remains high and controversial with a large knowledge gap to support optimal patient care. The study aimed to explore physicians’ attitudes regarding euthanasia and examine the factors that related to these attitudes. We surveyed 135 physicians working at a tertiary-care hospital in Israel. The questionnaire was comprised of demographic and background information, DNR procedure information, encounters with terminally ill patients, familiarity with the law regarding end-of-life questions, and Attitudes toward Euthanasia. About 61% agreed that a person has the right to decide whether to expedite their own death, 54% agreed that euthanasia should be allowed, while 29% thought that physicians should preserve a patients’ life even when they expressed the wish to die. A negative statistically significant relationship was found between the level of religiosity and attitudes toward euthanasia. The physicians’ attitudes towards euthanasia are quite positive when compared to other countries. The data shows a conflict of values: the sacredness of human life versus the desire to alleviate patients’ suffering. The Coronavirus-19 outbreak reinforces the importance of supporting physicians’ efforts to provide ethical and empathic communication for terminally ill patients. Future studies should aim to improve our understanding and treatment of the specific types of suffering that lead to end-of-life requests.

Nursing Practice, Research and Education in the West

2017 ◽  
Vol 66 (3) ◽  
pp. 262-270 ◽  
Author(s):  
Heather M. Young ◽  
Susan Bakewell-Sachs ◽  
Linda Sarna
Keyword(s):  
Nursing Practice ◽  
Practice Research ◽  
The West ◽  
Research And Education

Facing Death in Medical Training

2017 ◽  
Vol 80 (3) ◽  
pp. 340-354 ◽  
Author(s):  
Asunción Álvarez-del Río ◽  
Ma. Luisa Marván ◽  
Julieta Gómez Avalos
Keyword(s):  
Medical Students ◽  
End Of Life ◽  
Medical Training ◽  
Terminally Ill ◽  
Medical Attention ◽  
Objective Data ◽  
Educational Activities ◽  
Terminally Ill Patients ◽  
Student Views ◽  
Impending Death

This study explores how medical students feel about caring for terminally ill patients as well as how their medical courses prepare them for addressing end-of-life (EOL) issues with patients. Four hundred and five Mexican medical students were surveyed through the Student Views on Death questionnaire. The vast majority of students (94%) felt that physicians should inform patients of their impending death. Most students said they felt comfortable talking with (61%) or examining (76%) terminally ill patients. However, only half the students actually talked with patients about death. Participants in our study were interested in learning about EOL medical attention, yet most considered themselves poorly prepared to offer this type of care to terminally ill patients. The study provides objective data on a topic that has scarcely been explored in Mexico, data that will be useful in designing educational activities to improve EOL medical training.

scholarly journals Preferences for place of care and place of death: What, how, when and who to ask?

2019 ◽  
Author(s):  
Katrin Gerber ◽  
BARBARA HAYES ◽  
CHRISTINA BRYANT
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Final Stage ◽  
Terminally Ill ◽  
Healthcare Systems ◽  
Place Of Death ◽  
Preference Assessments ◽  
Terminally Ill Patients ◽  
Key Questions

As healthcare systems worldwide are confronted with increasing numbers of ageing and terminally ill patients, the topic of where people want to spend their last days has received considerable attention. However, the strategies that researchers and clinicians use to capture these end-of-life views vary greatly in four key questions. These include: what, how, when and who to ask about location preferences. We will argue that how researchers and clinicians choose to answer these questions directly influences their findings. Based on these considerations, we will highlight ways to improve future palliative care and empirical end-of-life studies by addressing the precision, methods, timing and sources of preference assessments. Only when we are able to accurately identify where people want to spend their last days, can we begin to meet the needs of patients as they approach the final stage of their lives.

scholarly journals Preferences for Advance Directives in Korea

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
So-Sun Kim ◽  
Won-Hee Lee ◽  
JooYoung Cheon ◽  
Jung-Eun Lee ◽  
KiSun Yeo ◽  
...  
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
End Of Life Care ◽  
Healthcare Providers ◽  
Tube Feeding ◽  
Life Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Korean People ◽  
End Stage

Background. The goal of advance directives is to help patients retain their dignity and autonomy by making their own decisions regarding end-stage medical treatment. The purpose of this study was to examine preferences of advance directives among general population in Korea.Method. A descriptive cross-sectional survey was performed from October 2007 to June 2008 in Seoul, Korea. A total of 336 city-dwelling adults self-administered the questionnaire and returned it via mail. Data analyses were conducted using SPSS 17.0.Results. Subjects reported the need for healthcare providers' detailed explanations and recommendations regarding end-of-life care. When there is no hope of recovery and death is imminent, most subjects did not want to receive cardiopulmonary resuscitation nor an IV or tube feeding. However, most of the subjects wanted pain management care.Conclusions. The present study showed that many Korean people have an interest in advance directives. The results show that the autonomy and dignity of patient have increased in importance. To provide better end-of-life care, there is a need to educate patients on the definition and intent of an advance directive. Additional proactive communication between patients and their caregivers should be educated to healthcare providers.

Patient and public involvement in healthcare

2018 ◽  
pp. 613-624
Author(s):  
Maria Flynn ◽  
Dave Mercer
Keyword(s):  
Health Policy ◽  
Health Services ◽  
Power Relations ◽  
Public Involvement ◽  
Nursing Practice ◽  
Patient And Public Involvement ◽  
Practice Research ◽  
Democratic Participation ◽  
Governance Systems ◽  
Research And Education

The impulse for patient and public involvement (PPI) in health services reflects wider societal and policy concerns with citizenship and democratic participation. A consumerist turn in health policy has opened the door to advances in involvement initiatives, with nurses often playing a lead role. These involvement practices have developed in the interlinked areas of nursing practice, research, and education. Effective involvement is predicated upon emancipatory values and, as such, involvement practices are concerned with prevailing power relations. The actual form that involvement takes can be thorough, systematic, and empowering or partial, tokenistic, and subsumed under oppressive governance systems. Ultimately, involvement poses key questions for professional nursing identity, allowing for a re-imagining of professionalism that is essentially democratized and cooperative.

Effect of Dignity Therapy on Distress and End-of-Life Experience in Terminally Ill Patients: A Randomised Controlled Trial

2013 ◽  
Vol 11 (4) ◽  
pp. 576-587 ◽  
Author(s):  
Harvey Max Chochinov ◽  
Linda J Kristjanson ◽  
William Breitbart ◽  
Susan McClement ◽  
Thomas F Hack ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
End Of Life ◽  
Life Experience ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Dignity Therapy ◽  
Randomised Controlled

Suffering and Chronic Sorrow: Characteristics and a Paradigm for Nursing Interventions

2004 ◽  
Vol 8 (2) ◽  
pp. 42-48 ◽  
Author(s):  
Christina S. Melvin
Keyword(s):  
Literature Review ◽  
Nursing Practice ◽  
Healthcare Providers ◽  
Nursing Interventions ◽  
Chronic Sorrow ◽  
The World ◽  
Definition Of

The purpose of this article was to differentiate between suffering and chronic sorrow. A literature review provided the information necessary to define these two concepts. Definition of the concepts provides a better understanding of the world of suffering persons and those who suffer from chronic sorrow. By understanding this world, healthcare providers are better able to intervene with caring interventions. Nurses spend more time at the bedside, in the clinic, or in the home than any other healthcare providers; thus, we believe that we can offer the caring that heals and is the heart of nursing practice. The goal of this article is to develop a framework for understanding chronic sorrow and suffering. A paradigm for nursing interventions will be introduced

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