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Interventions by nursing students and professionals to Interventions by nursing students and professionals to promote dignity at the end of life

Intervenciones para promover la dignificación del fin de vida por estudiantes y profesionales de enfermería




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Reina Leal, L. M. ., Castiblanco Montañez, R. A. ., Barinas Rodriguez, A. S. ., Sierra Marín, L. Y., & Martínez, L. T. . (2023). Interventions by nursing students and professionals to Interventions by nursing students and professionals to promote dignity at the end of life. Journal of Medicine and Surgery Repertoire, 32(2), 110-118. https://doi.org/10.31260/RepertMedCir.01217372.1398

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Liliana Marcela Reina Leal

    Ruth Alexandra Castiblanco Montañez

      Ashley Sofia Barinas Rodriguez

        Ledys Yunery Sierra Marín

          Leidy Tatiana Martínez

            Liliana Marcela Reina Leal,

            Docente Investigadora, Instructora Asociada. Facultad de Enfermería.

             


            Ruth Alexandra Castiblanco Montañez,

            Magíster en Salud Pública. Profesor asistente. Coordinadora de Investigaciones. Facultad de Enfermería. Fundación Universitaria de Ciencias de la Salud - FUCS. Bogotá, Colombia.

             


            Ashley Sofia Barinas Rodriguez,

            Estudiante de VI semestre. Facultad de Enfermería. Fundación Universitaria de Ciencias de la Salud - FUCS.


            Ledys Yunery Sierra Marín,

            Estudiante de VI semestre. Facultad de Enfermería. Fundación Universitaria de Ciencias de la Salud - FUCS.


            Leidy Tatiana Martínez,

            Semillero de Investigación Red de Cuidado, Ciencia y Arte de Enfermería (RCUAE). Facultad de Enfermería. Fundación Universitaria de Ciencias de la Salud.
            Bogotá D.C, Colombia.


            Introduction: care is nursing practice axis and is especially relevant through the end-of-life and death process, where care dignifying the patient and his or her environment must be ensured. Nursing professionals and students should be trained for this purpose. Objective: to identify interventions to promote patient dignity at end of life and death, among nursing students and professionals. Methodology: an integrative literature review. The PubMed, CUIDEN Plus, Ovid, Biblioteca Virtual en Salud and ProQuest databases were searched and articles derived from research and review published between 2016 and 2021 were included. Critical reading was conducted using the Joanna Briggs Institute (JBI) tool. This is a study carrying no ethical risk, according to Resolution 8430 of 1993. Results: 34 articles were included, and organized into five topics: human dignity, nursing care for dignified death, barriers to dignifying end of life, benefits for nursing students and professionals, patient and family, and strategies that promote dignity at end of life and death. Conclusions: end of life and death are complex processes which nursing students and professionals must face. Implementing interventions such as those identified herein, may be helpful, since they contribute to knowledge, commitment, humanized treatment, and compassion. Further education and research in this regard is required.


