Rafii Forough, Abredari Hamid
Nursing and Midwifery Care Research Center, Medical-Surgical Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2023 Apr 14;28(2):179-187. doi: 10.4103/ijnmr.ijnmr_440_21. eCollection 2023 Mar-Apr.
The concept of dying with dignity is being discussed in various fields, including psychology, sociology, medicine, and nursing, with different definitions available for this concept. However, few studies investigated the concept of end-of-life nursing care, which plays an important role in the implementation of the concept. This concept can also affect people's perception, attitude, and behavior toward practicing dignified death in health-care centers. The current study aimed to clarify, understand, and further recognize the concept of death with dignity in end-of-life nursing care.
Rodgers' evolutionary concept analysis was used to clarify the concept of death with dignity in end-of-life nursing care. MEDLINE, BLACKWELL, PROQUEST, Science Direct, and CINAHL databases and national databases of SID and Iran Medex were systematically searched to identify relevant studies using various combinations of the following keywords: "dignity," "dignified death," "dying with dignity," and "dignifying death" in combination with "end-of-life care." All articles with the above-mentioned terms in their title, abstract, or keywords and published in English from 2006 to 2020 were included. A total of 21 articles were finally identified for review.
Characteristics of dying with dignity were categorized into two dimensions of human dignity and holistic care. The antecedents included professional and organizational factors, and outcomes included good death and career promotion.
This study demonstrated that end-of-life nursing care is an important dimension of clinical nursing that plays a unique role in admission and facilitating the process of dying and, eventually, dying with dignity.
尊严死的概念正在心理学、社会学、医学和护理等各个领域进行讨论，对此概念有不同的定义。然而，很少有研究调查临终护理的概念，而这一概念在该理念的实施中起着重要作用。这一概念也会影响人们在医疗保健中心对践行尊严死的认知、态度和行为。本研究旨在阐明、理解并进一步认识临终护理中尊严死的概念。
采用罗杰斯的进化概念分析法来阐明临终护理中尊严死的概念。对MEDLINE、布莱克韦尔、ProQuest、科学Direct和CINAHL数据库以及SID和伊朗Medex国家数据库进行系统检索，以使用以下关键词的各种组合来识别相关研究：“尊严”、“尊严死”、“尊严地死去”和“使死亡有尊严”并结合“临终护理”。纳入所有在标题、摘要或关键词中包含上述术语且于2006年至2020年以英文发表的文章。最终共确定21篇文章进行综述。
尊严死的特征分为人的尊严和整体护理两个维度。其前因包括专业和组织因素，结果包括善终和职业晋升。
本研究表明，临终护理是临床护理的一个重要维度，在接纳和促进死亡过程以及最终尊严死方面发挥着独特作用。
