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Published on: August 5, 2020
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Veterans Affairs Nurses' Perception of a Dignified Death
1Susan B. Fowler, PhD, RN, CRRN, NE-BC, FCNS, is chief nurse, Research & Innovation, Orlando Veterans Affairs Healthcare System, FL.
Summary
Veterans Affairs nurses perceive a dignified death positively, emphasizing wishes, peace, spirituality, and pain-free experiences. This understanding supports enhanced end-of-life care for veterans.
Area of Science:
- Nursing
- Gerontology
- Palliative Care
Background:
- A dignified death, also termed a good death or dying with dignity, is crucial in end-of-life care.
- Nurses caring for veterans recognize the significance of an honorable death for this population.
- Understanding nurses' perceptions is vital for improving veteran support during the dying process.
Purpose of the Study:
- To describe and compare perceptions of a dignified death among nurses caring for veterans in Veterans Affairs (VA) settings.
- To explore the essential components of a good death as identified by these nurses.
Main Methods:
- A descriptive, exploratory study design was employed.
- An online survey was administered to nurses working in VA facilities.
- The survey included validated scales measuring dying with dignity and a good death.
Main Results:
- Nurses reported high to moderately high scores for dying with dignity and a good death.
- Essential elements of a good death identified by nurses included wishes, peace, spirituality, and being pain-free.
- No significant differences in perceptions were found based on nurses' age or end-of-life experience.
Conclusions:
- Veterans Affairs nurses possess a strong, positive perception of a dignified death.
- These perceptions form a foundational understanding for providing comprehensive support to veterans before, during, and after death.
- This study highlights the importance of nurses' perspectives in shaping end-of-life care for veterans.
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