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            1. Corte Constitucional, Consejo Superior de la Judicatura, Centro de Documentación Judicial – CENDOJ, Biblioteca Enrique Low Murtra- BELM. Constitución Política de Colombia 1991. Actualizada con los Actos Legislativos a 2016 [Internet]. Edición 2016 [acceso: 19.02.2021]. Disponible en: https://www.cijc.org/es/NuestrasConstituciones/COLOMBIA-Constitucion.pdf
            2. Hernandez-Zambrano SM, Carrillo-Algarra AJ, Augusto-Torres C, Marroquin K, Enciso Olivera CO, Gomez Duque M. Perspectiva de los profesionales de la salud sobre cuidados al final de la vida en unidades de cuidados intensivos. Enferm Intensiva. 2020;31(4):170-183. https://doi.org/10.1016/j.enfi.2019.12.003
            3. Bermejo JC, Villacieros Durban M. Humanización y acción. Revista Iberoamericana de Bioética. 2018;(8):01-16. https://doi.org/10.14422/rib.i08.y2018.005
            4. Cruz, FM de L. La dignidad humana, en el fin de la vida [Internet]. Argentina: Universidad Católica de Argentina. Facultad “Teresa de Ávila”. Departamento de Derecho; 2016 [Consultado 19 de febrero de 2021]. Disponible en: https://repositorio.uca.edu.ar/handle/123456789/5368
            5. Lopera MA. Cuidado humanizado de enfermería al final de la vida: el proceso humanizado de Muerte. Rev Colomb Enferm. 2016;13(1):17-26. https://doi.org/10.18270/rce.v13i11.1898
            6. Cara Rodriguez R. A phenomenological study about the perceptions of nursing professionals to death. 2020;14(1):1-22.
            7. Perboni JS, Zilli F, Oliveira SG. Profissionais de saúde e o processo de morte e morrer dos pacientes: uma revisão integrativa. Pers Bioét. 2018;22(2):288-302. https://doi.org/10.5294/pebi.2018.22.2.7
            8. Hernandez Zambrano SM, Carrillo Algarra AJ, Estupiñan Avellaneda YJ, Gonzalez Rodriguez AC, Martinez Herrera E, Enciso Olivera CO, Gomez Duque M. Privilegiar la dignidad durante la muerte en unidades de cuidados intensivos. Perspectivas del personal de salud. Repert Med Cir. 2020;29(2):111-121. https://doi.org/10.31260/RepertMedCir.01217273.934.
            9. Cordeiro FRG, Oliveira S, Giudice JZ, Fernandes VP, Oliveira AT. Definitions for “palliative care”, “end-of-life” and “terminally ill” in oncology: a scoping review. E Enfermería (Montevideo). 2020;9(2):205-228. https://doi.org/10.22235/ech.v9i2.2317
            10. Hermosilla Ávila A, Mendoza Llanos R, Contreras Contreras S. Instrumento para valoración del cuidado humanizado brindado por profesionales de enfermería a personas hospitalizadas. Index Enferm. 2016;25(4):273-277.
            11. Alligood MR, Tomey AM. Modelos y teorías en enfermería. Barcelona: Elsevier; 2018.
            12. Alvarez Sandoval S, Vargas MADO, Schneider DG, Magalhães ALP, Brehmer LCDF, Zilli F, et al. Muerte y morir en el hospital: una mirada social, espiritual y ética de los estudiantes. Esc Anna Nery. 2020;24(3):e20190287. https://doi.org/10.1590/2177-9465-EAN-2019-0287
            13. Sasso Méndez KD, de Campos Pereira Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto-Enferm. 2008;17(4):758-764. https://doi.org/10.1590/S0104-07072008000400018.
            14. Joanna Briggs Institute (JBI). Levels of Evidence [Internet]. 2016. [Consultado 11 de marzo de 2021]. Disponible en: https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf
            15. Joanna Briggs Institute (JBI). Critical Appraisal tools [Internet]. Australia: Faculty of Health and Medical Sciences, University of Adelaide. [Consultado 11 de marzo de 2021]. Disponible en: https://jbi.global/critical-appraisal-tools
            16. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Diario Oficial (1993 de 4 de Octubre).
            17. Ley 23 de 1982. Sobre derechos de autor. Diario Oficial (28 de enero de 1982).
            18. Cerit B, Çoşkun S, Çalışkan MA, Temelli G. The Relationship Between Nurses' Ethical Sensitivity Levels and Their Attitudes Toward Principles About Die with Dignity. J Relig Health. 2021;60(1):162-177. https://doi.org/10.1007/s10943-020-01102-8.
            19. Duru Aşiret G, Kütmeç Yılmaz C, Gökşin İ. Relationship between the nursing students' attitudes towards spiritual care and the principles of a good death. Perspect Psychiatr Care. 2020;56(4):913-919. https://doi.org/10.1111/ppc.12511.
            20. Hernández-Zambrano SM, Carrillo-Algarra AJ, Augusto-Torres C, Katherine-Marroquín I, Enciso-Olivera CO, Gómez-Duque M. Perspective of health personnel on end-of-life care in Intensive Care Units. Enferm Intensiva. 2020;31(4):170-183. https://doi.org/10.1016/j.enfi.2019.12.003.
