Author(s) – Cornelia M. Ruland and Shirley M. Moore
First published – 1998
Source: Ruland, C. M., & Moore, S. M. (1998). Theory construction based on standards of care: A proposed theory of the peaceful end of life. Nursing Outlook, 46(4), 169-175J. https://doi.org/10.1016/s0029-6554(98)90069-0.
Major Concepts
Not being in pain, experience of comfort, experience of dignity/respect, being at peace, and closeness to significant others/persons who care
Typology
Mid-range theory
Brief Description
The Peaceful End-of-Life theory focuses on providing purposeful and dignified care in the time that remains for terminally ill patients, their families, and friends (Ruland & Moore, 1998). To achieve a peaceful end-of-life, the theory outlines five outcome criteria: not being in pain, experiencing comfort, experiencing dignity and respect, being at peace, and closeness to significant others / and persons who care. The theory provides explanations of specific nursing approaches to support and achieve peaceful end-of-life conditions for the patient and families.
Primary Source(s)
Ruland, C. M., & Moore, S. M. (1998). Theory construction based on standards of care: a proposed theory of the peaceful end of life. Nursing outlook, 46(4), 169–175. https://doi.org/10.1016/s0029-6554(98)90069-0
Also see: Alligood, M.R. (2017). Nursing theorists and their work – E-book, 9th edition. Elsevier Health Sciences. books.google.com/books?id=I7stDwAAQBAJ
About the Authors
Cornelia M. Ruland, PhD received her doctorate in nursing in 1998 from Case Western University in Cleveland, Ohio. She was the director of the Center for Shared Decision Making and Nursing Research at Rikshospitalet University Hospital in Oslo, Norway. From
Dr. Ruland is Director of the Rikshospitalet-Radiumhospitalet Medical Center in Oslo, Norway. She has an RN degree and a PhD in nursing informatics, and holds the title of Professor of Medicine at the University of Oslo. She also holds an adjunct faculty position in biomedical informatics at Columbia University in New York. She has made sustained and influential contributions to the field in the areas of eliciting and incorporating patient preferences into decision making by care providers, use of hand-held technologies for preference-based care planning, and creation and evaluation of shared decision making based in informatics principles. . . . Dr. Ruland is one of the most productive nursing informatics researchers in the world, who has methodically evaluated the innovative systems she has designed using prospective randomized clinical trials. She has been principal investigator on 30 grants, and her ideas have been influential in nursing practice in many countries, including the US.
Shirley M. Moore PhD, RN, FAAN, is the Edward J. and Louise Mellon Professor of Nursing and Associate Dean for Research, Case Western Reserve University, Cleveland, Ohio. She has a bachelor’s degree in nursing from Kent State University and master and PhD degrees from Case Western Reserve University. Dr. Moore has been a leader in health professions education addressing quality improvement for the past 20 years, having designed the first quality improvement course for health care professionals in training in 1994 at Case Western Reserve University. She has since edited and contributed to several books addressing quality improvement education for health professionals. Dr. Moore is past president of the Academy for Healthcare Improvement. She has provided leadership on six national projects addressing the design and test of interdisciplinary curricula on continuous quality improvement and she is currently co-Director of the VA Quality Scholars Program. Dr. Moore was a member of the leadership team of the national Quality and Safety Education for Nurses (QSEN) project and is on the leadership team of the QSEN Institute located at Case Western Reserve University. Dr. Moore has an active program of research in cardiovascular disease risk factor reduction in which she uses process improvement techniques for health behavior change. She is the Director of a National Institutes of Health-funded Center of Excellence in Self-Management Research. Dr. Moore is a fellow in the National Academies of Practice, the American Heart Association and the American Academy of Nursing. (from https://www.coursera.org/instructor/moore?isNewUser=true&authMode=signupSuccess)