Concept Analysis of Good Dying=善終之概念分析

Abstract

Good dying is the primary goal in end-of-life care. The concept of good dying is very complicated and broad. There were many different perspectives and applications. The purpose of this article is to clarify the concept of good dying. The analysis of this concept has been guided by Walker and Avant's framework of concept analysis. The literature was reviewed to identify all uses regarding "good dying". The defining attributes of good dying were identified as being comfortable, being in control, integrity , awareness or peace with impending death, completion, affirmation, good relationships with others, burden minimized, and contribution to others. Advance directives, communication, and quality of care in end of life were the antecedents of good dying. When good dying occurs, it leads to peaceful and dignified death, family satisfaction, positive bereavement process, and work satisfaction for care professionals . Knowing the concept of good dying would enable health professionals to assess the needs of the terminally-illed patients and their families, and to develop care plans to improve the quality of care at the end of life.