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What's Dignity Got To Do With It? Patient Experience of the Dignity Care Intervention: A Qualitative Evaluation Study
Univ Glasgow, UK;NHS Greater Glasgow & Clyde, UK.
Univ West Scotland, UK.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0003-2949-2195
NHS Tayside, UK.
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2017 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 3, article id UNSP 2377960817699839Article in journal (Refereed) Published
Abstract [en]

The delivery of palliative care in the community setting has been recognized as a valued and challenging aspect of nursing care. To this end, care pathways have been shown to support nurses in a variety of settings to deliver individualized patient care. This study provides a qualitative evaluation of an end-of-life intervention known as the Dignity Care Intervention (DCI) based on patients' perspectives. The DCI consists of four sections: a manual, the Patient Dignity Inventory, reflective questions, and evidence-based care actions. A qualitative design underpinned by the philosophy of Merlau-Ponty was employed for the evaluation of the DCI. Data collection included individual interviews with participants (n = 25). Interview data were analyzed using framework thematic analysis. Four theme categories were identified: "experience of DCI,'' "responding to my illness concerns,'' "how illness affects me as a person,'' and "how illness concerns affect my relationships.'' The DCI was found to enable patients to discuss openly important issues with community nurses that they might not otherwise have raised. Participants conveyed satisfaction with the support they received through the DCI. The use of care pathways detailing interventions to manage clinical problems and ensure systematic integration of the best available evidence into care delivery can improve end-of-life care.

Place, publisher, year, edition, pages
Sage Publications, 2017. Vol. 3, article id UNSP 2377960817699839
Keywords [en]
dignity, palliative care, community nursing, qualitative evaluation
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-83427DOI: 10.1177/2377960817699839ISI: 000443445200007OAI: oai:DiVA.org:lnu-83427DiVA, id: diva2:1318408
Available from: 2019-05-27 Created: 2019-05-27 Last updated: 2019-05-27Bibliographically approved

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Östlund, Ulrika

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • asciidoc
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