Living in the moment for people approaching the end of life: a concept analysis

Donmez, Ç. F. and Johnston, B. (2020) Living in the moment for people approaching the end of life: a concept analysis. International Journal of Nursing Studies, 108, 103584. (doi: 10.1016/j.ijnurstu.2020.103584) (PMID:32450405)

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Abstract

Background 'Living in the moment' is an essential part of dignity-conserving practice in end-of-life care settings. Although living in the moment is important for care at the end of life, from the perspective of both the person and their family, there is no clear conceptual understanding of what it represents. Objective To explore the concept of 'living in the moment' in the context of dignity-conserving care at the end of life. Design A concept analysis. Data sources The databases of Medline, CinAHL, PubMed, Web of Science, PsycINFO, SocINDEX and Cochrane were searched for studies published between 1941 and 2019, and searches of dictionaries and grey literature, as well as hand-searching were conducted, to yield qualitative, mixed methods and systematic reviews published in English, related to the term 'living in the moment'. Method The methods of Walker and Avant were used to identify antecedents, attributes and consequences of the concept of 'living in the moment'. Results The literature review generated a total of 37 papers for this concept analysis. The attributes identified were (1) simple pleasure, (2) prioritising relationships, (3) living each day to the fullest, (4) maintaining normality, and (5) not worrying about the future. The antecedents were (1) awareness of dying, (2) living with life-threatening illness, (3) positive individual growth, and (4) living with an uncertain future. The consequences were (1) a good quality of life, (2) preserving dignity, and (3) coping with the uncertainty of life. Conclusions A universal definition and conceptual model of the main concept, including theoretical relationships between its antecedents, attributes and consequences, was developed. The definition and proposed conceptual model can allow instruments to be developed that measure the effects, existence or attributes of the concept, and identify a theoretical model, and can also lead to new perspectives and strategies for implementation by nurses to improve dignified person-centred care at the end of life.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Donmez, Dr Fulya and Johnston, Professor Bridget
Creator Roles:
Donmez, Ç. F.Visualization, Data curation, Formal analysis, Writing – original draft
Johnston, B.Visualization, Data curation, Formal analysis, Writing – original draft
Authors: Donmez, Ç. F., and Johnston, B.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:International Journal of Nursing Studies
Publisher:Elsevier
ISSN:0020-7489
ISSN (Online):1873-491X
Published Online:06 May 2020

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