Bridget Johnston, Ulrika Östlund, Hilary Brown

International Journal of Palliative Nursing, Vol. 18, Iss. 10, 26 Oct 2012, pp 483 - 489

People nearing the end of life fear loss of dignity, and a central tenet of palliative care is to help people die with dignity. The Dignity Care Pathway (DCP) is an intervention based on the Chochinov theoretical model of dignity care. It has four sections: a manual, a Patient Dignity Inventory, reflective questions, and care actions. Method: The feasibility and acceptability of the DCP were evaluated using a qualitative design with a purposive sample of community nurses. Data was collected from April to October 2010 using in-depth interviews, reflective diaries, and case studies and then analysed using framework analysis. Results: The DCP was acceptable to the community nurses, helped them identify when patients were at the end of life, identified patients' key concerns, and aided nurses in providing holistic end-of-life care. It requires the nurse to have excellent communication skills. Some of the nurses found it hard to initiate a conversation on dignity-conserving care. Conclusion: The DCP helps nurses to deliver individualised care and psychological care, which has previously been identified as a difficult area for community nurses. All of the nurses wished to continue to use the DCP and would recommend it to others.

Why purchase a paper only subscription?

  • Read high quality peer-reviewed articles such as this and many more covering all aspects of pallitative care in a way which is clear, easy-to-read and useful to your daily practice.
  • IJPN contains the best clinical reviews, original research and evidence-based articles available to palliative care nurses to ensure that you are kept fully up to date with the latest developments taking place in palliative nursing practice.
  • Get IJPN delivered regularly to your door, subscribe online now and receive an exclusive discount on your subscription!
  • Subscribe to IJPN

Alternatively, download this article now!

The full-text of this article is available to download at www.internurse.com.

internurse.com is the UK’s largest archive of nursing articles containing over 14,500 articles dating back to 1996 from 13 prestigious and peer-reviewed journals published by MA Healthcare, including International Journal of Palliative Nursing, British Journal of Community Nursing, British Journal of Nursing, Journal of Wound Care and Practice Nursing. For a full list of journals contained on internurse.com, please visit http://www.internurse.com/cgi-bin/go.pl/library/journals.html.