The aim of the RCN dignity survey was to gain the perspectives of nurses, healthcare assistants and nursing students regarding the maintenance and promotion of dignity in everyday practice. This article presents survey respondents' experiences of providing dignified care for older people.
A survey questionnaire was developed including fixed response and free text questions. A survey link was emailed to RCN members. Of the 2,048 respondents, 1,110 (54 per cent) worked with older people. These responses were analysed using an Excel spreadsheet for the quantitative data and the free text data were analysed thematically.
The respondents perceived that the physical environment and organisation influenced the provision of dignified care. Respondents described how they endeavoured to promote dignity during care activities which might threaten dignity through thoughtful planning, sensitive communication, preserving privacy and promoting choice.
A conducive physical care environment, a supportive organisation and individual nurses' actions can do much to promote the dignity of older people while they are undergoing health care.
"In the UK, promoting dignity in care has been endorsed in recent policy documents (Department of Health 2006). Despite this, a survey commissioned by the Royal College of Nursing of the UK reported over half of nurses felt that they had been unable to promote dignity in the care of older people adequately (Baillie 2009). Loss of dignity for people reaching the end of their lives is associated with high levels of psychological and spiritual distress and loss of the will to live. "
[Show abstract][Hide abstract] ABSTRACT: Aim. To report the findings of a study exploring the views and experiences of care home resident’s family on Dignity Therapy.
Background. As the proportion of older people dying in care homes increases, it is important to enhance their dignity, reduce distress at the end-of-life, and provide bereavement support to their families. Pilot studies show that hospice patients and care home residents feel Dignity Therapy had or would help their families; however, there are no qualitative studies of their views.
Design. Qualitative exploration.
Methods. Qualitative interviews were conducted between January 2009–March 2010 with 14 family members of care home residents who had received Dignity Therapy. The Framework approach to qualitative analysis was used.
Findings. Four categories are reported: views on the document: impact on residents; impact on family; and potential impact on care homes. While contact with the therapist provided much needed company for residents, Dignity Therapy helped residents reappraise aspects of their lives positively, while enjoying the opportunity to reminisce. Concerns focused on resident’s anxiety over document content. Memory problems and perceived lack of distress in some residents were viewed as factors affecting delivery and impact of Dignity Therapy. Family discovered new information and were prompted to discuss the content with them. For bereaved family members, documents provided comfort during their grief. If made available to carers, documents could enhance care delivery in homes.
Conclusion. Family members felt Dignity Therapy had helped them and the residents. Findings suggest that Dignity Therapy may be useful for enhancing the end-of-life experience for residents and their families.
[Show abstract][Hide abstract] ABSTRACT: To explore the relationship between nurses' understanding of dignity and how it is enhanced and developed in their practice environment.
Dignity is a ubiquitous concept in an era of healthcare reform yet is referred to almost exclusively in terms of the quality of care delivered to support the experience of the patient rather than the caregivers engaged in the relationships of care. This article focuses on dignity in the professional life of nurses in aged care.
This is part of a doctoral study of the implementation of a palliative approach in residential aged care using emancipatory practice development methodology. Constructions of dignity were co-created with participants through creative reflective activities and subsequently analysed using reflexive methods and data from other sources within the study.
Constructions of dignity and subsequent actions taken by nurses on their own behalf to articulate their experiences of transforming practice are interconnected with dignity enhancing relationships and emancipatory ways of working in practice development.
Dignity enhancing ways of working in an active learning group and workplace have been interlinked with actions that promote person-centredness in developing a palliative approach to care.
International Journal of Older People Nursing 06/2010; 5(2):137-47. DOI:10.1111/j.1748-3743.2010.00218.x
[Show abstract][Hide abstract] ABSTRACT: Nurses are exposed to bullying for various reasons. It has been argued that the reason for bullying can be political, meaning that the behavior occurs to serve the self-interests of the perpetrators. This study aims to identify how nurses perceive the relevance of individual and political reasons for bullying behaviors. In February 2009 a survey was conducted with nurses working in a research and training hospital located in Turkey. The results showed that the aim of influencing promotion, task assignments, performance appraisal, recruitment, dismissal, allocation of equipment and operational means, together with allocation of personal benefits and organizational structure decisions, were perceived as potential political reasons for bullying by nurses. Moreover, the reasons for the various bullying behaviors were perceived as relevant to individual characteristics, namely, the perpetrators' need for power, and their psychological and private life problems.
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