+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Dying well: nurses' experiences of 'good and bad' deaths in hospital

, : Dying well: nurses' experiences of 'good and bad' deaths in hospital. Journal of Advanced Nursing 54(5): 594-601

This paper reports a study investigating hospital nurses' experiences of death and dying. Despite advances in medical science and health care, together with the push towards individualizing approaches to patient care in the developed world, significant variation in the care of dying patients still exists. The international issues relating to differing types of death reveal both its complexity and diversity, with evidence of 'good death' experiences largely focused on hospice experiences, and a lack of research on death in general hospitals. In-depth interviews were conducted in 1999 with a convenience sample of 29 Registered Nurses in the United Kingdom based on their hospital death experiences. Semiotic analysis was used to identify the 'deep structures' that underlie and form part of cultural communication as a way of understanding how nurses made sense of death. Data interpretation was enhanced through the use of a typology of 'good and bad deaths'. The findings suggest that different experiences of death are based on the extent to which nurses were able to exert control over the dying process. The management of death in hospital is a major source of conflict for nurses. Good and bad death experiences were constructed according to their impact on the sentimental order of the ward, the intangible, but real patterns of mood that influenced nurses' feelings. Moreover, good and bad deaths focused less on patients' needs and the dying process and more on the death event and nurses' abilities to manage organizational demands. There is a need to improve communication with patients and families about diagnosis and prognosis to ensure that effective communication takes place and 'blocking behaviour' is avoided. The findings also challenge practitioners to focus attention on death as a process, and to prioritize patients' needs above those of the organization. Moreover, there is the need for guidelines to be developed enabling patients to have a role in shaping events at the end of their lives.


PMID: 16722957

DOI: 10.1111/j.1365-2648.2006.03867.x

Other references

Fuhrmann, M., 2003: Expanding the molecular toolkit for Chlamydomonas reinhardtii--from history to new frontiers. Protist 153(4): 357-364

Bani, M.R.; Beckmann, K.; Engel, J.; Lux, M.P.; Rauh, C.; Eder, I.; Bani A.H.A.; Breuel, C.; Bach, A.; Beckmann, M.W.; Fasching, P.A., 2008: Correlates of the desire for improved cosmetic results after breast-conserving therapy and mastectomy in breast cancer patients. The aim of this survey was to evaluate correlates for the patient's desire for surgical improvement of the cosmetic outcome after the primary operation for breast cancer. A cross-sectional study was carried out in a single follow-up outpatien...

Ishiy, T.; Noldin, J.A.; Morel, D.A.; Santos Junior, O.G.; Frosi, J.F.; Schmitt, A.T.; Marques, L.F., 1983: Demonstration plots of irrigated rice in Santa Catarina. In 1982-3, mean grain yields of 11 rice cv. on 21 demonstration plots ranged from 4.15 t for cv. EMPASC 100 to 6.39 t/ha for cv. CICA 9; there was a wide variation between sites. Modern cv. gave the highest and American types the lowest grain yiel...

Smolowitz, R.; Leavitt, D.; Lancaster, B.; Marks, E.; Hanselmann, R.; Brothers, C., 2001: Laboratory-based transmission studies of quahog parasite unknown in Mercenaria mercenaria. Journal of Shellfish Research 20(1): 555-556, June

Goldman, D.; Iwata, N.; Schuckit, M.A., 2004: Polynucleotides encoding polymorphic human GABAA receptor alpha-6 subunit. Compositions and methods based on a polymorphism in the gene encoding the alpha6 subunit of the human GABAA neurotransmitter receptor are disclosed. This polymorphism results in the substitution of a serine residue for a proline residue ordinarily...

Maegraith B.G., 1971: Laboratory meeting of the royal society of tropical medicine and hygiene liverpool england november 19 1970. Transactions of the Royal Society of Tropical Medicine & Hygiene 65(1): 1-27

Limaye S.D., 1994: Sustainability of irrigation from shallow ground water in basalts (Deccan Traps) of western India. Basalts or the Deccan traps of western India are one of the largest exposures of volcanic rocks. Ground water in these rocks occurs under phreatic condition in the laterite, alluvium and weathered rock overlying the hard rock and also under semi-c...

Weglicki W.B., 1977: Temperature dependence of loss of latency of lysosomal enzymes. Physiologist: 82

Olguín, N.; Bordons, A.; Reguant, C., 2009: Influence of ethanol and pH on the gene expression of the citrate pathway in Oenococcus oeni. The consumption of citrate by the malolactic bacterium Oenococcus oeni changes the aromatic profile of wines due to the production of volatile compounds such as diacetyl and acetic acid. In this study, the expression of genes related to citrate ut...

Anonymous, 1975: Annual report, Department of Applied Scientific Research, 1974. Part 3: Nutrition and Food Organization. This report includes brief accounts of research projects at institutes, establishments and commissions attached to or associated with the TNO Nutrition and Food Organization, including the Central Institute of Nutritional and Food Research (develo...