            21. Puente-Fernández D, Palma-Ayllón E, Sánchez-García MR, Hueso-Montoro C, Esteban-Burgos AA, Montoya-Juárez R. Development of a Scale Based on Nursing Outcome Classification "Dignified Life Closure" (1307) to Assess End-of-Life Dignity of Patients in Care Homes for the Elderly. Int J Nurs Knowl. 2020;31(1):44-49. https://doi.org/10.1111/2047-3095.12264.
            22. Rudilla D, Oliver A, Galiana L, Barreto P. A new measure of home care patients' dignity at the end of life: The Palliative Patients' Dignity Scale (PPDS). Palliat Support Care. 2016;14(2):99-108. https://doi.org/10.1017/S1478951515000747.
            23. Üzen Cura Ş. Nursing Students' Spiritual Orientations and Their Attitudes Toward the Principles of Dying with Dignity: A Sample from Turkey. J Relig Health. 2021;60(1):221-231. https://doi.org/10.1007/s10943-020-01029-0.
            24. Becker CA, Wright G, Schmit K. Perceptions of dying well and distressing death by acute care nurses. Appl Nurs Res. 2017;33:149-154. https://doi.org/10.1016/j.apnr.2016.11.006.
            25. Pérez-Vega ME, Cibanal-Juan L. Personal narratives of nurses who care for patients at the end of life. Int J Palliat Nurs. 2020;26(1):14-20. https://doi.org/10.12968/ijpn.2020.26.1.14.
            26. Puente-Fernández D, Lozano-Romero MM, Montoya-Juárez R, Martí-García C, Campos-Calderón C, Hueso-Montoro C. Nursing Professionals' Attitudes, Strategies, and Care Practices Towards Death: A Systematic Review of Qualitative Studies. J Nurs Scholarsh. 2020;52(3):301-310. https://doi.org/10.1111/jnu.12550.
            27. Lopera BMA. Cuidado humanizado de enfermería al final de la vida: el proceso humanizado de muerte. Rev. Colomb. Enferm. 2016;13:16-25. https://doi.org/10.18270/.v13i11.1898.
            28. Pires IB, de Oliva Menezes TM, Borges de Cerqueira B, Santos de Albuquerque R, Guimarães Bastos Moura HC, et al. Conforto no final de vida na terapia intensiva: percepção da equipe multiprofissional. Acta paul. enferm. 2020;33:1-7. https://doi.org/10.37689/acta-ape/2020AO0148
            29. Terezinha Zenevicz L, de Oliveira Vargas Bitencourt JV, Furlan de Léo MM, Faganello Madureira VS, Buss Thofehrn M, Monteiro da Conceição V. Permission for departing: spiritual nursing care in human finitude. Rev Bras Enferm. 2020;73(3):e20180622. https://doi.org/10.1590/0034-7167-2018-0622
            30. Ho AHY, Dai AAN, Lam SH, Wong SWP, Tsui ALM, Tang JCS, et al. Development and Pilot Evaluation of a Novel Dignity-Conserving End-of-Life (EoL) Care Model for Nursing Homes in Chinese Societies. Gerontologist. 2016;56(3):578-89. https://doi.org/10.1093/geront/gnv037.
            31. Holm AL, Berland AK, Birkeland AK, Severinsson E. First‐line nurse managers’ perceptions of the challenges involved in decision‐making when older patients’ wish to die. Nurs Open. 2018;5(2):217-223. https://doi.org/10.1002/nop2.131.
            32. Bubolz BK, Barboza MCN, do Amaral D, Eduarda Duarte, Viegas AC, Bernardes LS, Muniz RM. Perceptions of nursing professionals with regards to the suffering and its coping strategies in oncology. J. res.: fundam. care. online. 2019;11(3):599-606. https://doi.org/10.9789/2175-5361.2019.v11i3.599-606
            33. McCaughan D, Roman E, Smith AG, Garry AC; Johnson MJ, Patmore RD et al. Haematology nurses' perspectives of their patients' places of care and death: A UK qualitative interview study. Eur J Oncol Nurs. 2019;39:70-80. https://doi.org/10.1016/j.ejon.2019.02.003.
            34. Alftberg Å, Ahlström G, Nilsen P, Behm L, Sandgren A, Benzein E, et al. Conversations about Death and Dying with Older People: An Ethnographic Study in Nursing Homes. Healthcare (Basel). 2018;6(2):63. https://doi.org/10.3390/healthcare6020063
            35. Connolly M, Charnley K, Collins R, Barry C, McIlfatrick S, Larkin P, et al. Evaluating an educational programme for dignity care intervention with community nurses in Ireland. Int J Palliat Nurs. 2018;24(10):474-481. https://doi.org/10.12968/ijpn.2018.24.10.474.
            36. Duque PA, Ortiz SAT, Reinosa DAL, Marín JER. Revisión sistemática del cuidado al final de la vida. Med Paliat. 2019;26(2):156-162. https://doi.org/10.20986/medpal.2019.1044/2019.
            37. Stacy A, Magdic K, Rosenzweig M, Freeman B, Verosky D. Improving knowledge, comfort, and confidence of nurses providing end-of-life care in the hospital setting through use of the CARES tools. J Hosp Palliat Nurs. 2019;21(3):200-206. https://doi.org/10.1097/NJH.0000000000000510.
