Tranvåg Oscar, Petersen Karin A, Nåden Dagfinn
University of Bergen, Norway; Oslo and Akershus University College, Norway.
Nurs Ethics. 2013 Dec;20(8):861-80. doi: 10.1177/0969733013485110. Epub 2013 May 28.
Research indicates the essentiality of dignity as a vital component for quality of life, reconfirming the emphasis on dignity preservation in the international code of nursing ethics. Applying Noblit and Hare's meta-ethnography, the aim of the study was to develop a theory model by synthesizing 10 qualitative articles from various cultural contexts, exploring nurse and allied healthcare professional perception/practice concerning dignity-preserving dementia care. "Advocating the person's autonomy and integrity," which involves "having compassion for the person," "confirming the person's worthiness and sense of self," and "creating a humane and purposeful environment," was identified as a primary foundation for dignity-preserving dementia care. "Balancing individual choices among persons no longer able to make sound decisions, against the duty of making choices on behalf of the person," which involves "persuasion" and/or "mild restraint," was considered a crucial aspect in certain situations. "Sheltering human worth-remembering those who forget" was identified as a comprehensive motive and core value within dignity-preserving dementia care.
研究表明尊严作为生活质量的重要组成部分至关重要，再次证实了国际护理伦理准则中对维护尊严的强调。运用诺布利特和黑尔的元民族志方法，该研究的目的是通过综合来自不同文化背景的10篇定性文章，构建一个理论模型，探索护士及相关医疗保健专业人员对维护尊严的痴呆症护理的认知/实践。“倡导人的自主性和完整性”，包括“对人有同情心”、“确认人的价值和自我意识”以及“营造一个人道且有意义的环境”，被确定为维护尊严的痴呆症护理的主要基础。“在无法做出合理决策的人之间平衡个人选择与代表其做出选择的责任”，包括“劝说”和/或“适度约束”，在某些情况下被视为关键方面。“守护人类价值——铭记那些遗忘的人”被确定为维护尊严的痴呆症护理中的一个全面动机和核心价值。
