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Targeted hand-searches of key journals were performed between March and June 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 32 articles were included. Patients\u2019 understandings varied but dignity was commonly described as \u201cbeing treated like a human being.\u201d Three themes were identified: (1) Inner experience, encompassing physical and psychological experiences, self-worth, resilience, and spirituality; (2) Relational and interactional dynamics, including personal autonomy and self-determination, and social relationships and support systems; and (3) Macro-structural determinants, comprising healthcare systems and delivery, as well as economic and socio-political circumstances. Cultural values shaped the perception and preservation of dignity. In collectivist societies, dignity was intricately linked to family, community, religion, and social harmony, whereas in individualist societies, dignity centred on autonomy and control over end-of-life decisions. Immigrants negotiated dignity through interactions between cultural values and healthcare expectations within host countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This review provides an integrated understanding of the factors shaping patients\u2019 perceptions of dignity in palliative care across cultures. The findings could usefully inform patient-centred and culturally sensitive palliative care practices that uphold dignity and promote well-being at the end of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261441427","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:40:52Z","timestamp":1777290052000},"page":"971-986","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patients\u2019 dignity in palliative care: An integrative review of lived experiences and family perspectives across cultures"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6534-8276","authenticated-orcid":false,"given":"Wenjing","family":"Yan","sequence":"first","affiliation":[{"name":"School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand"},{"name":"School of Nursing, Xuzhou Medical University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8758-5675","authenticated-orcid":false,"given":"Rosemary","family":"Frey","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7556-392X","authenticated-orcid":false,"given":"Deborah","family":"Raphael","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-962X","authenticated-orcid":false,"given":"Merryn","family":"Gott","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1179\/1743291X13Y.0000000064"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12791"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01408-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151435"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314528399"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733019845128"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0147607"},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","unstructured":"Zhang Y Li J Hu X. 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