Cent Eur J Nurs Midw 2010, 1(4):106-112

Respecting of dignified approach to the patient in home care agencies

Mária Tabaková
Department of Nursing, Jessenius Medical Faculty in Martin, Comenius University in Bratislava

Aim: Author of this paper deals with the problematics of dignified approach of the nurses to the patient in home care agencies. Dignified approach to the patient is an integrated factor of the moral attitudes of health professionals and significantly resonates in the international and national documents which enshrine ethical principles. The aim of the work was to evaluate the effect of some factors affecting the dignified approach to the patient and to record statistically significant differences in its respect in terms of demographic data.

Methods: For the measurement of respecting of dignified approach by nurses to the patient was used custom designed questionnaire, which included 26 items divided into 5 subscales focusing on the information of patient, on patient's autonomy, on the possibility to show freedom of will, on respecting the confidentiality, on the principle of justice and on the intimacy of the patients. The research was attended by 182 nurses working at home care agencies.

Results: Based on the collected analysis data we can conclude that there is not a significantly reduced scale of dignified approach by nurses to the patient. The highest rate of its respect was expressed in the subscale focused on patient information, lowest rate in the subscale, in which we detect the observance and protection of confidentiality of information. Between the nurses' demographic data and dignified approach to the patient, we recorded a low correlation.

Conclusion: By identifying these factors we can realize changes in home care agencies, which can positively contribute to the quality of nursing care provided.

Keywords: nurse, dignified aproach, nursing home care

Published: September 30, 2010  Show citation

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Tabaková M. Respecting of dignified approach to the patient in home care agencies. Ošetřovatelství a porodní asistence. 2010;1(4):106-112.
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References

  1. Agentúry domácej ošetrovateľskej starostlivosti. 2006. Ministerstvo zdravotníctva Slovenskej republiky [online]. 2006. [cit. 2008-01-09] Dostupné z WWW: http://www.health.gov.sk/redsys/rsi.nsf/0/E33E91C524F201C3C125720500346F70?OpenDocument.
  2. ANDERSSON, I., PETTERSSON, E., SIDENVALL, B. 2007. Daily life after moving into a care home: experiences from older people, relatives and contact person. Journal of Clinical Nursing. 2007, vol. 16, no. 9, p. 1712-1718. ISSN 1365-2702. Go to original source... Go to PubMed...
  3. BIRREL, J. et al. 2006. Promoting privacy and dignity for older patients in hospital. In Nursing standard, 2006, vol. 20, no. 18, p. 41-46. ISSN 0029-6570. Go to original source...
  4. Clinicla Policies § Quality Manager, 2006. Patient / Client Privacy and Dignity Policy. [online] 18 October 2006, p. 15 [cit. 2008-10-10]. Dostupné z WWW: http://www.newforestpct.nhs.uk/foi/2005clinical/privacyanddignity.pdf.
  5. ČÁP, J., NEMČEKOVÁ, M., ŽIAKOVÁ, K. 2004. Stratégie informovania pacienta. Tvorba cien v súkromnej ambulancii: Praktické návody na stanovenie cien a komunikáciu s pacientom. Bratislava: Dr. Josef Raabe, 2004. S. C1.2/1 - C1.2/8.
  6. Etický kódex zdravotníckeho pracovníka, príloha č. 4. 2004.
  7. GALLAGHER, A. et al. 2008. Dignity in the care of older people - a review of the theoretical and empirical literature. BMC Nursing [online]. 11 July 2008, vol. 7, p. 1-16. [cit. 2008-12-15]. Dostupné z WWW: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2 483981.
  8. Charta práv pacienta v Slovenskej republike. 2001. [online], [cit. 2005-04-20]. Dostupné z WWW: http://www.pravapacientov.sk/charta_prav_pacienta.doc.
  9. MAGEE, H. et al. 2008. Measuring Dignity in Care for Older People. A research report for Help the Aged. [online] 2008, p. 92. [cit. 2009-01-12]. Dostupné z WWW: http://policy.helptheaged.org.uk/NR/rdonlyres/4EEDFA38D850-4C53-81DE.C0D2664B50FE/0/MeasuringDignityinCareID8041.pdf.
  10. Slovensko. Nariadenie vlády Slovenskej republiky č. 296 zo dňa 9. júna 2010 o odbornej spôsobilosti na výkon zdravotníckeho povolania, spôsobe ďalšieho vzdelávania zdravotníckych pracovníkov, sústave špecializačných odborov a sústave certifikovaných pracovných činnosti. In Zbierka zákonov Slovenskej republiky. 2010, čiastka 112, s. 2362-2411. Dostupné tiež z WWW: http://www.zbierka.sk/zz/predpisy/default.aspx?PredpisID=209773&FileName=zz2010-00296-0209773&Rocnik=2010.
  11. NEMČEKOVÁ, M., TABAKOVÁ, M. 2007. Etická reflexia problémov domácej ošetrovateľskej starostlivosti v Slovenskej republike. Kontakt. 2007, roč. 9, č. 1, s. 32-41. ISSN 1212-4117. Go to original source...
  12. NEMČEKOVÁ M., ŽIAKOVÁ, K., MIŠTUNA, D. 2004. Práva pacientov: medicínske, ošetrovateľské a filozofickoetické súvislosti. Martin : Vydavateľstvo Osveta, 2004. 198 s. ISBN 80-8863-162-X.
  13. PHILP, I. 2006. A new ambition for old age: Next steps in implementing the National Servise Framework for Older People. [online]. 20 April 2006, 24 p. [cit. 2008-08-09]. Dostupné z WWW: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4133941.
  14. PLESCHBERGER, S. 2007. Dignity and the challenge of dying in nursing homes: the residents´view. Age and Ageing. 2007, vol. 36, no. 2, p. 197-202. ISSN 1468-2834. Go to original source... Go to PubMed...
  15. TABAKOVÁ, M. 2009. Etické aspekty práce v domácej ošetrovateľskej starostlivosti. Záverečná práca. Bratislava : Univerzita Komenského v Bratislave, 2009. 117 s.
  16. The ICN Code of Ethics for Nurses. 2006. Geneva : ICN, 2006, 12 p. ISBN 92-95040-41-4.
  17. Slovensko. Vyhláška MZ SR č. 364 zo dňa 2. júna 2005, ktorou sa určuje rozsah ošetrovateľskej praxe poskytovanej sestrou samostatne a v spolupráci s lekárom a rozsah praxe pôrodnej asistencie poskytovanej pôrodnou asistentkou samostatne a v spolupráci s lekárom. In Zbierka zákonov Slovenskej republiky. 2004, čiastka 155, s. 3734-3739. Dostupné tiež z WWW: http://www.zbierka.sk/zz/predpisy/default.aspx?PredpisID=18814&FileName=05-z364&Rocnik=2005.
  18. WOOGARA, J. 2005. Patients´ privacy of the person and human rights. Nursing Ethics. 2005, vol. 12, no. 3, p. 273287. ISSN 1477-0989. Go to original source... Go to PubMed...
  19. Slovensko. Zákon č. 576 zo dňa 21. októbra 2004 o zdravotnej starostlivosti, službách súvisiacich s poskytovaním zdravotnej starostlivosti a o zmene a doplnení niektorých zákonov. In Zbierka zákonov Slovenskej republiky. 2004, čiastka 243, s. 5138-5424. Dostupné tiež z WWW: http://www.zbierka.sk/zz/predpisy/default.aspx?PredpisID=18224&FileName=04-z576&Rocnik=2004.

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