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Nursing issues
Metasynthesis: dying adults’ transition process from cure‐focused to comfort‐focused care
  1. Alison Kate Lillie1,
  2. Amanda Cheesley2
  1. 1Faculty of Health, Keele University, Keele, UK
  2. 2Nursing Policy and Practice Department, Royal College of Nursing, London, UK
  1. Correspondence to Amanda Cheesley, Royal College of Nursing, London, UK; amanda.cheesley{at}

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Commentary on: Meeker MA, McGinley JM, Jezewski MA. Metasynthesis: dying adults’ transition process from cure-focused to comfort-focused care. J Adv Nurs 2019 Feb 7. Epub ahead of print. doi:10.1111/jan.13970

Implications for practice and research

  • It is important to introduce and integrate the concept of palliative and end-of-life care well in advance of anticipated death to allow patients and those important to them to reframe their expectations and understanding of their condition that enables patients and families to find meaning and value in the last phase of life.

  • There is a need for more research into the barriers and enablers of transition to end-of-life care.


This paper addresses an important topic as communication and shared decision making are integral to good end-of-life care.1 It interrogates the transition from cure-focused medical care to care that prioritises comfort and quality of life and quality of …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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