Cent Eur J Nurs Midw 2019, 10(4):1134-1142 | DOI: 10.15452/CEJNM.2019.10.0025
Older adults' and nurses' perception of dignity in the setting of Iranian hospitals: a cross-sectional study
- 1 Department of Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
- 2 Department of Nursing, Faculty of Nursing and Midwifery, Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
- 3 Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
Aim: This study was designed to investigate the perceptions of hospitalized older adults and nurses regarding the importance and observance of dignity, and, in addition, to address the relationship between the importance and observance of dignity and individual social variables in nurses and hospitalized older adults, and the relationship between importance and observance of dignity in older adults and hospital wards and bed layouts.
Design: A cross-sectional study.
Methods: Convenience sampling was used to select 400 hospitalized older adults and 146 nurses in Kashan University of Medical Science hospitals, Iran. Data were collected using a demographic questionnaire, and a dignity scale including three fields: privacy, communication, and autonomy. The data were described using descriptive statistics, and analyzed via the one-way ANOVA, t-test, Pearson correlation coefficient, and linear regression model.
Results: Over half of the older adults were female (57%), and 76.5% were married. More than 60% of older adults believed that dignity had a high degree of importance and that observance of dignity was at a good level. The majority of nurses rated the importance and observance of dignity at weak to moderate levels (p < 0.0001).
Conclusion: Due to the difference in viewpoints between older adults and nurses regarding dignity, barriers to the observance of dignity as perceived by nurses should be surveyed.
Klíčová slova: autonomy, communication, dignity, nurse, privacy, older adult
Vloženo: 10. červen 2019; Přijato: 11. listopad 2019; Zveřejněno: 30. září 2019 Zobrazit citaci
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
Reference
- Adib-Hajbaghery M, Akbari H. The severity of old age disability and its related factors. Feyz Journal of Kashan University of Medical Sciences. 2009;13(3):225-234.
- Anderberg P, Lepp M, Berglund AL, Segesten K. Preserving dignity in caring for older adults: a concept analysis. Journal of Advanced Nursing. 2007;59(6):635-643.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Atashzadeh Shoorideh F, Ashktorab T, Yaghmaei F. Responses of ICU nurses to moral distress: a qualitative study. Iranian Journal of Critical Care Nursing. 2012;4(4):159-168.
- Bäck E, Wikblad K. Privacy in hospital. Journal of Advanced Nursing.1998;27(5):940-945.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Baillie L. The impact of urological conditions on pa tients' dignity. International Journal of Urological Nursing. 2007;1(1):27-35.
Přejít k původnímu zdroji...
- Baillie L. Patient dignity in an acute hospital setting: a case study. International Journal of Nursing Studies. 2009;46(1):23-36.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Borhani F, Abbaszadeh A, Mohsenpour M. Nursing studentsʼ understanding of factors influencing ethical sensitivity: a qualitative study. Iranian Journal of Nursing and Midwifery Research. 2013;18(4):310-315.
Přejít na PubMed...
- Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology. 2005;23(24):5520-5525.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Cohen L, Delaney P, Boston P. Listening to the customer: implementing a patient satisfaction measurement system. Gastroenterology Nursing. 1994;17(3):110-115.
Přejít k původnímu zdroji...
- Dehghani A, Radbeh F, Parviniannasab AM, Khaki S, Shamsizadeh M, Beyramijam M. Enactment of professional ethics standards compliance in patients and nurses prospective. Journal of Holistic Nursing and Midwifery. 2015;25(4):64-72.
- Ebrahimi H, Sadeghian E, Seyedfatemi N. Exploring outcomes of respect for patient autonomy in hospital: a qualitative research. Avicena Journal of Nursing and Midwifery Care. 2014;22(2):15-25.
- Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patientsʼ perception of dignity in Iranian healthcare settings: a qualitative content analysis. Journal of Medical Ethics. 2012;38(12):723-728.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Ferrando AA, Paddon-Jones D, Hays NP, Kortebein P, Ronsen O, Williams RH, McComb A, Symons TB, Wolfe RR, Evans W. EAA supplementation to increase nitrogen intake improves muscle function during bed rest in the elderly. Clinical Nutrition. 2010;29(1):18-23.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Ferri P, Muzzalupo J, Di Lorenzo R. Patientsʼ perception of dignity in an Italian general hospital: a cross-sectional analysis. BMC Health Services Research. 2015;15:41.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Franklin LL, Ternestedt BM, Nordenfelt L. Views on dignity of elderly nursing home residents. Nursing Ethics. 2006;13(2):130-146.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Griffin-Heslin VL. An analysis of the concept dignity. Accident and Emergency Nursing. 2005;13(4):251-257.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Guo Q, Jacelon CS. An integrative review of dignity in endof-life care. Palliative Medicine. 2014;28(7):931-940.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Hajbaghery MA, Safa A, Aminolroayaee-Yamini E. Nursesʼ knowledge of ethical and legal issues in elderly care. Medical Ethics Journal. 2015;9(31):169-191.
- Hosseinian M, Mirbagher Ajorpaz N, Esalat Manesh S. Mothersʼ satisfaction with two systems of providing care to their hospitalized children. Iranian Red Crescent Medical Journal. 2015;17(2):e23333.
Přejít k původnímu zdroji...
Přejít na PubMed...
- ICN. The ICN Code of ethics for nurses. International Council of Nurses. 2012;1-10.
- Jacelon CS. Managing personal integrity: the process of hospitalization for elders. Journal of Advanced Nursing. 2004;46(5):549-557.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Jacobson N. Dignity and health: a review. Social Science & Medicine. 2007;64(2):292-302.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Jakobsen R, Sørlie V. Dignity of older people in a nursing home: narratives of care providers. Nursing Ethics. 2010;17(3):289-300.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Jollaee S, Bakhshandeh B, Mohammad Ebrahim, M, Asgarzadeh M, Vasheghani Farahani A, Shariat E. Nursing code of ethics in Iran: the report of a qualitative study. Medical Ethics and History of Medicine. 2010;3(2):45-53.
- Julião M, Oliveira F, Nunes B, Vaz Carneiro A, Barbosa A. Efficacy of dignity therapy on depression and anxiety in Portuguese terminally ill patients: a phase II randomized controlled trial. Journal of Palliative Medicine. 2014;17(6):688-695.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Karimi R, Dehghan Nayyeri N, Sadeghi T, Mehran A. Patients dignity: a comparative study between the perspective of nurses and adolescents. Iranian Journal of Medical Ethics and History of Medicine. 2008;1(4):53-62.
- Karro J, Dent AW, Farish S. Patient perceptions of privacy infringements in an emergency department. Emergency Medicine Australasia. 2005;17(2):117-123.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Koivula-Tynnilä H, Axelin A, Leino-Kilpi H. Informational privacy in the recovery room-patientsʼ perspective. Journal of Perianesthesia Nursing. 2018;33(4):479-489.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Leene H. A declaration on the promotion of patient rights in Europe. Tijdschrift voor Gezondheidsrecht. 1994;18(5):100- 106.
Přejít k původnímu zdroji...
- Lemonidou C, Merkouris A, Leino-Kilpi H, Välimäki M, Dassen T, Gasull M, Scote PA, Tafas C, Arndt M. A comparison of surgical patients' and nurses' perceptions of patients' autonomy, privacy and informed consent in nursing interventions. Clinical Effectiveness in Nursing. 2003;7(2):73-83.
Přejít k původnímu zdroji...
- Lin YP, Tsai YF, Chen HF. Dignity in care in the hospital setting from patientsʼ perspectives in Taiwan: a descriptive qualitative study. Journal of Clinical Nursing. 2011;20(5- 6):794-801.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Liu YE, Norman IJ, While AE. Nurses' attitudes towards older people: a systematic review. International Journal of Nursing Studies. 2013;50(9):1271-1282.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Lothian K, Philp I. Maintaining the dignity and autonomy of older people in the healthcare setting. British Medical Journal. 2001;322(7287):668-670.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Matiti MR. Patient dignity in nursing: a phemomenological study. Huddersfield: University of Huddersfield; 2002.
