A Re(Defining) Moment: Eulogizing Good Death in the Face of COVID-19

Willer, Erin K.

doi:10.1080/10410236.2021.1958984

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…In the study by Demir et al (2017) , the expressions that nurses identified as most important for a good death were “dignity and privacy,” “meeting spiritual needs or emotional support,” and “control over who is present and who shares the end.” In the study by Yun et al (2018) , the most important factors associated by participants with a good death were “being with their loved ones during the dying process,” “feeling that life is meaningful,” and “not being a burden to the family.” According to the nurses who participated in the study of Nasu et al (2022) , reaching a good death was achieved with a well-maintained, clean, symptom-free body. In the study by Hilário and Augusto (2020) , nurses defined a good death as “the patient dies in peace” and “the patient dies a painless death.” In the study by Willer (2021) , titled “A Re (Defining) Moment: Eulogizing Good Death in the Face of COVID-19”, a good death was defined by not dying alone, but being with loved ones. In this study, the statements that nurses considered important were determined to be “that it was peaceful,” “that loved ones were present,” “that the person’s spiritual needs were met,” and “that the person had the opportunity to say goodbye.” Consistent with these findings, it can be said that the concept of a good death differs among nurses, and the pandemic control measures taken (restricting access to hospitals and funerals) during the COVID-19 process also influenced nurses’ perceptions of a good death.…”

Section: Discussionmentioning

confidence: 99%

The Concept of a Good Death from the Perspectives of Nurses Caring for Patients Diagnosed with COVID-19 in Intensive Care Unit

Aksoy

Kasikçi

2023

Omega (Westport)

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We have witnessed increasing numbers of cases of COVID-19 and associated deaths worldwide. Therefore, the purpose of this descriptive and cross-sectional study was to determine the perception of a good death and the factors contributing to it by nurses caring for patients diagnosed with COVID-19 in the intensive care unit (ICU). It was carried out with nurses caring for patients diagnosed with COVID-19 in the ICU ( n = 369). Data were collected using a questionnaire and the Good Death Scale. The mean score of the participants scale was 56.84 ± 7.51. In this study, nurses have seen as important statements that include “ensuring a peaceful death”, “being with their loved ones”, “meeting a person’s spiritual needs”, and “having an opportunity to say goodbye” for the good death. The factors contributing to the perception of a good death were gender, marital status, and feeling sad when caring for a dying patient ( p < .05).

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Section: Discussionmentioning

confidence: 99%

The Concept of a Good Death from the Perspectives of Nurses Caring for Patients Diagnosed with COVID-19 in Intensive Care Unit

Aksoy

Kasikçi

2023

Omega (Westport)

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“…Communities adapted practices and expectations amidst tragedy to make deaths as good as they could be 36▪ . Yet, the powerful narrative of the ‘good’ death meant that COVID-19 deaths have been rendered ‘bad’ regardless of other factors 38 . Thus, a COVID-19 death is an additional factor potentially complicating and exacerbating people’s grief 38 .…”

Section: Resultsmentioning

confidence: 99%

“…Yet, the powerful narrative of the 'good' death meant that COVID-19 deaths have been rendered 'bad' regardless of other factors [38]. Thus, a COVID-19 death is an additional factor potentially complicating and exacerbating people's grief [38].…”

Section: Key Pointsmentioning

confidence: 99%

Matters of care and the good death – rhetoric or reality?

Collier

Chapman

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of review The notion of a ‘good death’ is central to hospice and palliative care philosophy. This review interrogates social imaginaries of the ‘good death’ in the context of current global, health and sociopolitical challenges. Recent findings Research literature and policy documents across fields continue to place emphasis on the ‘good death’. As part of the equity turn in palliative care, there is a growing body of work highlighting the diverse perspectives of people whose voices were heretofore not understood. Inequities are evident not only in terms of who has access to a ‘good death’ but also related to the effects of the dominant ‘good death’ script itself. Summary There is increasing evidence that pursuit of the ‘good death’ narrative may be counter to supporting people as they are living and dying. The authors instead argue for a research, policy and practice shift to ‘matters of care’.

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“…The interview was organized in four phases ( 36 ). They are ( 1 ) the orientation phase: the researcher introduced himself and the title of the study, and permission to record the interviews was obtained; ( 2 ) the main question phase: the main question was asked; ( 3 ) the probing phase: depending on the experiences of participation, further questions were asked; and ( 4 ) the final phase: at the end, participants were allowed to add any further information if they were willing. The details of questions are presented in Table 2 .…”

Section: Methodsmentioning

confidence: 99%

“…To date, the COVID-19 pandemic has been one of the biggest public health crises ( 1 ). According to a recent report by the World Health Organization (WHO), 22 December 2022–to date, about 6,671,610 people have lost their lives to COVID-19 ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study

Safdari

Rassouli

Elahikhah

et al. 2023

Front. Public Health

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BackgroundProviding nursing care to patients with COVID-19 has put additional pressure on nurses, making it challenging to meet several care requirements. This situation has caused parts of nursing care to be missed, potentially reducing the quality of nursing care and threatening patient safety. Therefore, the present study aimed at explaining the factors forming missed nursing care during the COVID-19 pandemic from the perspective of nurses.MethodsThis qualitative study was conducted using a conventional content analysis approach in Iran, 2020–2021. Data were collected from in-depth, semi-structured interviews with 14 nurses based on purposive sampling. Data analysis was performed simultaneously with data collection. Graneheim and Lundman's approach was used for data analysis, and MAXQDA software was used for data management. After transcribing the recorded interviews, to achieve the accuracy and validity of the study, the criteria proposed by Lincoln and Guba were considered and used.ResultsA total of 14 nurses with a mean age and standard deviation of 31.85 ± 4.95 and working in the COVID-19 wards participated in the study. The acquired data were categorized into four main categories: care-related factors, disease-related factors, patient-related factors, and organization-related factors. The category “care-related factors” comprised uncertainty in care, PPE-related limitations, attrition from care, and futile care. The category “disease-related factors” consisted of the extension of symptoms, unpredictable peaks of the disease, and restriction on the presence of patients' companions. The category “patient-related factors” included comorbidities, elderly patients, and deterioration of infected patients. Ultimately, the category “organization-related factors” consisted of restrictions on equipment supply, lack of human resources, weaknesses in teamwork, and an unsupportive work environment.ConclusionThe results of this study showed that several reasons including factors related to care, patient, disease, and organization cause missed nursing care. By modifying the related affecting factors and considering the effective mechanisms to minimize missed nursing care, it is possible to provide better services.

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A Re(Defining) Moment: Eulogizing Good Death in the Face of COVID-19

Cited by 3 publications

References 22 publications

The Concept of a Good Death from the Perspectives of Nurses Caring for Patients Diagnosed with COVID-19 in Intensive Care Unit

The Concept of a Good Death from the Perspectives of Nurses Caring for Patients Diagnosed with COVID-19 in Intensive Care Unit

Matters of care and the good death – rhetoric or reality?

Explanation of factors forming missed nursing care during the COVID-19 pandemic: A qualitative study

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