A ‘good death’ needs good cooperation with health care professionals – a qualitative focus group study with seniors, physicians and nurses in Germany
2024

Understanding a Good Death: Insights from Seniors and Healthcare Professionals

Sample size: 79 publication 10 minutes Evidence: moderate

Author Information

Author(s): Laura Mohacsi, Lena Stange, Saskia Höfig, Lisa Nebel, Daniel Broschmann, Eva Hummers, Evelyn Kleinert

Primary Institution: University Medical Center Göttingen

Hypothesis

How can a good death be achieved from the perspectives of seniors, physicians, and nursing staff?

Conclusion

Effective communication and cooperation among patients, families, and healthcare professionals are crucial for ensuring a good death.

Supporting Evidence

  • Good communication and cooperation are essential for a good death.
  • Acceptance of death is necessary for quality end-of-life care.
  • Healthcare professionals often face challenges in discussing end-of-life wishes.
  • Family involvement is crucial in ensuring that patients' wishes are respected.
  • Treatment cultures in hospitals can conflict with patients' end-of-life preferences.
  • Many patients prefer to die at home, but hospitalizations are common.
  • Healthcare professionals report feeling unprepared for end-of-life discussions.
  • Organizational structures can hinder effective communication about end-of-life care.

Takeaway

To have a good death, it's important for everyone involved—like doctors, nurses, and family—to talk and work together well.

Methodology

The study used a qualitative design with 16 focus group discussions involving seniors, physicians, and nursing staff.

Potential Biases

Potential bias due to the exclusion of certain demographics and reliance on self-reported data.

Limitations

The study did not include seniors in long-term care or nursing home residents, which may limit the generalizability of the findings.

Participant Demographics

Participants included 27 seniors aged 75 and older, 24 physicians, and 28 nursing staff, with a mix of genders and professional backgrounds.

Digital Object Identifier (DOI)

10.1186/s12904-024-01625-x

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