- Matiti MR, Trorey GM. Patients' expectations of the maintenance of their dignity. Journal of Clinical Nursing. 2008;17(20):2709-2717.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Matteson M, McConnell E. Gerontological nursing in acute care settings. In: Gerontological Nursing: Concepts and Practice. 2nd ed. 1998; pp. 721-750.
- Mohammady S, Borhani F, Roshanzadeh M. Moral sensitivity and nurse's attitude toward patientsʼ rights. Medical Ethics and History of Medicine. 2017;9(5):52-62.
- Moosavi SS, Borhani F, Abbaszadeh A. The moral courage of nurses employed in hospitals affiliated to Shahid Beheshti University of Medical Sciences. Journal of Hayat. 2017;22(4):339-349.
- Nayeri ND, Aghajani M. Patientsʼ privacy and satisfaction in the emergency department: a descriptive analytical study. Nursing Ethics. 2010;17(2):167-177.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Parsapoor A, Bagheri A, Larijani B. Patientʼs rights charter in Iran. Acta Medica Iranica. 2014:52(1):24-28.
Přejít na PubMed...
- Qvrchyany F, Barati Marnani A, Abulghasem Georgi H, Khatami Firoozabadi AM. Observe the nursing code of ethics for nurses and patients in a teaching hospital in Tehran University of Medical Sciences In 1931. Medical Ethics. 2013;7(23):63-79.
- Rahemi Z, Williams CL. Development of a dignity-enhancing model of caring for older adults. International Journal for Human Caring. 2015;19(3):36-41.
Přejít k původnímu zdroji...
- Rahemi Z, Mirbagher Ajorpaz N, Sharifi Esfahani M, Aghajani M. Sensation-seeking and factors related to dangerous driving behaviors among Iranian drivers. Personality and Individual Differences. 2017;116:314-318.
Přejít k původnímu zdroji...
- Rejeh N, Heravi-Karimooi M, Foroughan M. The needs of hospitalized elderly patients: A qualitative study. Iranian Journal of Ageing. 2010;5(1):42-52.
- Rylance G. Privacy, dignity, and confidentiality: interview study with structured questionnaire. British Medical Journal. 1999;318(7179):301.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Sabeghi H, Nasiri A, Zarei M, Tabar AK, Golbaf D. Respecting for human dignity in elders caring in perspective of nurses and elderly patients. Medical Ethics. 2017;9(32):45- 70.
- Sadeghi T. Observance of independence in nursing care based on opinious of hospitalized teenagers in pediatrics hospitals of Tehran University of Medical Sciences during 2008. Community Health Journal. 2009;4(1):26-33.
- Sarkhil H, Darvishpoor-Kakhaki A, Borzabadi-Farahani Z. Respecting patient's privacy in cardiac care units of Tehran>s selected hospitals. Iranian Journal of Cardiovascular Nursing. 2013;2(2):40-47.
- Sawada NO, Correia FA, Costa Mendes IA, Dela Coleta JA. Personal and territorial space of the patients: a nursing ethics question. Medicine and Law. 1996;15(2):261-270.
Přejít na PubMed...
- Schopp A, Leino-Kilpi H, Välimäki M, Dassen T, Gasull M, Lemonidou C, Scott PA, Arndt M, Kaljonen A. Perceptions of privacy in the care of elderly people in five European countries. Nursing Ethics. 2003;10(1):39-47.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Tagharrobi Z, Sharifi K, Sooky Z. Psychometric evaluation of Stanford health assessment questionnaire 8-item disability index (HAQ 8-item DI) in elderly people. Journal of Holistic Nursing and Midwifery. 2014;24(1):9-20.
- Walsh K, Kowanko I. Nursesʼ and patientsʼ perceptions of dignity. International Journal of Nursing Practice. 2002;8(3):143-151.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Zehtab S, Adib-Hajbaghery M. The importance of spiritual care in nursing. Nursing and Midwifery Studies. 2014;3(3):e22261.
Přejít k původnímu zdroji...
Přejít na PubMed...
Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.