Understanding dignity and care: an exploratory qualitative study on the views of older people of African and African‐Caribbean descent

Saltus, Roiyah; Folkes, Elizabeth

doi:10.1108/14717791311311094

Cited by 6 publications

(7 citation statements)

References 39 publications

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“…Maintaining the dignity of hospitalised older adults is a critical component of nursing care (Gallagher et al, 2008), and one of the most important determinants of wellbeing (Saltus & Folkes, 2013). Several international professional codes of conduct for nurses have empha- Over the last two decades there has been a growing body of empirical evidence on patients' dignity and dignified nursing care of older adults (Calnan et al, 2013;Gallagher et al, 2008;Kerr et al, 2020;Mudge et al, 2021;Tadd et al, 2011;Tauber-Gilmore et al, 2018).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Patient dignity and dignified care: A qualitative description of hospitalised older adults perspectives

Fuseini

Rawson

Ley

et al. 2022

Journal of Clinical Nursing

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Aims and objectives:The aim of this study was to explore older adults' perspectives about dignity and dignified nursing care during acute hospitalisation in Ghana. Background: Maintaining hospitalised older adults' dignity is an essential component of nursing care and one of the most important determinants of wellbeing. To date, no study has been published on older adults' perspectives of dignified nursing care in the African context. Study design: A qualitative descriptive research design. Methods: Twenty hospitalised older adults were purposively selected from the medical and surgical wards of a teaching hospital in Ghana. Data were gathered through semi-structured interviews between April and August, 2021, and analysed using reflexive thematic analysis techniques. The SRQR checklist was used to document reporting of the study. Results: The following four themes were identified: Effective nurse-patient communication, Maintaining patients' privacy, Respectful and compassionate care provision and Providing quality and safe care. Dignity was preserved when patients were treated with respect and compassion, provided privacy, and had close family members involved in physical care. Identified barriers to dignity included inadequate information about their health condition, poor communication by the nurses, lack of autonomy, poorly designed healthcare infrastructure and inadequate privacy. Conclusions: Several enablers and barriers to dignified nursing care have been identified that have been discussed in previous studies. The unique factors identified in the Ghanaian context were family members' involvement in physical care influenced by cultural and religious beliefs, environmental barriers to privacy and dignity and inadequate involvement in decision making. Relevance to clinical practice: Nurses must treat older patients with respect, educate them about the health condition, involve them in care decisions, and identify their This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Backg Rou N Dmentioning

confidence: 99%

Patient dignity and dignified care: A qualitative description of hospitalised older adults perspectives

Fuseini

Rawson

Ley

et al. 2022

Journal of Clinical Nursing

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“…MME groups have been consistently found to have low levels of health literacy, (7), poorer health outcomes and face inequalities in quality of care and barriers to healthcare access (4,22). Research has highlighted the role of migratory factors, ethnicity and cultural identity (23,24) as well as the quality of interactions with health providers (22,25) in shaping expectations and perceptions of care. Clinician attitudes and biases towards patients have been found to impact in negative ways on quality of care (22,26).…”

Section: Current Debates In Health Literacymentioning

confidence: 99%

Re-thinking health literacy: using a capabilities approach perspective towards realising social justice goals

Pithara

2019

Glob Health Promot

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Health literacy has gained popularity as a useful concept to promote and protect health. Even though health literacy research has been prolific it has also been fragmented, facing challenges in achieving its empowerment and social justice-related aims. Crucial limitations make the application of its principles to the health of vulnerable and underrepresented groups problematic, even though these groups are disproportionately affected by ill health. Efforts to refine and make the concept more relevant have tended to expand health literacy models and situate health literacy ‘in context’ to reflect environmental and social factors shaping health literacy. Context-related factors however, have not been consistently embedded in operationalisation and measurement efforts. This paper argues for health literacy to be re-conceptualised through a capabilities approach lens. It proposes that the capabilities approach can uniquely address the conceptual and methodological criticisms applied to health literacy, whilst encompassing its critical conceptual understandings of health. The advantage of this approach over and above other developments in health literacy theory and practice is its focus on both people’s opportunities or freedoms to achieve desired health-related aims, and their ability to do so. It enables shifting the focus away from health literacy as individual skills and competencies and towards the enabling or inhibiting factors shaping health literacy. A participatory approach is seen as essential for realising this conceptual shift.

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“…Possible differences in perceptions and expectations of care and support between (and among) groups of older migrants -as well as migrants and non-migrants (Giuntoli and Cattan, 2011;Saltus and Folkes, 2013) -have also been explored.…”

Section: Introductionmentioning

confidence: 99%

“…Progress in identifying the components of dignity comes from qualitative research exploring the perceptions of service providers (Ariñ o-Blasco et al, 2005;Heijkenskjö ld et al, 2010;Jakobsen and Sørlie, 2010;Yu and Saltus, 2012) and care recipients (Bayer et al, 2005;Calnan et al, 2006;Bridges and Nugus, 2010;Black and Dobbs, 2013), and by comparing these (Walsh and Kowanko, 2002). Possible differences in perceptions and expectations of care and support between (and among) groups of older migrants -as well as migrants and non-migrants (Giuntoli and Cattan, 2011;Saltus and Folkes, 2013) -have also been explored.…”

Section: Introductionmentioning

confidence: 99%

“Care from the heart”: older minoritised women's perceptions of dignity in care

Saltus

Pithara

2015

International Journal of Migration, Health and Social Care

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Purpose – Drawing findings from a large mixed-method study on perceptions of dignity, care expectations, and support in relation to older women from Black and minority-ethnic backgrounds, the purpose of this paper is to explore the interrelationships between life course events and the multiple roles adopted by women at different points in time that have shaped their perceptions of care and their care expectations in old age. Design/methodology/approach – In total, 32 semi-structured interviews were undertaken, allowing for the collection of data on the participants’ understanding of growing old, and the meaning and attributes of care and what care with dignity “looked and felt like”. The theoretical framework is guided by a life-course approach and grounded within an intersectionality perspective. The majority of the participants were migrants. Findings – Social markers such as ethnicity and cultural identity were found to influence the participants’ understanding and expectations of care with factors such as gender identity and integration in the local community also of importance. How women felt they were perceived and “recognised” by others in their everyday lives with particular focus at the time of old age with the increased potential of loss of dignity due to declining capabilities, raised the importance of the family involvement in care provision, and perceived differences in the attributes of paid and non-paid care. The notion of “care from the heart” emerged as a key attribute of care with dignity. Care with dignity was understood as a purposeful activity, undertaken with intent to show respect and to acknowledge the participants’ sense of worth and value. Practical implications – The implications of this study are relevant in the current debate taking place at the EU level about the lived experiences of ageing migrant groups and care expectations. Originality/value – The study highlights the importance of the social nature of dignity, how wider societal structures can impact and shape how care is understood for older women of migrant and minoritised backgrounds, and the need to explore migration and care across the life course.

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Understanding dignity and care: an exploratory qualitative study on the views of older people of African and African‐Caribbean descent

Cited by 6 publications

References 39 publications

Patient dignity and dignified care: A qualitative description of hospitalised older adults perspectives

Patient dignity and dignified care: A qualitative description of hospitalised older adults perspectives

Re-thinking health literacy: using a capabilities approach perspective towards realising social justice goals

“Care from the heart”: older minoritised women's perceptions of dignity in care

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