A Systematic Scoping Review on Dignity Assessment Tools

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

CONTEXT: The provision of person-centered dignity-conserving care is central to palliative care. It is important to reevaluate current methods of assessing dignity as the concept of dignity is multifaceted.

OBJECTIVES: The aim of this study is to understand the tools which are used to assess a patient's dignity and the elements of dignity evaluated in these tools.

METHODS: Two independent and concurrent Systematic Evidence-Based Approach guided systematic scoping reviews (SSR in SEBA) on existing dignity assessment tools and on accounts of assessments of dignity were carried out. The SSR in SEBA on dignity assessment tools involving PubMed, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Scopus, and CINAHL databases saw 22 full-text articles included from the 645 articles reviewed. The SSR in SEBA on accounts of assessments of dignity featured in the PubMed database identified 102 full-text articles which saw 46 articles included.

RESULTS: The domains identified were factors affecting patients' definition of dignity; elements of dignity-conserving care; and components of effective tools.

CONCLUSION: Current accounts to assess dignity and assessment tools fail to capture shifting self-concepts of dignity holistically. A portfolio-like appraisal of dignity is proposed to achieve assessments that are timely, longitudinal, and patient-specific. Portfolio-based assessments by members of the multidisciplinary team will better direct timely evaluations of relevant aspects of changing concepts of dignity, without losing the patient's holistic perception of dignity.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:67

Enthalten in:

Journal of pain and symptom management - 67(2024), 4 vom: 15. März, Seite e263-e284

Sprache:

Englisch

Beteiligte Personen:

Lim, Yun Xue [VerfasserIn]
Quah, Elaine Li Ying [VerfasserIn]
Chua, Keith Zi Yuan [VerfasserIn]
Lin Ronggui, Casper Keegan [VerfasserIn]
Govindasamy, Ranitha [VerfasserIn]
Ong, Simone Meiqi [VerfasserIn]
Ong, Eng Koon [VerfasserIn]
Phua, Gillian Li Gek [VerfasserIn]
Krishna, Lalit Kumar Radha [VerfasserIn]

Links:

Volltext

Themen:

Dignity
Dignity assessment
Dignity care
End-of-life
Journal Article
Palliative care
Personhood
Review

Anmerkungen:

Date Completed 15.03.2024

Date Revised 15.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jpainsymman.2023.12.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365829641