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Context: The provision of person-centered dignity-conserving care is central to palliative care. It is important to reevaluate current methods of assessing dignity as the concept of dignity is multifaceted.

Objectives: The aim of this study is to understand the tools which are used to assess a patient's dignity and the elements of dignity evaluated in these tools.

Methods: Two independent and concurrent Systematic Evidence-Based Approach guided systematic scoping reviews (SSR in SEBA) on existing dignity assessment tools and on accounts of assessments of dignity were carried out. The SSR in SEBA on dignity assessment tools involving PubMed, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Scopus, and CINAHL databases saw 22 full-text articles included from the 645 articles reviewed. The SSR in SEBA on accounts of assessments of dignity featured in the PubMed database identified 102 full-text articles which saw 46 articles included.

Results: The domains identified were factors affecting patients' definition of dignity; elements of dignity-conserving care; and components of effective tools.

Conclusion: Current accounts to assess dignity and assessment tools fail to capture shifting self-concepts of dignity holistically. A portfolio-like appraisal of dignity is proposed to achieve assessments that are timely, longitudinal, and patient-specific. Portfolio-based assessments by members of the multidisciplinary team will better direct timely evaluations of relevant aspects of changing concepts of dignity, without losing the patient's holistic perception of dignity.

Titel:	A Systematic Scoping Review on Dignity Assessment Tools.
Autor/in / Beteiligte Person:	Lim, YX ; Quah, ELY ; Chua, KZY ; Lin Ronggui, CK ; Govindasamy, R ; Ong, SM ; Ong, EK ; Phua, GLG ; Krishna, LKR
Zeitschrift:	Journal of pain and symptom management, Jg. 67 (2024-04-01), Heft 4, S. e263-e284
Veröffentlichung:	New York, NY : Elsevier ; <i>Original Publication</i>: [Madison, WI : Dept. of Anesthesiology, University of Wisconsin--Madison, 1986-, 2024
Medientyp:	academicJournal
ISSN:	1873-6513 (electronic)
DOI:	10.1016/j.jpainsymman.2023.12.008
Schlagwort:	Humans Respect Personhood Systematic Reviews as Topic Palliative Care methods Terminal Care
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Review Language: English [J Pain Symptom Manage] 2024 Apr; Vol. 67 (4), pp. e263-e284. <i>Date of Electronic Publication: </i>2023 Dec 12. MeSH Terms: Terminal Care* ; Humans ; Respect ; Personhood ; Systematic Reviews as Topic ; Palliative Care / methods Contributed Indexing: Keywords: Dignity; dignity assessment; dignity care; end-of-life; palliative care; personhood Entry Date(s): Date Created: 20231213 Date Completed: 20240315 Latest Revision: 20240315 Update Code: 20240315

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A Systematic Scoping Review on Dignity Assessment Tools.