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Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
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Updated: Nov 12, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Thoughts About Presence During Dying.

Jacqueline Fawcett1, Jennifer Morgan1

  • 1Department of Nursing, University of Massachusetts Boston, Boston, MA, USA.

Nursing Science Quarterly
|March 22, 2021
PubMed
Summary

Nurses can ensure patients do not die alone through the "No One Dies Alone" program, adapted during the pandemic. This initiative emphasizes compassionate, true presence with the dying, honoring their final moments.

Area of Science:

  • Nursing Care
  • End-of-Life Care
  • Patient Advocacy

Background:

  • Hospitalized patients face risks of dying alone, particularly during public health crises.
  • The coronavirus pandemic necessitated adaptations in end-of-life care protocols.
  • Ensuring a compassionate presence for the dying is a critical aspect of holistic nursing.

Purpose of the Study:

  • To describe the implementation and modifications of a "No One Dies Alone" program.
  • To explore strategies for providing presence to dying patients during hospitalization.
  • To highlight the importance of true presence in end-of-life nursing care.

Main Methods:

  • Review of a pilot program, "No One Dies Alone."
  • Discussion of program modifications in response to the coronavirus pandemic.
Keywords:
Parsedeathdyingnursingpresencetrue presence

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  • Application of Parse's theory of true presence to end-of-life care.

    • Main Results:

    • The "No One Dies Alone" program provides a framework for preventing solitary deaths.
    • Pandemic-related modifications ensured continued compassionate presence.
    • True presence emerged as a central element in providing dignified end-of-life care.

    Conclusions:

    • Nurses play a vital role in ensuring patients do not die alone.
    • Adaptable programs like "No One Dies Alone" are essential for end-of-life care.
    • Embracing concepts like true presence enhances the quality of care for dying patients.