2011
DOI: 10.1177/0969733011408043
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Dignified death: Concept development involving nurses and doctors in Pediatric Intensive Care Units

Abstract: The aim of this study was to develop the concept of the dignified death of children in Brazilian pediatric intensive care units (PICUs). The Hybrid Model for Concept Development was used to develop a conceptual structure of dignified death in PICUs in an attempt to define the concept. The fieldwork study was carried out by means of in-depth interviews with nine nurses and seven physicians working in PICUs. Not unexpectedly, the concept of dignified death was found to be a complex phenomenon involving aspects r… Show more

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Cited by 13 publications
(25 citation statements)
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“…It is noteworthy to say that dignifi ed death occurs in an environment characterized by complicity and truth between families and the professionals involved in the care, where is possible to express hopes and fears. In this context, the result is relief from suff ering, both for the child and for the family (12) .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is noteworthy to say that dignifi ed death occurs in an environment characterized by complicity and truth between families and the professionals involved in the care, where is possible to express hopes and fears. In this context, the result is relief from suff ering, both for the child and for the family (12) .…”
Section: Discussionmentioning
confidence: 99%
“…Pain takes on a special meaning when it happens to children, who are seen as innocent and free from sin and therefore should not suff er. It is extremely important to recognize pain or physical discomfort and make appropriate use of medica ons for eff ec ve pain control (12)(13) , as well as to implement non-pharmacological measures for pain relief, such as massage, the use of compresses, music therapy and relaxa on (12) .…”
Section: Discussionmentioning
confidence: 99%
“…In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body (4) . Nurses who deal with the situations of the end-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act (5) . Thus, it is important to recognize that death and decision-making processes are mediated by the sociocultural contexts and also by personal and family history of professionals, since different cultures embody death differently and prepare representations consistent with the context.…”
Section: Introductionmentioning
confidence: 99%
“…The lack of clarity of this concept resulted in its use in a variety of inadequate situations. That study sought to improve understanding of the term in order to offer subsidies for child care, assist the child's family, and advance teaching and research on end-oflife care in pediatrics (17) .…”
Section: Why Should Concepts Be Studied?mentioning
confidence: 99%
“…2) Concepts can be operationalized: Concepts can be analyzed for their application in practice (e.g., respect (13) , collaboration (16) , and die with dignity (17) ).…”
Section: Why Should Concepts Be Studied?mentioning
confidence: 99%