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护理专业学生对患者尊严的认知。

Nursing students' perceptions of patient dignity.

作者信息

Papastavrou Evridiki, Efstathiou Georgios, Andreou Christos

机构信息

Cyprus University of Technology, Cyprus

Ministry of Health, Cyprus.

出版信息

Nurs Ethics. 2016 Feb;23(1):92-103. doi: 10.1177/0969733014557136. Epub 2014 Dec 10.

DOI:10.1177/0969733014557136
PMID:25505097
Abstract

BACKGROUND

Respecting patients' dignity has been described as a fundamental part of nursing care. Many studies have focused on exploring the concept of patients' dignity from the patient and nurse perspective, but knowledge is limited regarding students' nursing perceptions and experiences.

OBJECTIVE

To explore the issue of patients' dignity from the perspective of nursing students.

RESEARCH DESIGN

A qualitative study was employed with the formation of four focus groups and the participation of nursing students. Data were analysed via a thematic content analysis of the discussions.

PARTICIPANTS AND RESEARCH CONTEXT

Thirty-four nursing students of a Cyprus University participated in the four focus groups. Each group was homogenous in terms of the year of study and heterogeneous in terms of clinical practice in various wards.

ETHICAL CONSIDERATION

The study's protocol was reviewed and approved by the Cyprus National Bioethics Committee. Ethical standards were followed throughout the study.

FINDINGS

Several factors that maintain or compromise patients' dignity emerged. These factors were grouped into five themes: (a) patients' preferences, verbal abuse and regarding a patient as a unique person; (b) privacy and confidentiality; (c) loss of autonomy and need for help; (d) discrimination and (e) attribution and reciprocity.

DISCUSSION

Different understandings of the perceived concept of dignity and the factors that maintain or compromise patient's dignity were expressed through the eyes and the feelings of nursing students. Students highlighted the importance of promoting patient dignity as an important component of nursing care.

CONCLUSION

Nurse educators can use the findings of this study in order to tailor nursing programmes to emphasise the importance of respecting patients' dignity. In addition, nurse ward managers can use the findings as means for persuading nurses to change current behaviour.

摘要

背景

尊重患者尊严被视为护理工作的基本组成部分。许多研究致力于从患者和护士的角度探索患者尊严的概念,但关于护生对护理的认知和体验的知识却很有限。

目的

从护生的角度探讨患者尊严问题。

研究设计

采用定性研究方法,组建了四个焦点小组,护生参与其中。通过对讨论内容进行主题内容分析来分析数据。

参与者及研究背景

塞浦路斯一所大学的34名护生参与了这四个焦点小组。每个小组在学习年份方面具有同质性,在不同病房的临床实践方面具有异质性。

伦理考量

该研究方案经过塞浦路斯国家生物伦理委员会的审查和批准。在整个研究过程中遵循了伦理标准。

研究结果

出现了几个维护或损害患者尊严的因素。这些因素被归纳为五个主题:(a)患者的偏好、言语辱骂以及将患者视为独特个体;(b)隐私和保密;(c)自主权的丧失和对帮助的需求;(d)歧视;(e)归因与互惠。

讨论

通过护生的视角和感受表达了对尊严这一概念的不同理解以及维护或损害患者尊严的因素。学生们强调了促进患者尊严作为护理工作重要组成部分的重要性。

结论

护理教育工作者可以利用本研究的结果来调整护理课程,以强调尊重患者尊严的重要性。此外,病房护士长可以将这些结果作为说服护士改变当前行为的手段。

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