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谈论死亡与临终:与公众成员进行的审议性讨论小组的研究结果

Talking about death and dying: Findings from deliberative discussion groups with members of the public.

作者信息

Wilson Eleanor, Caswell Glenys, Turner Nicola, Pollock Kristian

机构信息

NCARE, School of Health Sciences, University of Nottingham, Nottingham, UK.

出版信息

Mortality (Abingdon). 2022 Nov 11;29(1):176-192. doi: 10.1080/13576275.2022.2136515. eCollection 2024.

Abstract

Talking about death and dying is promoted in UK health policy and practice, from a perception that to do so encourages people to plan for their end of life and so increase their likelihood of experiencing a good death. This encouragement occurs alongside a belief that members of the public are reluctant to talk about death, although surveys suggest this is not the case. This paper describes findings from a research study in which people participated in deliberative discussion groups during which they talked about a range of topics related to death, including talking about death, the good death, choice and planning and compassionate communities. Here we report what they had to say in relation to talking about death and dying. We identified three themes: 1. The difference between talking about death as an abstract concept and confronting the certainty of death, 2. how death and dying presents issues for planning and responsibility, and 3. approaches to normalising death within society. For our participants, planning was considered most appropriate in relation to wills and funerals, while dying was considered too unpredictable to be easy to plan for; they had complex ideas about the value of talking about death and dying.

摘要

在英国的卫生政策和实践中,谈论死亡是受到提倡的,这是基于一种观念,即这样做能鼓励人们为自己的生命终结做准备,从而增加他们获得善终的可能性。这种鼓励的同时,人们认为公众不愿谈论死亡,尽管调查表明情况并非如此。本文描述了一项研究的结果,在该研究中,人们参与了审议性讨论小组,期间他们谈论了一系列与死亡相关的话题,包括谈论死亡、善终、选择与规划以及关爱社区。在此,我们报告他们对于谈论死亡和临终的看法。我们确定了三个主题:1. 将死亡作为抽象概念来谈论与面对死亡的确定性之间的差异;2. 死亡和临终如何带来规划和责任方面的问题;3. 在社会中使死亡正常化的方法。对于我们的参与者来说,规划在遗嘱和葬礼方面被认为是最合适的,而临终被认为太不可预测,难以轻松规划;他们对于谈论死亡和临终的价值有着复杂的想法。

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