A good death: A synthesis review of concept analyses studies

Abstract

Background

Because they spend so much time with the patient and their family, nurses can affect the care a patient receives across their lifespan up to and including their death. The idea of a good death is not a new one. It has evolved over the years to take on different attributes. Concept analysis can help crystalise an abstract and complex phenomenon, like a good death.

Objective

To synthesise the concept analyses and provide a shared understanding of a good death.

Design

Synthesis review of concept analysis.

Methods

Searched PubMed, CINAHL, and Medline (Ebsco) using the terms "concept analysis," "good death," and "peaceful death."

Results

This search revealed nine concept analyses of a good death centred around an adult population. Five analyses followed the Walker and Avant method, and four followed the Rodgers Evolutionary method. Some of the antecedents to a good death are the preparation for, awareness, and acceptance of death. The common attributes of a good death are symptom control and the presence of emotional support. The consequences of a good death are healthy bereavement for family and work satisfaction for healthcare providers.

Conclusions

The review highlights some of the paradoxes evident in a good death, making it imperative to have a shared understanding to provide patient-centred care.