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Loss of Dignity in End-of-Life Care in the Emergency Department: A Phenomenological Study with Health Professionals

dc.contributor.authorGranero-Molina J.
dc.contributor.authorDíaz-Cortés M.D.M.
dc.contributor.authorHernández-Padilla J.M.
dc.contributor.authorGarcía-Caro M.P.
dc.contributor.authorFernández-Sola C.
dc.date.accessioned2020-09-02T22:19:26Z
dc.date.available2020-09-02T22:19:26Z
dc.date.issued2016
dc.identifier10.1016/j.jen.2015.10.020
dc.identifier.citation42, 3, 233-239
dc.identifier.issn00991767
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4742
dc.descriptionIntroduction: The objective of this study was to explore and describe the experiences of physicians and nurses with regard to loss of dignity in relation to end-of-life care in the emergency department. Method: A phenomenological qualitative study was performed. Two focus groups and 12 individual interviews were conducted with a total of 26 participants, who had attended to patients in the emergency department an average of 14.3 years. An inductive analysis was carried out with the use of ATLAS.ti software to seek emerging themes. Results: Three themes that helped us understand the phenomenon of the loss of dignity in end-of-life care in the emergency department emerged: (1) "Being exposed in a cold world," with the subthemes "improvising dying person care" and "a lack of space to care for the dying person" (2) "Being self-critical with professional attitudes," with the subthemes "being aware of undignified actions" and "lack of a palliative culture" and (3) "Family obstinacy and hospital rescue," with the subthemes "making ill-advised choices" and "avoiding burden.". Discussion: The dignity of people who are taken to the emergency department at the end of their life could be undermined by architectural and organizational characteristics, professionals' attitudes, and decisions made by family members. © 2016 Emergency Nurses Association.
dc.language.isoen
dc.publisherMosby Inc.
dc.subjectDignity
dc.subjectEmergency department
dc.subjectEnd-of-life care
dc.subjectclinical article
dc.subjectcold stress
dc.subjectcomputer program
dc.subjectdoctor nurse relation
dc.subjectdoctor patient relation
dc.subjectemergency ward
dc.subjectexposure
dc.subjectfamily
dc.subjecthuman
dc.subjecthuman dignity
dc.subjectinterview
dc.subjectphenomenology
dc.subjectqualitative research
dc.subjectterminal care
dc.subjectadult
dc.subjectemergency nursing
dc.subjectfemale
dc.subjecthealth personnel attitude
dc.subjecthospital emergency service
dc.subjecthospital personnel
dc.subjectinformation processing
dc.subjectmale
dc.subjectmedical staff
dc.subjectnursing staff
dc.subjectpersonhood
dc.subjectpsychology
dc.subjectself concept
dc.subjectSpain
dc.subjectterminal care
dc.subjectAdult
dc.subjectAttitude of Health Personnel
dc.subjectEmergency Nursing
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectFocus Groups
dc.subjectHumans
dc.subjectInterviews as Topic
dc.subjectMale
dc.subjectMedical Staff, Hospital
dc.subjectNursing Staff, Hospital
dc.subjectPersonhood
dc.subjectPersonnel, Hospital
dc.subjectSelf Concept
dc.subjectSpain
dc.subjectTerminal Care
dc.titleLoss of Dignity in End-of-Life Care in the Emergency Department: A Phenomenological Study with Health Professionals
dc.typeArticle


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