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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Meaning Making in Palliative Nursing.

Natalie S McAndrew1, Betty Ferrell, Jennifer B Seaman

  • 1Natalie S. McAndrew is nurse scientist and senior associate consultant at the Mayo Clinic in Rochester, MN. Betty Ferrell is professor and director, Nursing Research Division, City of Hope Medical Center in Duarte, CA. Jennifer B. Seaman is assistant professor at the University of Pittsburgh School of Nursing in Pittsburgh, PA. Colleen McCracken is system educator-RN at Froedtert Health in Milwaukee, WI. William E. Rosa is assistant attending behavioral scientist at Memorial Sloan Kettering Cancer Center in New York City. Contact author: Natalie S. McAndrew, mcandrew.natalie@mayo.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

Meaning-focused palliative nursing helps patients, families, and nurses cope with serious illness. This approach enhances connection, communication, and care delivery, offering benefits for all involved.

Keywords:
existential distressmeaning makingpalliative nursingserious illness

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Area of Science:

  • Palliative Care
  • Nursing
  • Psychosocial Support

Background:

  • Serious illness presents significant challenges for patients and family caregivers.
  • Nurses also face emotional and existential challenges in providing palliative care.
  • A meaning-focused approach offers a framework to address these challenges.

Purpose of the Study:

  • To review the theoretical underpinnings of meaning-making in serious illness.
  • To describe strategies for implementing meaning-focused nursing care.
  • To identify opportunities for enhancing palliative care practice.

Main Methods:

  • Literature review of theoretical foundations.
  • Description of formal and informal meaning-focused nursing interventions.
  • Analysis of benefits for patients, caregivers, and nurses.

Main Results:

  • Meaning-making provides a framework for coping and communication.
  • It fosters connection and optimizes clinical care.
  • Benefits extend to patients, family caregivers, and nurses.

Conclusions:

  • Meaning-focused palliative nursing is beneficial for patients, families, and nurses.
  • It enhances coping, connection, and care delivery.
  • Further practice improvements can leverage meaning-making strategies.