Family members' expressions of dignity in palliative care: a qualitative study.


Journal

Scandinavian journal of caring sciences
ISSN: 1471-6712
Titre abrégé: Scand J Caring Sci
Pays: Sweden
ID NLM: 8804206

Informations de publication

Date de publication:
Sep 2021
Historique:
revised: 12 08 2020
received: 17 02 2020
accepted: 31 08 2020
pubmed: 7 10 2020
medline: 16 10 2021
entrez: 6 10 2020
Statut: ppublish

Résumé

Living and dying with dignity are fundamental values in palliative care, not only for the patient but also for family members. Although dignity has been studied from the different perspectives of patients in need of palliative care and their family members, family members' thoughts and feelings of dignity have not been given sufficient attention. Therefore, the aim was to describe family members' expressions of dignity in palliative care. The study had a qualitative design; semi-structured individual interviews were conducted with 15 family members of patients in palliative care in a county with a specialist palliative advisory team. Data were analysed using inductive content analysis. The results showed that family members' expressions of dignity are multifaceted and complex. For family members in palliative care, dignity means living as a respected human being in relation to oneself and others. Dignity also includes being able to maintain one's identity, feeling connected to significant others, and being comfortable with the new situation. Two contextual aspects affect family members' dignity: the two-headed paradox and reciprocal impact. The two-headed paradox means that family members want to stay close to and care for the ill person, at the same time want to escape the situation, but when they escape, they want to be close again. Reciprocal impact means that family members' feelings and experiences of the situation are closely intertwined with those of the ill person. These results may increase healthcare professionals' understanding and be used in dignified care practices that do not threaten, but instead aim to preserve family members' sense of dignity.

Identifiants

pubmed: 33022762
doi: 10.1111/scs.12913
pmc: PMC8451814
doi:

Types de publication

Journal Article

Langues

eng

Pagination

937-944

Subventions

Organisme : The Kamprad Family Foundation for Entrepreneurship, Research and Charity
ID : 20152002

Informations de copyright

© 2020 Nordic College of Caring Science.

Références

Nurs Ethics. 2013 Dec;20(8):851-60
pubmed: 23812559
Nurse Educ Today. 2017 Sep;56:29-34
pubmed: 28651100
Palliat Med. 2017 Sep;31(8):726-733
pubmed: 27815555
Int J Nurs Stud. 2016 Sep;61:136-41
pubmed: 27351830
J Clin Nurs. 2015 Feb;24(3-4):447-56
pubmed: 24811430
Health Care Anal. 2004 Jun;12(2):69-81; discussion 83-89
pubmed: 15487812
Palliat Med. 2017 Jul;31(7):602-616
pubmed: 28618898
Int J Palliat Nurs. 2010 Jun;16(6):286-9
pubmed: 20925291
BMC Palliat Care. 2017 Aug 16;16(1):41
pubmed: 28814321
Age Ageing. 2016 May;45(3):421-6
pubmed: 27055880
Palliat Med. 2015 Jun;29(6):496-507
pubmed: 25634637
Scand J Caring Sci. 2021 Sep;35(3):937-944
pubmed: 33022762
Eur J Cancer Care (Engl). 2016 Sep;25(5):744-52
pubmed: 27028409
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
Int J Palliat Nurs. 2019 Apr 2;25(4):193-201
pubmed: 31013197
Arch Gerontol Geriatr. 2017 Nov;73:77-81
pubmed: 28783514
J Pain Symptom Manage. 2018 Jun;55(6):1473-1479
pubmed: 29499235
Palliat Med. 2014 Mar 31;28(7):931-940
pubmed: 24685648
Qual Health Res. 2020 Nov;30(13):1989-2000
pubmed: 32648537

Auteurs

Anna Sandgren (A)

Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.

Lena Axelsson (L)

Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden.

Tove Bylund-Grenklo (T)

Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Department of Caring Science, University of Gävle & Department of Oncology Pathology, Karolinska Institutet, Stockholm, Sweden.

Eva Benzein (E)

Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.

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Classifications MeSH