            38. Harstäde CW, Blomberg K, Benzein E, Östlund U. Dignity-conserving care actions in palliative care: an integrative review of Swedish research. Scand J Caring Sci. 2018;32(1):8-23. https://doi.org/10.1111/scs.12433.
            39. Nicol J, Pocock M. Memento Mori: Can art assist student nurses to explore death and dying? A qualitative study. Nurse Educ Today. 2020;89:104404. https://doi.org/10.1016/j.nedt.2020.104404.
            40. Alconero-Camarero AR, Sarabia-Cobo CM, Gonzalez-Gomez S, Ibanez-Rementeria I, Lavin-Alconero L, Sarabia-Cobo AB. Nursing students' emotional intelligence, coping styles and learning satisfaction in clinically simulated palliative care scenarios: An observational study. Nurse Educ Today. 2018;61:94-100. https://doi.org/10.1016/j.nedt.2017.11.013.
            41. Ferguson R, Cosby P. Nursing Students' Attitudes and Experiences Toward End-of-Life Care: A Mixed Methods Study Using Simulation. Clin. Simul. Nurs. 2017;13(8):343-346. https://doi.org/10.1016/j.ecns.2017.03.006.
            42. Hall MA. Critical care registered Nurses' Preparedness in the provision of End-of-Life Care. Dimens Crit Care Nurs. 2020;39(2):116-125. https://doi.org/10.1097/DCC.0000000000000406.
            43. Harrington KJ, Affronti ML, Schneider SM, Razzak AR, Smith TJ. Improving Attitudes and Perceptions About End-of-Life Nursing on a Hospital-Based Palliative Care Unit. J Hosp Palliat Nurs. 2019;21(4):272-279. https://doi.org/10.1097/NJH.0000000000000523.
            44. Valen K, Haug B, Holm AL, Jensen KT, Grov EK. From Palliative Care Developed During Simulation, to Performance in Clinical Practice—Descriptions From Nursing Students. J Hosp Palliat Nurs. 2020;22(3):204-212. https://doi.org/10.1097/NJH.0000000000000644.
            45. Jablonski A, McGuigan J, Miller CW. Innovative end-of-life simulation: Educating nursing students to care for patients during transition. Clinical Simulation in Nursing. 2020;48:68-74. https://doi.org/10.1016/j.ecns.2020.08.009.
            46. Sherlin MM, Quinn PT. End-of-life patient simulation: Lessons learned. Teaching and Learning in Nursing. 2016;11(4):184–188. https://doi.org/10.1016/j.teln.2016.05.002.
            47. O'Shea ER, Mager D. End-of-life nursing education: Enhancing nurse knowledge and attitudes. Appl Nurs Res. 2019;50:151197. https://doi.org/10.1016/j.apnr.2019.151197.
            48. Sarabia-Cobo CM, Alconero-Camarero AR, Lavín-Alconero L, Ibáñez-Rementería I. Assessment of a learning intervention in palliative care based on clinical simulations for nursing students. Nurse Educ Today. 2016;45:219-24. https://doi.org/10.1016/j.nedt.2016.08.014.
            49. Berndtsson IEK, Karlsson MG, Rejnö ÅCU. Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study. Heliyon. 2019;5(10):e02578. https://doi.org/10.1016/j.heliyon.2019.e02578.
            50. Cara Rodriguez R. Un estudio fenomenológico acerca de las percepciones de los profesionales de Enfermería sobre la muerte. Ene. 2020;14(1):14-17.
            51. Pabón-Ortiz EM, Mora-Cruz JV, Buitrago-Buitrago CY, Castiblanco-Montañez RA. Estrategias para fortalecer la humanización de los servicios en salud en urgencias. Rev. Cienc Ciudad. 2021;18(1):94-104. https://doi.org/10.22463/17949831.2512.
            52. García Campayo J, Demarzo M. Mindfulness y compasión la nueva revolución. España: Editorial Siglantana S.L.; 2015.
            53. Escribano S, Cabañero-Martínez MJ, Fernández-Alcántara M, García-Sanjuán S, Montoya-Juárez R, Juliá-Sanchis R. Efficacy of a Standardised Patient Simulation Programme for Chronicity and End-of-Life Care Training in Undergraduate Nursing Students. Int J Environ Res Public Health. 2021;18(21):11673. https://doi.org/10.3390/ijerph182111673.
            54. Smith MB, Macieira TGR, Bumbach MD, Garbutt SJ, Citty SW, Stephen A, et al. The Use of Simulation to Teach Nursing Students and Clinicians Palliative Care and End-of-Life Communication: A Systematic Review. Am J Hosp Palliat Care. 2018;35(8):1140-1154. https://doi.org/10.1177/1049909118761386.
            55. Randall D, Garbutt D, Barnard M. Using simulation as a learning experience in clinical teams to learn about palliative and end-of-life care: A literature review. Death Stud. 2018;42(3):172-183. https://doi.org/10.1080/07481187.2017.1334006.
            56. Egan H, Mantzios M, Jackson C. Health Practitioners and the Directive Towards Compassionate Healthcare in the UK: Exploring the Need to Educate Health Practitioners on How to be Self-Compassionate and Mindful Alongside Mandating Compassion Towards Patients. Health Professions Education. 2017;3(2):61-63. https://doi.org/10.1016/j.hpe.2016.09.002
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