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Reconciliation in palliative care: A concept analysis.

Margareta Karlsson1, Andrea Uhlman2, Benedict Kämper3

  • 1Department of Health Sciences, University West, Trollhättan, Sweden.

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|September 30, 2024
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Summary

Reconciliation in palliative care involves striving for acceptance, truth, and forgiveness to find meaning. Understanding this concept helps identify and support patients nearing the end of life.

Keywords:
concept analysiscontent analysishybrid modelpalliative carereconciliation

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Area of Science:

  • Palliative Care
  • End-of-Life Care
  • Existential Health

Background:

  • Terminal illnesses profoundly impact patients' and relatives' lives, creating existential stress.
  • The end of life often triggers a need for reconciliation.
  • Palliative care nurses require a nuanced understanding of reconciliation.

Purpose of the Study:

  • To explore the multifaceted meaning of reconciliation in the context of palliative care.
  • To enhance the understanding of existential needs at the end of life.

Main Methods:

  • Literature study utilizing a hybrid model.
  • Deductive qualitative content analysis of autobiographies from seriously ill patients in palliative care.
  • Grounded in the caritative theory of caring and adhering to the Helsinki Declaration.

Main Results:

  • Reconciliation involves acceptance, truthful living, and seeking forgiveness.
  • Patients aim to create meaning, integrating body, spirit, and soul.
  • Uniting suffering, life, death, and fostering peaceful relationships facilitates end-of-life reconciliation.

Conclusions:

  • Reconciliation is a crucial concept in end-of-life care.
  • It can be expressed implicitly, not always explicitly named.
  • A deeper understanding aids in identifying and supporting patients seeking reconciliation.