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Elements of healthy death: a thematic analysis
Fatemeh Estebsari1, Mohammad Hossein Taghdisi2, Davood Mostafaei3
1Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian perspectives on a "healthy death" emphasize dying peacefully, without financial burden or distress. This qualitative study identified key elements for a positive end-of-life experience, promoting quality care for all.
Area of Science:
- Medical Sociology
- Thanatology
- Qualitative Health Research
Background:
- Death is an inevitable natural phenomenon, previously viewed negatively.
- Research is shifting towards concepts like 'acceptable death' and 'good death'.
- 'Healthy death' promotes a positive outlook and a fulfilling life until the end.
Purpose of the Study:
- To explore and elucidate Iranian perspectives on the constituent elements of a healthy death.
Main Methods:
- Qualitative thematic analysis conducted over 12 months in Tehran hospitals.
- 23 in-depth interviews with 21 participants.
- Systematic transcription, immersion, and analysis to extract themes.
Main Results:
- A core category of 'healthy death' emerged with 10 subthemes.
- Key elements include timely, hassle-free, cost-free, and independent dying.
- Other themes: peaceful death, ease in dying, not dying alone, dying at home, inspired death, preplanned death, and spiritual presence.
Conclusions:
- The study successfully defined elements contributing to a healthy death from the Iranian perspective.
- Healthcare professionals should consider these factors to facilitate positive end-of-life experiences.
- Quality end-of-life care services are crucial for enabling patients to achieve a healthy death.
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