Respectful care of human dignity: how is it perceived by patients and nurses?

Er, Rahime Aydın; İncedere, Aysel; Öztürk, Selda

doi:10.1136/medethics-2017-104666

Cited by 13 publications

(20 citation statements)

References 30 publications

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“…Based on the result of EFA, the items contained in Factor 1 were consistent with the “shared humanity” of the theoretical dimension, while the items contained in Factor 2 covered the “personal narrative” and “autonomy” of the theoretical dimension. According to the literature, 28,29 dignity can be divided into two parts: absolute dignity and relative dignity. Absolute dignity is the natural birthright of every human being, regardless of age, race, wealthiness, disease, or even social status.…”

Section: Resultsmentioning

confidence: 99%

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Intensive care unit dignified care: Development and validation of a questionnaire

Liang

Shen

et al. 2022

Nurs Ethics

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Background Patient dignity is sometimes neglected in intensive care unit (ICU) settings, which may potentially cause psychological harm to critically ill patients. However, no instrument has been specifically developed to evaluate the behaviors of dignified care among critical care nurses. Aim This study aimed to develop and evaluate ICU Dignified Care Questionnaire (IDCQ) for measurement of self-assessed dignity-conserving behaviors of critical care nurses during care. Methods The instrument was developed in 3 phases. Phase 1: item generation; phase 2: a two-round Delphi survey and a readability pilot study; phase 3: cross-sectional survey with model estimation. The questionnaire was evaluated by item analysis, exploratory and confirmatory factor analysis, assessment of internal consistency reliability, and test-retest reliability. The investigation was conducted using a convenience sample of 392 critical care nurses from 6 cities in Zhejiang Province, China, of which 30 participated in the test-retest reliability survey 2 weeks later. Ethical considerations The study was approved by ethics committee. All participants provided written informed consent before the survey. The questionnaire survey was anonymous. Results The results showed acceptable reliability and validity of the IDCQ. The 17-item final version questionnaire was divided into 2 dimensions: absolute dignity and relative dignity. These two factors accounted for 62.804% of the total variance, and model fitting results were acceptable. The Cronbach’s alpha coefficient of the questionnaire was 0.94, and the test-retest intraclass correlation coefficient (ICC) was 0.88 after 2 weeks. Conclusions This study developed a brief and reliable instrument (IDCQ) to assess dignified care in ICU nursing. It can help critical care nurses identify their behaviors in maintaining patient dignity and discover their deficiencies. It may also serve as a clinical nursing management tool to help reduce patient disrespect experience in ICU.

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Section: Resultsmentioning

confidence: 99%

“…Though the terms used in the literature, 2,28,29,39–42 are not entirely consistent, dignity often can be divided into two sub-categories: absolute dignity and relative dignity. According to literature, everyone has absolute dignity simply because they are human.…”

Section: Discussionmentioning

confidence: 99%

Intensive care unit dignified care: Development and validation of a questionnaire

Liang

Shen

et al. 2022

Nurs Ethics

View full text Add to dashboard Cite

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“…In addition, symptoms such as apathy and lack of communication may lead those around the person living with dementia to treat them as a child (Mitchell & Agnelli, 2015;Tranvåg et al, 2013). To date, the majority of research exploring dignity in dementia care has focused on acute care and long-term care settings, with little work in the community setting (Aydın Er et al, 2018;Jacelon & Choi, 2014). However, the majority of people with dementia live in the community setting (Alzheimer's Association, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…How this care is delivered and managed has a significant impact on the well-being of the person living with dementia. Dignity provides a lens through which this wellbeing and quality of care provided can be viewed, particularly as it relates to how the person is treated as a human being (Aydın Er et al, 2018;Bentwich et al, 2018;Nordenfelt, 2004;Šaňáková & Čáp, 2019). The perceived value of the person with dementia by others was a consistent theme within the analysis and related to abrogation of the dignity of the person living with dementia.…”

Section: Discussionmentioning

confidence: 99%

“A Little Bit of Their Souls”: Investigating the Concept of Dignity for People Living With Dementia Using Caregivers’ Blogs

et al. 2020

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Dignity is an important component of quality of life and a core value of family nursing care. Few studies have explored dignity in community-dwelling adults with dementia. This study used blogs written by caregivers to explore the concept of dignity in dementia caregiving. A template analysis of blogs written by family caregivers of people with dementia was conducted. Four themes were defined a priori in relation to Jacelon’s model of dignity: perceived value from others, self in relation to others, behavioral respect, and self-value. Caregivers wrote about experiences that related to each of the four a priori themes from Jacelon’s model. In addition, the theme of dignity by proxy was derived from the analysis. By understanding the concept of dignity in the context of dementia family caregiving, interventions and services can be developed to improve family quality of life through dignifying, family-focused care.

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“…The nurses in burns departments should provide care combined with respect [ 5 ]—it is part of their professional duties to preserve their patients’ dignity as every patient is entitled to be treated with respect [ 6 ]. Nurses are expected to respect their patients when they are caring for them regardless of their gender, age, personality, health conditions, or financial status [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The dignity of burn patients: a qualitative descriptive study of nurses, family caregivers, and patients

et al. 2021

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Background As an ethical principle, showing respect for human dignity is a professional duty of all nurses. The aggressive nature of severe burn injuries makes it hard to respect the existential values and dignity of burn patients. However, only a few studies have been conducted on the preservation of the dignity of burn patients. The purpose of this study is to identify and describe burn patients’ dignity as perceived by nurses, family caregivers, and burn patients. Methods The present study has a descriptive, qualitative research design. Nurses, family caregivers and patients in the biggest burns hospital in the south of Iran were selected via purposeful sampling from October 2017 to August 2018 (n = 25). Data were collected using semi-structured, in-depth, individual interviews. Thereafter, data analysis was performed through conventional content analysis. Results Three main themes were extracted from the information obtained in the interviews: empathic communication, showing respect, and providing comprehensive support. Conclusion The care provided to burn patients should be combined with effective communication, spending time with them, and attending to their repetitive requests, so that they can freely express their feelings and concerns. In addition, the patients’ human values and beliefs should be respected and all aspects of their existence should be taken into account to preserve their dignity. Workshops designed based on the findings of the present study can help with improving the quality of burn nursing care.

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Respectful care of human dignity: how is it perceived by patients and nurses?

Cited by 13 publications

References 30 publications

Intensive care unit dignified care: Development and validation of a questionnaire

Intensive care unit dignified care: Development and validation of a questionnaire

“A Little Bit of Their Souls”: Investigating the Concept of Dignity for People Living With Dementia Using Caregivers’ Blogs

The dignity of burn patients: a qualitative descriptive study of nurses, family caregivers, and patients

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