Concept Analysis of “Family Commitment” to Patients Receiving End-of-Life Care at Home

Abstract

[ Purpose] This study aimed to analyze the concept of “family commitment” to supporting patients receiving end-of-life care at home and define the structure of this concept.

[ Methods] Using a web search engine, we searched the literature published between 2000 and 2022, and 15 articles were extracted. As a result of using Roger’s concept analysis.

[ Results] Family commitment was defined as: “the process in which families incorporate nursing care into their daily lives with a supportive attitude, while striving to develop their own caregiving skills and build a system of support from people around them, so that they can develop a sense of independence and fulfillment, which helps them confront the impending death and prepare for their last moments.”

[ Conclusions] Family commitment shifted to active engagement in care through the process of confronting the patient with emotional bonding as the core. The results also indicated that it involves decision-making at the end of the lives of patients.