Characterization, conservation and loss of dignity at the end-of- life in the emergency department. A qualitative protocol

Fernández-Sola, Cayetano, Granero-Molina, José, Díaz Cortés, Maria del Mar, Jimenez-Lopez, Francisca Rosa, Román-López, Pablo, Saez-Molina, Encarnación, Aranda-Torres, Cayetano José, Muñoz-Terrón, José María, García-Caro, María Paz and Hernández-Padilla, José Manuel (2018) Characterization, conservation and loss of dignity at the end-of- life in the emergency department. A qualitative protocol. Journal of Advanced Nursing, 74 (6). pp. 1392-1401. ISSN 0309-2402 (doi:10.1111/jan.13536)

[img]
Preview
PDF - Final accepted version (with author's formatting)
Download (208kB) | Preview

Abstract

Aims: to explore and understand the experiences of terminally-ill patients and their relatives regarding dignity during end-of-life care in the emergency department.

Background: the respect given to the concept of dignity is significantly modifying the clinical relationship and the care framework involving the end-of-life patient in palliative care units, critical care units, hospices and their own homes. This situation is applicable to in-hospital emergency departments, where there is a lack of research which takes the experiences of end-of-life patients and their relatives into account.

Design: a phenomenological qualitative study.

Methods: the protocol was approved in December 2016 and will be carried out from December 2016 to December 2020. The Gadamer's philosophical underpinnings will be used in the design and development of the study. The data collection will include participant observation techniques in the Emergency Department, in-depth interviews with terminally-ill patients and focus groups with their relatives. For the data analysis, the field notes and verbatim transcriptions will be read and codified using ATLAS.ti software to search for emerging themes.

Discussion: emerging themes that contribute to comprehending the phenomenon of dignity in end-of-life care in the Emergency Department are expected to be found. This study's results could have important implications in the implementation of new interventions in Emergency Departments. These interventions would be focused on improving: the social acceptance of death, environmental conditions, promotion of autonomy and accompaniment, and assumption (takeover) of dignified actions and attitudes (respect for human rights).

Item Type: Article
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 23653
Notes on copyright: This is the peer reviewed version of the following article: Fernández-Sola C, Granero-Molina J, Díaz-Cortés MdM, et al. Characterization, conservation and loss of dignity at the end-of- life in the emergency department. A qualitative protocol. J Adv Nurs. 2018; 74: 1392-1401, which has been published in final form at https://doi.org/10.1111/jan.13536. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Useful Links:
Depositing User: Jose Hernandez-Padilla
Date Deposited: 26 Feb 2018 14:02
Last Modified: 16 Aug 2019 17:40
URI: https://eprints.mdx.ac.uk/id/eprint/23653

Actions (login required)

Edit Item Edit Item

Full text downloads (NB count will be zero if no full text documents are attached to the record)

Downloads per month over the past year