Dying a 'Good' Death: The Work, Care, and Support of End-of-Life Doulas.

This article examines the role and time commitment of end-of-life doulas (EOLDs), care providers who support dying persons and their loved ones by honoring the wishes of the dying to create a peaceful and supportive environment throughout the dying process. Using a mixed-methods study with 618 survey respondents and 39 qualitative interviews from members of the International End of Life Doula Association (INELDA), the research details EOLDs’ involvement during pre-vigil (planning), vigil (active dying), and post-vigil (bereavement) phases, highlighting their advocacy in navigating family dynamics and facilitating acceptance of death. Findings indicate that EOLDs provide complementary, non-medical care alongside hospice and palliative services, often addressing emotional, spiritual, and legacy needs, with time spent varying based on when they are engaged. Challenges include time demands, family dynamics, and cultural unfamiliarity, while rewards center on supporting both dying persons and their loved ones through a process often impeded by fear, unresolved issues, and societal discomfort with death.