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A Systematic Scoping Review on Dignity Assessment Tools
Yun Xue Lim1, Elaine Li Ying Quah1, Keith Zi Yuan Chua1
1Yong Loo Lin School of Medicine (Y.X.L., E.L-Y.Q., K.Z-Y.C., S.M.O., L.K.R.R), National University of Singapore, Singapore; Division of Supportive and Palliative Care (Y.X.L., E.L-Y.Q., K.Z-Y.C., C.K.L.R., S.M.O., E.K.O., G.L.K.P., L.K.R.R), National Cancer Centre Singapore, Singapore.
Journal of Pain and Symptom Management
|December 13, 2023
Summary
Current dignity assessment tools in palliative care are insufficient. A portfolio-based approach is proposed for timely, patient-specific dignity evaluations, capturing holistic self-concepts.
Area of Science:
- Palliative Care
- Patient-Centered Medicine
- Healthcare Assessment
Background:
- Person-centered, dignity-conserving care is crucial in palliative care.
- Assessing patient dignity requires reevaluation due to its multifaceted nature.
Purpose of the Study:
- To identify existing tools for assessing patient dignity.
- To determine the elements of dignity evaluated by these tools.
Main Methods:
- Two concurrent Systematic Evidence-Based Approach (SEBA) guided systematic scoping reviews (SSR) were conducted.
- Searched multiple databases (PubMed, Embase, PsycINFO, Cochrane, Scopus, CINAHL) for dignity assessment tools and accounts of dignity assessments.
- Included 22 full-text articles for dignity assessment tools and 46 for accounts of dignity assessments.
Main Results:
- Identified key domains: factors influencing patients' definition of dignity.
- Highlighted elements of dignity-conserving care.
- Examined components of effective dignity assessment tools.
Conclusions:
- Existing dignity assessment methods and tools do not holistically capture evolving patient self-concepts of dignity.
- A portfolio-like appraisal is proposed for timely, longitudinal, and patient-specific dignity assessments.
- Multidisciplinary team portfolio-based assessments can improve evaluations of changing dignity concepts while preserving holistic patient perception.
