title: Identifying care actions to conserve dignity in end-of-life care.
abstract: Community nurses have a central role in the provision of palliative and end-of-life care; helping people to die with dignity is an important component of this care. To conserve dignity, care should comprise a broad range of actions addressing the distress that might impact on the patient's sense of dignity. These care actions need to be defined. This study aims to suggest care actions that conserve dignity at the end of life based on evidence from local experience and community nursing practice. Data were collected by focus group interviews and analysed by framework analysis using the Chochinov model of dignity as a predefined framework. Suggestions on care actions were given in relation to all themes. As part of a multi-phase project developing and testing a dignity care pathway, this study might help community nurses to conserve dying patients' dignity.
authors.affiliation: NHS Highland, Argyll and Bute CHP, Lorn and Islands Hospital, Oban. hilary.brown2@nhs.net
authors.forename: Hilary
authors.initials: H
authors.lastname: Brown
authors.forename: Bridget
authors.initials: B
authors.lastname: Johnston
authors.forename: Ulrika
authors.initials: U
authors.lastname: Ostlund
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D028723:Personhood; D012297:Right to Die; D012606:Scotland; D013727:Terminal Care / Q000379:methods*; D019452:Terminally Ill