Nursing home staff’s views on residents’ dignity: a qualitative interview study

Oosterveld-Vlug, Mariska; Pasman, H. Roeline W.; Gennip, Isis E. van; Willems, Dick L.; Onwuteaka‐Philipsen, Bregje D.

doi:10.1186/1472-6963-13-353

Cited by 34 publications

(59 citation statements)

References 25 publications

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“…In congruent with the findings of other studies, in current study patients' perception of dignity improved with increasing in patients' age. The findings of other studies showed that dignity violation is more prevalent among older people (Hall et al, 2009;Oosterveld-Vlug et al, 2013). However, it also has been reported that sense of dignity violation is more common among younger people due to importance of physical appearance, lack of job performance and control over life, early death, and a lesser time to achieve life goals (Calnan et al, 2004;Chochinov et al, 2009).…”

Section: Discussionmentioning

confidence: 96%

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Avestan¹,

Rahmani²,

Nabavi³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: There are several factors that threaten the dignity of cancer patients in hospital settings. However, there is limited literature regarding the degree to which dignity of cancer patients is actually respected in daily clinical practice. The aims of this study were therefore to explore cancer patient perceptions of respecting their dignity and related variables in an Iranian cancer specific center. Materials and Methods: This descriptivecorrelational study was carried out among 250 cancer patients admitted to a cancer specific center in East Azerbaijan Province, Iran. These patients were selected using a convenience sampling method. The Patient Dignity Inventory (PDI) was used for data collection. Descriptive and inferential statistics were used for data analysis. Results: The patients' scores in 18 out of 25 items of PDI were 3 or greater which indicate the importance of considering these items in clinical settings. Also, the score of patients in three sub-scales of PDI including illnessrelated concerns, personal dignity, and social dignity were 74, 65 and 57, respectively (based on a total 100). The overall score of PDI was statistically associated with age, history of disease recurrence, education, employment and economic status of participants. Conclusions: According to the study findings the dignity of Iranian cancer patients is not completely respected in clinical settings which require special considerations. As nurses spend more time at patients' bedsides, they have an important role in maintaining and promoting dignified care.

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Section: Discussionmentioning

confidence: 96%

Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings

Avestan¹,

Rahmani²,

Nabavi³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…, Oosterveld‐Vlug et al . ). Patients consistently report that they expect individualized, patient centred care delivered through a caring relationship between staff and patients where patients’ and their families’ views are considered and integrated into care (Attree , Woolhead et al .…”

Section: Introductionmentioning

confidence: 97%

‘It's the little things that count’: healthcare professionals’ views on delivering dignified care: a qualitative study

Williams

Kinnear

Victor

2016

Journal of Advanced Nursing

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Aims: To explore health care professionals' perspectives of dignified care and experiences of providing care. Background:Although 'care' and dignity in care are seen as central to the delivery of good care by patients, families and professionals, we still lack a clear understanding of what these, often contested and elusive concepts, mean in the practice setting, particularly from the perspective of health care professionals. Design:Interview based qualitative research design. Methods:In-depth interviews were conducted with health care professionals working in four NHS trusts. Data were collected between June -November 2012. Interviews were audiorecorded, transcribed and analysed using thematic analysis.Findings: 48 health care professionals took part in this interview based study. Two main themes that encapsulated how care and dignity in care is enacted by professionals were identified: focusing on the 'little' things that matter to both professionals and patients; and improving care by making poor care 'visible'. Conclusion:Our findings show that the 'little things' in care allow professionals to 'care for' but also 'care about' patients, suggesting that these two aspects of caring become intrinsically interlinked. Our findings also suggest that 'making poor care visible' challenges engrained and task rather than human focused care in a non-threatening way, which can be the catalyst for providing care that is caring and dignified.Keywords: nursing, health care professionals' perspectives, dignified care, caring, older people, qualitative methods, good care 3 SUMMARY STATEMENT Why is this research or review needed?• We know that patients and their families view dignity in care and a caring attitude by health care staff as crucially important to their care.• However, care and dignity in care have been described as elusive and contested concepts.• We need to understand health care professionals' understanding and perspectives of care and dignity and how these are enacted in practice. What are the key findings?• Nurses enact dignity in care by focusing on the 'little' things that matter to both patients and themselves in terms of their professional understanding of care.• Making poor care 'visible' allows health care professionals to challenge breaches of dignified care in a non-threating way and improve care.How should the findings be used to influence policy/practice/research/education?• Health care professionals should focus on such 'little' things as the 'big' things in providing dignified care that reflects caring 'for' and 'about' patients.• As such, individualised care is more meaningful in enacting dignified care than processes such as 'red peg' initiatives.• Managers in NHS settings should emphasise the importance of such 'little' things and provide staff with the resources to challenge poor care by making these situations 'visible' in a non-threatening way.

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“…One reason for the high ratings of the perception of personal acceptance could be that the older patients in this study were discharged from hospital and felt quite independent. Earlier studies suggest that patients who are particularly dependent on nurses’ assistance have impaired cognition or communication difficulties or feel a lack of personal acceptance (Moe et al., ; Oosterveld‐Vlug, Pasman, van Gennip, Willems, & Onwuteaka‐Philipsen, ) which in some circumstances has led to the danger of neglect or even mistreatment (Buzgova & Ivanova ).…”

Section: Discussionmentioning

confidence: 99%