Loss of dignity in end-of-life care in the emergency department: a phenomenological study with health professionals

Granero-Molina, José, Díaz Cortés, Maria del Mar, Hernández-Padilla, José Manuel, García-Caro, María Paz and Fernández-Sola, Cayetano (2016) Loss of dignity in end-of-life care in the emergency department: a phenomenological study with health professionals. Journal of Emergency Nursing, 42 (3) . pp. 233-239. ISSN 0099-1767 (doi:10.1016/j.jen.2015.10.020)

Abstract

Introduction:
The objective of this study was to explore and describe the experiences of physicians and nurses with regard to loss of dignity in relation to end-of-life care in the emergency department.

Method:
A phenomenological qualitative study was performed. Two focus groups and 12 individual interviews were conducted with a total of 26 participants, who had attended to patients in the emergency department an average of 14.3 years. An inductive analysis was carried out with the use of ATLAS.ti software to seek emerging themes.

Results:
Three themes that helped us understand the phenomenon of the loss of dignity in end-of-life care in the emergency department emerged: (1) "Being exposed in a cold world," with the subthemes "improvising dying person care" and "a lack of space to care for the dying person"; (2) "Being self-critical with professional attitudes," with the subthemes "being aware of undignified actions" and "lack of a palliative culture"; and (3) "Family obstinacy and hospital rescue," with the subthemes "making ill-advised choices" and "avoiding burden."

Discussion:
The dignity of people who are taken to the emergency department at the end of their life could be undermined by architectural and organizational characteristics, professionals' attitudes, and decisions made by family members.

Item Type: Article
Additional Information: Available online 11 March 2016
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 19217
Useful Links:
Depositing User: Jose Hernandez-Padilla
Date Deposited: 13 Apr 2016 10:27
Last Modified: 19 Sep 2017 10:45
URI: https://eprints.mdx.ac.uk/id/eprint/19217

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