{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T06:47:03Z","timestamp":1781938023885,"version":"3.54.5"},"reference-count":59,"publisher":"Mark Allen Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care focuses not only on physical symptoms, but also addresses the psychological, social and spiritual dimensions of the individual. Spiritual care\u2014understood as the search for meaning, purpose, and peace\u2014is often neglected in clinical practice. Dignity therapy is a brief, individualised psychotherapeutic intervention designed to preserve dignity and respond to existential and spiritual needs at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To narratively examine the reported outcomes and feasibility of dignity therapy as a nursing intervention to address spiritual needs in patients receiving palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A narrative literature review was conducted by searching PubMed, CINAHL, Embase and Scopus databases. Inclusion and exclusion criteria were applied, and eight relevant studies were selected. The clinical question was developed using the Population\u2013 Situation methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The included studies suggest that dignity therapy significantly contributes to maintaining patients\u2019 dignity, enhancing spiritual wellbeing, and promoting meaning and purpose. Positive effects were also reported in relation to quality of life, anxiety and depression, usefulness of the intervention, social and family support, fear and sense of pride. However, some findings were inconclusive, and several authors highlight the need for specific training to deliver DT effectively in nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Dignity therapy represents a promising intervention in palliative nursing care to support the spiritual dimension of patients at the end of life. Further research is needed to validate its outcomes, particularly when delivered by nurses, and to establish conditions that enable its integration into routine care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/ijpn.2025.0036","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T16:35:38Z","timestamp":1774024538000},"page":"124-134","source":"Crossref","is-referenced-by-count":1,"title":["Dignity therapy as a nursing intervention to address spiritual needs in palliative care: a narrative review"],"prefix":"10.12968","volume":"32","author":[{"given":"Asia","family":"Streparola","sequence":"first","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Provasoli","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Cosmai","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Maria","family":"Modena","sequence":"additional","affiliation":[{"name":"Registered nurse, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Cattani","sequence":"additional","affiliation":[{"name":"Registered nurse, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Dacomi","sequence":"additional","affiliation":[{"name":"Registered nurse, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Chiari","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Scollo","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Mancin","sequence":"additional","affiliation":[{"name":"Registered nurse, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Parozzi","sequence":"additional","affiliation":[{"name":"Registered nurse, University of Parma, Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Lopane","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Mazzoleni","sequence":"additional","affiliation":[{"name":"Registered nurse, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.IJNMR_108_18"},{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-019-0064-8"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2018.06.005"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/rel14030320"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091211011712"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06227-4"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.17.2253"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.08.391"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70153-X"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-003696"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2008.027235"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269216303pm699oa"},{"issue":"3","key":"e_1_3_2_13_1","first-page":"290","article-title":"Efficacy of group meaning-centered hope therapy of cancer patients and their families on patients\u2019 quality of life","volume":"19","author":"Farhadi M","year":"2014","unstructured":"Farhadi M, Reisi-Dehkordi N, Kalantari M, Zargham-Boroujeni A. 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