Academic Journal
Exploring difficulties, dropout causes, and professional involvement in applying dignity therapy for palliative care patients: a scoping review.
| Τίτλος: | Exploring difficulties, dropout causes, and professional involvement in applying dignity therapy for palliative care patients: a scoping review. |
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| Συγγραφείς: | Fernández-Araque A; Department of Nursing, Faculty of Health Science, University of Valladolid, Campus duques de Soria, 42004, Soria, Spain. Electronic address: anamaria.fernandez@uva.es., Sapiña-Beltrán E; Predepartment of Nursing, Faculty of Health Sciences, University of la rioja, c/ duquesa de la victoria n° 88, 26004, Logroño, Spain. Electronic address: ester.sapina@unirioja.es., Llorente Alonso M; Mental Health center Soria, University Hospital of Soria, Faculty of Health Science, University of Valladolid, Campus duques de Soria, 42004, Soria, Spain. Electronic address: marta.llorente@uva.es., Verde Z; Department of Biochemistry and Molecular Biology and Physiology, Faculty of Health Science, University of Valladolid, Campus duques de Soria, 42004, Soria, Spain. Electronic address: zoraida.verde@uva.es., Ramírez-Torres CA; Predepartment of Nursing, Faculty of Health Sciences, University of la rioja, c/ duquesa de la victoria n° 88, 26004, Logroño, Spain. Electronic address: carmen-amaia.ramirez@unirioja.es., García-Navarro EB; Department of Nursing, University of Huelva, Huelva. Avda. tres de Marzo, S/n, 21071, Huelva, Spain. Electronic address: bego.garcia@denf.uhu.es. |
| Πηγή: | European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2026 Apr; Vol. 81, pp. 103069. Date of Electronic Publication: 2025 Dec 04. |
| Τύπος έκδοσης: | Journal Article; Scoping Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 100885136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2122 (Electronic) Linking ISSN: 14623889 NLM ISO Abbreviation: Eur J Oncol Nurs Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Edinburgh ; New York : Churchill Livingstone, c1998- |
| Ιατρικοί όροι (MeSH): | Palliative Care*/psychology , Palliative Care*/methods , Patient Dropouts*/psychology , Patient Dropouts*/statistics & numerical data , Terminally Ill*/psychology , Dignity Therapy*, Humans |
| Περίληψη: | Purpose: To explore and summarize the published literature on the most common causes of dropout and the challenges in implementing Dignity Therapy (DT) in terminally ill patients, as well as the training of the professionals involved. Methods: A systematic scoping review was conducted following the methodology of the Joanna Briggs Institute (JBI) for scoping reviews, using the PAGER framework. The databases consulted included PUBMED, CINAHL, PsycINFO, and SCOPUS. Two independent reviewers applied the established criteria. The PRISMA-ScR guidelines were followed for reporting. Results: The review identified twenty-seven published articles, highlighting three key themes: reasons for dropout and/or recruitment issues, challenges and limitations in studies on Dignity Therapy, and the professionals who implement it, along with their training. These themes prompted reflection on the pre-methodological preparation for patient and family recruitment, as well as therapy continuity. While Dignity Therapy is beneficial, it presents challenges in terms of follow-up and efficacy. Conclusions: Refusal or dropout from Dignity Therapy in palliative care is associated with emotional, cultural, physical, and contextual factors. Understanding these factors is crucial to improving communication and adapting the therapy, thereby promoting its acceptance. Dignity Therapy faces challenges related to patient health, costs, cultural diversity, and staff training. The shortage of trained professionals and the lack of detailed information on therapist training are key limitations that must be addressed for effective implementation. (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Competing Interests: | Declaration of competing interest None declared. |
| Contributed Indexing: | Keywords: Allied health professionals; Dignity therapy; Palliative care; Scoping review; Terminal illness; Therapist training |
| Entry Date(s): | Date Created: 20260207 Date Completed: 20260707 Latest Revision: 20260709 |
| Update Code: | 20260709 |
| DOI: | 10.1016/j.ejon.2025.103069 |
| PMID: | 41653558 |
| Βάση Δεδομένων: | MEDLINE |
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