Dignity and its related factors among older adults in long-term care facilities: A cross-sectional study

Dong, Die; Cai, Qian; Zhang, Qiong-Zhi; Zhou, Zhengdong; Dai, Jia-Ning; Mu, Ting-Yu; Shen, Cuizhen

doi:10.1016/j.ijnss.2021.08.003

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…Our review identified an association between dignity and several patient demographic variables, lending credence to existing propositions in the literature that the dignity of a person is determined by their social status and influenced by their interaction with others in society (Jacobson, 2007 ; Nordenfelt, 2004 ). For instance, our review identified that lower dignity levels were associated with a lack of formal education and, or low economic status, a finding consistent with previous research in long‐term care settings (Dong et al, 2021 ; Kisvetrová et al, 2021 ). Our review also observed a relationship between dignity and marital status, previously identified amongst the end of life patients (Albers et al, 2013 ).…”

Section: Discussionsupporting

confidence: 88%

A systematic review of patient‐reported dignity and dignified care during acute hospital admission

Fuseini

Ley

Rawson

et al. 2022

Journal of Advanced Nursing

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Aims: To synthesize quantitative evidence on levels of dignity during acute hospital admission and identify barriers and facilitators to patients' dignity or dignified care from the perspective of hospitalized patients. The secondary aim was to examine the relationship between dignity and demographic, clinical and psychological characteristics of patients.Design: A systematic review based on the protocol of the Preferred Reporting Items for Systematic reviews and Meta-Analyses guideline for reporting systematic reviews.Data Sources: Five electronic databases (PubMed, CINAHL, Embase, PsycINFO, AgeLine) were searched in February 2021, followed by backward-forward searching using Web of Science and Scopus databases.Review Methods: Potentially eligible articles were scrutinized by two reviewers.Articles that met the eligibility criteria were appraised for quality using the Critical Appraisal Tool for Cross-Sectional Studies. Two reviewers extracted data for the review and resolved differences by consensus.Results: Out of 3052 potentially eligible studies, 25 met the inclusion criteria. Levels of dignity for hospitalized patients vary widely across geographic locations. Patients' dignity is upheld when healthcare professionals communicate effectively, maintain their privacy, and provide dignity therapy. Patients' perceptions of dignity were, in some studies, reported to be associated with demographic (e.g. age, marital status, gender, employment, educational status), clinical (e.g. hospitalization, functional impairment, physical symptoms) and psychological (e.g. depression, anxiety, demoralization, coping mechanisms) variables whilst other studies did not observe such associations. Conclusion:Patients in acute care settings experience mild to a severe loss of dignity across different geographic locations. Patients' dignity is influenced by several demographic, clinical and psychological characteristics of patients. Impact:The findings of the review support impetus for improvement in dignified care for hospitalized patients, addressing factors that facilitate or impede patients' dignity.

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Section: Discussionsupporting

confidence: 88%

A systematic review of patient‐reported dignity and dignified care during acute hospital admission

Fuseini

Ley

Rawson

et al. 2022

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…The critical service focus of IBNSA is the elderly or disabled/semi-disabled elderly population. Considering the physiological and psychological specificity of the people mentioned above, professional geriatric nurses are urgently required to meet their health needs [ 16 , 17 ]. The survey suggested that nursing students have not sufficiently mastered the knowledge and skills required for elderly care and lacked confidence in caring for the disabled/semi-disabled elderly population.…”

Section: Discussionmentioning

confidence: 99%

Attitude of nursing students towards Internet-based nursing services for the aged

Zhao

Wang³

2022

International Journal of Nursing Sciences

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Objective To investigate the attitude, willingness, and motivation of third-year undergraduate nursing students from a university of Chinese medicine toward Internet - based nursing services for the aged (IBNSA), providing a reference for its development and related nursing education. Methods This study was conducted from March to April 2019. Using a self-designed questionnaire, this cross-sectional study comprised 508 third-year undergraduate nursing students from a university of Chinese medicine. The questionnaire was divided into two parts. The first part contained the general information of nursing students. The second part investigated nursing students’ attitudes, willingness, and motivation towards IBNSA (a total of seven questions). Results Of the 508 nursing students, 314 (61.81%) expressed support for the IBNSA, 44(8.66%) expressed disapproval. Regarding career choice, 279 (54.92%) were willing to choose IBNSA, 51 (10.04%) were unwilling. The top three motivations for choosing IBNSA as a nursing student career were increased income, high autonomy and flexibility, and good job prospects. On the contrary, the top three reasons not to choose this option were safety concerns, lack of time and energy, and unwillingness to undertake elderly care. Experience with community activities or a part-time job, experience with elderly care, willing to choose the nursing profession, willing to engage in nursing care after graduation, and willing to engage in nursing for elderly patients after graduation were significantly associated with the motivation of nursing students to participate in IBNSA ( P < 0.05). Conclusion The majority of nursing students have a positive attitude towards IBNSA and are willing to choose it as their future career. Nurses’ and patients’ safety guarantees and salary distribution were critical factors influencing their choice. Nursing schools should pay attention to the concerns of nursing students, constantly improve the management system of IBNSA, strengthen safety education, and provide professional knowledge and skills to improve the quality of personnel training.

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“…As the European population is ageing and increasingly more older adults need help with their daily activities, the importance of research on LTC systems is also increasing (Dong et al 2021;Moon et al 2021;Wang et al 2021). One of modern society's biggest challenges is ensuring accessible and good-quality LTC services (European Commission.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, long-term care (LTC) is one of the areas that has become increasingly prominent in the research of social policies of economically developed countries (Dong et al 2021;Moon et al 2021;Wang et al 2021). This is primarily due to the ageing population and the increasing proportion of the elderly population needing assistance in their daily lives.…”

Section: Introductionmentioning

confidence: 99%

Legal Aspects of Social Infrastructure for Housing and Care for the Elderly—The Case of Slovenia

Drobež

Bogataj

2022

Laws

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On 17 June 2021, the Government of the Republic of Slovenia adopted a Bill on Long-term Care. This legislative activity also raised the question of the existence and effectiveness of a legal environment to promote social infrastructure development for housing and care of older adults. Social infrastructures include the facilities in which long-term care services are provided. Therefore, the new legislative proposal also raised the issue of the regulation of this social infrastructure and the housing and care solutions as a part of the social infrastructure since they benefit individuals and communities. Furthermore, in line with the growing trend towards deinstitutionalisation, the legal environments should enhance alternative housing solutions for the elderly. The purpose of this article is to describe the foundations of the social infrastructure for older adults and examine the legal basis for its provision. The research belongs to legal geography studies, which means that the substance of laws and materialisation in space are considered. We identified two primary spatial–legal barriers to overcome, which are (a) the separate treatment of the housing and health aspects and (b) the absence of the guarantee schemes for the construction of housing-with-care solutions. The results would be helpful for the optimal organisation of integrated care, which individual research groups in Slovenia are studying.

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Dignity and its related factors among older adults in long-term care facilities: A cross-sectional study

Cited by 7 publications

References 28 publications

A systematic review of patient‐reported dignity and dignified care during acute hospital admission

A systematic review of patient‐reported dignity and dignified care during acute hospital admission

Attitude of nursing students towards Internet-based nursing services for the aged

Legal Aspects of Social Infrastructure for Housing and Care for the Elderly—The Case of Slovenia

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