Background: Considerations for palliative care and quality of death has significantly increased over the past 10 years in the Eastern Mediterranean Region (EMR). Recent trends in ageing and increasing chronic disease burden have drawn attention to the need to pay attention to the concept of good death and related factors from the perspective of the local population. Aims: To assess the factors related to good death in the EMR. Methods: We searched PubMed, Embase, Scopus, Web of Science, and ProQuest on 22 October 2021 for English language articles, with no time limit, using keywords “quality of death”, “good death”, “quality of dying”, “good dying”, “Middle Eastern”, and countries in the Region. The quality of articles was evaluated using the Hawker criterion and based on the PRISMA guidelines. From the thematic analysis, the factors influencing good death were extracted. EndNote X8 software was used for data management. Results: The search yielded 55 articles, and 14 were included in the study, with a total of 3589 participants. Factors related to good death were classified into 2 main categories: patient preferences and end-of-life care. The former was divided into 4 groups: symptom management, psychological support, social support, and spiritual care. The second category included 2 subcategories: death control and patient autonomy, and end-of-life care. Conclusion: Although patients’ beliefs about good death are personal, unique, and different, perception about good death in the EMR depends on the extent to which patients’ preferences are met and end-of-life care is provided. More research on good death is recommended in the context of Islamic countries in EMR, and to empower patients and their families to better manage the dying process and create educational programmes.
Introduction: Death of a child is considered as one of the greatest devastating failures that makes the continuation of life difficult for the parents. With child’s death, parents lose a part of themselves and a part of their future dreams, and their loss is extremely vast and extensive. Hence, the present study has been conducted for the purpose of describing the experiences of parents who have lost a child. Materials and Methods: This study used a qualitative approach through a phenomenological method. Sampling was based on the objective of the research and the method of interview was unstructured and conducted until the full data saturation. Information was gathered through interview with 23 fathers or mothers who had lost their child. Colaizzi’s method was used for data analysis. Results: Conducted interviews were analyzed. From the total 371 concept codes, 22 sub concepts along with 7 main concepts were identified. Main concepts include moving forward, mourn, desperation, need for support, consolation, abandoned, and mental impasse. Conclusion: Results of the current study show that the death of a child makes the continuation of life difficult and causes the creation of deep crises for parents; the results of these crises will be the creation of destructive influential reactions in their lives. Real understanding of mental condition of parents at the time of the loss child and then, a necessary step in improving the health of the parents.
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