• X de Voogd, M G Oosterveld-Vlug, M Torensma, B D Onwuteaka-Philipsen, D L Willems, and J L Suurmond.
• Department of Public Health, Amsterdam UMC and Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
• Palliat Med. 2020 Dec 1; 34 (10): 1385-1392.

BackgroundPreserving personal dignity is an important part of palliative care. Generally, autonomy, independency and not being a burden to others are emphasised for preserving dignity. Dignity has not been studied yet from the perspective of the growing group of patients with a migration background living in Western countries.AimTo gain insight into (1) what patients - and their relatives - with a Turkish, Moroccan or Surinamese background, living in the Netherlands, in their last phase of life find important aspects of dignity, and (2) how care professionals can preserve and strengthen the dignity of these patients.DesignQualitative thematic analysis of semi-structured interviews.ParticipantsA total of 23 patients and 21 relatives with a Turkish, Moroccan or Surinamese background were interviewed.ResultsFor respondents dignity encompassed surrender to God's or Allah's will and meaningful relationships with others, rather than preserving autonomy. Surrender to God or Allah meant accepting the illness, the situation and performing religious practice. A meaningful relationship meant being assisted or cared for by family members and maintaining a social role. Professionals could preserve dignity by showing respect and attention; guaranteeing physical integrity, hygiene and self-direction; and indirect communication about diagnoses and prognoses.ConclusionsReligion and appropriate involvement of family members are important aspects of dignity in the last phase of life, in addition to autonomy and independency. Care professionals need to take these factors into account in order to provide person-centred care.

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