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Rural residents' perspectives on the rural 'good death'
 — a scoping review
Author(s)Susanne Rainsford, Roderick D MacLeod, Nicholas J Glasgow
Journal titleHealth and Social Care in the Community, vol 26, no 3, May 2018
PublisherWiley, May 2018
Pagespp 273-294
Sourcehttp://www.wileyonlinelibrary.com/journal/hsc
KeywordsDeath ; Dying ; Terminal care ; Attitude ; Rural areas ; Literature reviews.
AnnotationThe 'good death' is one objective of palliative care, with many 'good death' viewpoints and research findings reflecting the urban voice. Rural areas are distinct and need special consideration. This scoping review identified and charted current research knowledge on the 'good' rural death through the perspectives of rural residents, including rural patients with a life-limiting illness, to identify evidence and gaps in the literature for future studies. A comprehensive literature search of English language articles (no date filter applied) was conducted in 2016 (2 January to 14 February) using five library databases (PubMed, CINAHL, Scopus, PsycINFO and Web of Science). Reference lists of included articles, recent issues of eight relevant journals and three grey literature databases were also hand-searched. Twenty articles (for 17 studies and one systematic review) were identified after a two-phase screening process by two reviewers, using pre-determined inclusion criteria. Data from each study were extracted and charted; a thematic analysis was used of the included articles' content, and with a quantitative analysis of the scoping review. These papers revealed data collected from rural patients with a life-limiting illness and family caregivers, rural healthcare providers, the wider rural community, rural community leaders and rural health administrators and policy makers. Rural locations were heterogeneous. Residents from developed and developing countries believe a 'good death' is one that is peaceful, free of pain and without suffering; however, this is subjective and priorities are based on personal, cultural, social and religious perspectives. Currently, there is insufficient data to generalise rural residents' perspectives and what it means for them to die well. Given the extreme importance of a 'good death', there is a need for further studies to elicit rural patient and family caregiver perspectives. (RH).
Accession NumberCPA-180525217 A
ClassmarkCW: CX: LV: DP: RL: 64A

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