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Open Access Self-Determination: Analysis of the Concept and Implications for Research in Palliative Care L'autodétermination: analyse du concept et implications sur la recherche dans le domaine des soins palliatifs

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This paper analyzes the evolution and the definition, current use, and application of the concept of self-determination in palliative care research and practice. Undertaken as a foundation for the development of a palliative care research program, the analysis considers selected historical, bioethical, legal, clinical, and relevant medical and nursing health-care literature on adults with chronic and terminal illness. Based on a synthesis of the literature, a conceptual definition is proposed and ways of integrating the concept of self-determination into palliative care intervention research are identified.

French
Cet article analyse l'évolution, la définition, l'emploi courant et l'application du concept d'autodétermination dans le cadre de la recherche et de la pratique en soins palliatifs. L'analyse présentée vise à servir de base au développement du programme de recherche sur les soins palliatifs. L'auteure examine une littérature choisie portant sur les soins de santé aux adultes atteints d'une maladie chronique ou mortelle, notamment sur l'aspect historique, bioéthique, clinique, médical et infirmier. À partir d'une synthèse de la documentation, celle-ci propose une définition conceptuelle tout en identifiant des moyens d'intégrer le concept d'autodétermination dans la recherche portant sur les interventions palliatives.

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Keywords: AUTONOMY; CONCEPT ANALYSIS; INTEGRATIVE REVIEW; PALLIATIVE CARE; RODGERS METHOD; SELF-DETERMINATION

Document Type: Research Article

Publication date: 2005-06-01

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