Year: 2025
Type: conference-paper
Abstract: Introduction Understanding the importance of legacy in end-of-life (EoL) scenarios enables palliative care professionals to improve person-centered outcomes for individuals with life-threatening illnesses and their families. Aims The purpose of this concept analysis was to explore the legacy concept in end-of-life care. Methods Using the Walker and Avant’s eight-step concept analysis method, we explore definitions, defining characteristics, antecedents, consequences and empirical referents. Following a comprehensive examination of titles and abstracts, a total of 30 publications were evaluated. These publications were obtained from three databases (CINAHL, Medline via PubMed, and Scopus) spanning the years 2002 to 2023. Results The findings identified several attributes of legacy: (a) leaving behind something of value that transcends mortality; (b) determining how individuals wish to be remembered; (c) constructing and bequeathing across generations; (d) integrating advance care planning through EoL discussions and collaborative decision-making; and (e) formulating strategies for dignity-conserving care. The outcomes pertain to enhancements in spiritual and subjective well-being; addressing unavoidable EoL existential concerns; mitigate suffering; cultivating self-awareness, hope and gratitude; attaining and preserving dignity; generate positive memories; encouraging mutually beneficial and transformative relationships; and facilitating the adaptation of bereaved individuals. Conclusion This concept analysis emphasizes how legacy acts as a remembrance factor throughout time, assisting caregivers in supporting EoL patients and their families in managing suffering and attaining improved adaptation to situational demands. Impact Additional effort is necessary to actualize the core attributes of legacy that underpin the development of legacy-focused interventions toward the EoL.
Institutions: Universidade de Leiria e Oeste, Hospital de Santo André
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4407285106