What constitutes a dignified death? The voice of oncology advanced practice nurses.
OBJECTIVE
The purpose of this study was to explore the concept of dignified dying from the perspective of oncology advanced practice nurses.


METHODS
A naturalistic, hermeneutic approach was used to interview the study participants. A sample of 19 oncology advanced practice nurses was obtained by combining data sets from 2 larger studies of patient control and end-of-life care. Audiotaped interviews of the nurses were transcribed verbatim and were analyzed using a phenomenological approach.


RESULTS
The analysis revealed that dignified dying is an experience that includes the following themes: going in peace, maintaining bodily integrity, and dying on their own terms.


CONCLUSIONS
Advanced practice nurses lend an important perspective that expands understanding of the concept of dignified dying. Future studies of patient and family perceptions will enhance knowledge of their needs and lead to intervention studies to promote an end-of-life experience that is consistent with patient priorities and values.
Volker
Deborah L
DL
University of Texas at Austin School of Nursing, Austin, TX, USA. dvolker@mail.nur.utexas.edu
Limerick
Michael
M
D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D001294:Attitude to Health; D005190:Family / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006694:Holistic Health; D006801:Humans; D008875:Middle Aged; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology*; D009722:Nurse Practitioners / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009859:Oncology Nursing / Q000458:organization & administration; D010344:Patient Advocacy; D018802:Patient-Centered Care; D012297:Right to Die; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000458:organization & administration* / Q000523:psychology; D013781:Texas