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A Model of Death Preparedness in Patients With Advanced Cancer: A Grounded Theory Study
Xi Zhang1,2, Tieying Zeng1, Meizhen Zhao1
1Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Journal of Advanced Nursing
|December 9, 2024
Summary
This study developed a model for death preparedness in advanced cancer patients. It highlights a spiraling process influenced by personal, social, and care factors, aiming to improve end-of-life quality.
Area of Science:
- Oncology
- Palliative Care
- Qualitative Research
Background:
- Death preparedness is crucial for quality end-of-life care in advanced cancer patients.
- Existing research on death preparedness in this population is limited, necessitating further investigation.
- Improving death preparedness can significantly enhance the patient's quality of death.
Purpose of the Study:
- To develop a comprehensive model of death preparedness specifically for patients with advanced cancer.
- To elucidate the dynamic process and influencing factors of death preparedness.
Main Methods:
- A qualitative approach utilizing grounded theory was employed.
- Data were gathered through semi-structured interviews with patients, family members, nurses, and doctors.
- Analysis involved open, axial, and selective coding, adhering to COREQ guidelines.
Main Results:
- Death preparedness is conceptualized as a spiraling process.
- Key components include death awareness, emotional response, hospice care, and reflexive care.
- This process is significantly influenced by personal, interpersonal, and social factors.
Conclusions:
- A grounded theory-based model of death preparedness in advanced cancer patients was constructed.
- The model illuminates the formation and change process of death preparedness.
- This understanding facilitates targeted support, enhancing quality of life and reducing psychological burden for patients and families.
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