Patient dignity in psychiatric nursing practice

Department of Nursing, Karlstad University, Sweden.
Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.84). 10/2011; 19(7):569-76. DOI: 10.1111/j.1365-2850.2011.01837.x
Source: PubMed


Professional nurses have an ethical responsibility to protect and preserve the patients' dignity. The aim of this study was to describe how nurses experienced incidents relating to patients' dignity in a psychiatric nursing practice. A hermeneutic approach was used and data were collected using the critical incident technique. Data included 77 written critical incidents, which were interpreted by using a hermeneutic text interpretation. The findings show preserved dignity--caregivers have the courage to be present, and offended dignity - caregivers create powerlessness taken away by the patient. These findings show that patients' dignity in a psychiatric nursing practice can be preserved when caregivers act on their ethical responsibility. When patients' dignity is offended, the caregiver has become an inner value conflict, something they have been a part of against their own will.

95 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: ACCESSIBLE SUMMARY: •  This paper is based on group interviews with carers in psychiatric forensic care in Sweden, about the subject of respecting patient's dignity. •  Respecting dignity is one of the basic topics in caring and is taken to its limits psychiatric forensic care, where the patients are placed into care involuntary. •  The study illuminates the meaning of maintenance of patient dignity as protection and respect but also as showing brotherly humanity. •  A deeper understanding of the meaning of maintenance and respecting of patient dignity in forensic care will enable nurses to plan and provide qualitative care for these patients. ABSTRACT: We must recognize the importance of increased understanding for maintaining patient dignity to expand earlier formulated knowledge about caring ethics. Illuminations of this topic can create conditions for changing and developing care, as well as making caregivers' preservation of dignity evident. The aim was to illuminate the meaning of maintenance of patient dignity in forensic care. A qualitative design with a phenomenological-hermeneutic approach was used to analyse and interpret focus group interviews with nurses in forensic care. In the text the meaning of maintenance of patient dignity was protection and respect but also brotherly humanity. Protection was shown outwards to cover or screen the patient and to guard against danger. The inner form was described as protecting the patients' needs and arousing the patients' protection resources. Respect was shown outwards to take the patient seriously and to show others that patients are to be reckoned with, inwards in teaching patients to create respect and in teaching patients to expect respect from others. Meeting patients with human brotherhood was shown in doing 'the little extra' and demonstrating human similarity. The new understanding will enable nurses to plan and provide professional care, based on caring science.
    Full-text · Article · Mar 2012 · Journal of Psychiatric and Mental Health Nursing
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study presents findings from an ontological and contextual determination of the concept of dignity. The study had a caritative and caring science perspective and a hermeneutical design. The aim of this study was to increase caring science knowledge of dignity and to gain a determination of dignity as a concept. Eriksson's model for conceptual determination is made up of five part-studies. The ontological and contextual determination indicates that dignity can be understood as absolute dignity, the spiritual dimension characterized by responsibility, freedom, duty, and service, and relative dignity, characterized by the bodily, external aesthetic dimension and the psychical, inner ethical dimension. Dignity exists in human beings both as absolute and relative dignity.
    Full-text · Article · Jun 2013 · Nursing Ethics
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Patient dignity in involuntary psychiatric hospital care is a complex yet central phenomenon. Research is needed on the concept of dignity's specific contextual attributes since nurses are responsible for providing dignified care in psychiatric care. The aim was to describe nurses' experiences of violation of patient dignity in clinical caring situations in involuntary psychiatric hospital care. A qualitative design with a hermeneutic approach was used to analyze and interpret data collected from group interviews. Findings reveal seven tentative themes of nurses' experiences of violations of patient dignity: patients not taken seriously, patients ignored, patients uncovered and exposed, patients physically violated, patients becoming the victims of others' superiority, patients being betrayed, and patients being predefined. Understanding the contextual experiences of nurses can shed light on the care of patients in involuntary psychiatric hospital care.
    Full-text · Article · Jul 2013 · Nursing Ethics
Show more