老年人和卫生专业人员对急性医院护理中尊严的看法。
The views of older people and health professionals about dignity in acute hospital care.
机构信息
Imperial College NHS Healthcare Trust, St Mary's Hospital, London, UK.
Faculty of Society and Health, School of Health and Social Science, Buckinghamshire New University, Uxbridge, UK.
出版信息
J Clin Nurs. 2018 Jan;27(1-2):223-234. doi: 10.1111/jocn.13877. Epub 2017 Aug 10.
AIMS AND OBJECTIVES
To report the findings from interviews conducted as part of a wider study on interventions to support dignified care in older people in acute hospital care. The data in this study present the interview data.
BACKGROUND
Dignity is a complex concept. Despite a plethora of recommendations on how to achieve dignified care, it remains unclear how to attain this in practice and what the priorities of patients and staff are in relation to dignity.
DESIGN
A purposive sample of older patients and staff took part in semi-structured interviews and gave their insight on the meaning of dignity and examples of what sustains and breaches a patient's dignity in acute hospital care.
METHOD
Thirteen patients and 38 healthcare professionals in a single metropolitan hospital in the UK interviewed. Interviews were transcribed verbatim and underwent a thematic analysis.
RESULTS
The meaning of dignity was broadly agreed on by patients and staff. Three broad themes were identified: the meaning of dignity, staffing level and its impact on dignity, and organisational culture and dignity. Registered staff of all healthcare discipline and student nurses report very little training on dignity or care of the older person.
CONCLUSION
There remain inconsistencies in the application of dignified care. Staff behaviour, a lack of training and the organisational processes continue to result in breaches to dignity of older people. Clinical nurses have a major role in ensuring dignified care for older people in hospital.
RELEVANCE TO CLINICAL PRACTICE
There needs to be systematic dignity-related training with regular refreshers. This education coupled with measures to change the cultural attitudes in an organisation towards older peoples' care should result in long-term improvements in the level of dignified care. Hospital managers have an important role in changing system to ensure that staff deliver the levels of care they aspire to.
目的和目标
报告作为一项更广泛研究的一部分进行的访谈结果，该研究旨在支持老年人在急性医院护理中的尊严护理。本研究中的数据呈现了访谈数据。
背景
尊严是一个复杂的概念。尽管有大量关于如何实现有尊严的护理的建议，但在实践中如何实现这一点以及患者和员工在尊严方面的优先事项是什么仍然不清楚。
设计
purposive 样本的老年患者和工作人员参与了半结构化访谈，并就尊严的含义以及在急性医院护理中维持和侵犯患者尊严的例子发表了看法。
方法
在英国的一家单一大都市医院采访了 13 名患者和 38 名医疗保健专业人员。访谈逐字记录并进行了主题分析。
结果
患者和工作人员对尊严的含义大致达成一致。确定了三个广泛的主题：尊严的含义、人员配备水平及其对尊严的影响，以及组织文化和尊严。所有医疗保健学科的注册工作人员和护生报告说，他们几乎没有接受过尊严或老年人护理方面的培训。
结论
在实施有尊严的护理方面仍然存在不一致之处。员工行为、缺乏培训和组织流程继续导致老年人的尊严受到侵犯。临床护士在确保老年人在医院得到有尊严的护理方面发挥着重要作用。
临床实践的相关性
需要进行系统的与尊严相关的培训，并定期进行更新。这种教育加上改变组织中对老年人护理的文化态度的措施，应该会导致有尊严的护理水平的长期提高。医院管理人员在改变系统以确保员工提供他们所渴望的护理水平方面发挥着重要作用。
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