Baillie Lesley, Gallagher Ann
London South Bank University, UK.
Int J Nurs Pract. 2011 Aug;17(4):336-41. doi: 10.1111/j.1440-172X.2011.01944.x.
This paper presents nurses' views of dignity issues in diverse UK health-care settings. A qualitative multisite case study was conducted at seven organizations: four National Health Service hospitals, two independent care providers and one mental health-care provider. The paper reports on the data from qualitative semistructured interviews (n = 51); the participants worked in a wide variety of care contexts. The data were analysed thematically and this paper reports on the theme 'strategies to respect dignity in care'. The subthemes were: recognizing vulnerability to dignity loss; enhancing privacy; improving communication between staff and patients/families and building relationships; improving the care environment; and addressing issues that matter to individuals. The findings indicate core elements to promoting dignity that apply across all care settings but suggest that nurses should identify and address dignity issues specific to their own practice areas.
本文呈现了英国不同医疗保健环境中护士对尊严问题的看法。在七个组织开展了一项定性多地点案例研究:四家国民保健服务医院、两家独立护理机构和一家精神卫生保健机构。本文报告了定性半结构化访谈(n = 51)的数据;参与者工作于各种各样的护理环境中。对数据进行了主题分析,本文报告了“护理中尊重尊严的策略”这一主题。子主题包括:认识到尊严丧失的易感性;增强隐私;改善医护人员与患者/家属之间的沟通并建立关系;改善护理环境;以及解决对个体重要的问题。研究结果表明了适用于所有护理环境的促进尊严的核心要素,但也表明护士应识别并解决其自身实践领域特有的尊严问题。