University of Turku, Finland.
University of Turku, Finland; Turku University Hospital, Finland.
Nurs Ethics. 2019 Mar;26(2):378-389. doi: 10.1177/0969733017710984. Epub 2017 Jun 29.
: Dignity is seen as an important but complex concept in the healthcare context. In this context, the discussion of dignity includes concepts of other ethical principles such as autonomy and privacy. Patients consider dignity to cover individuality, patient's feelings, communication, and the behavior of healthcare personnel. However, there is a lack of knowledge concerning the realization of patients' dignity in hospital care and the focus of the study is therefore on the realization of dignity of the vulnerable group of patients with stroke.
: The aim of the study was to create a theoretical construct to describe the dignity realization of patients with stroke in hospital care.
: Patients with stroke (n = 16) were interviewed in 2015 using a semi-structured interview containing open questions concerning dignity. The data were analyzed using constant comparison of Grounded Theory.
: Ethical approval for the research was obtained from the Ethics Committee of the University. The permission for the research was given by the hospital. Informed consent was obtained from participants.
: The "Theory of Dignity Realization of Patients with Stroke in Hospital Care" consists of a core category including generic elements of the new situation and dignity realization types. The core category was identified as "Dignity in a new situation" and the generic elements as health history, life history, individuality and stroke. Dignity of patients with stroke is realized through specific types of realization: person-related dignity type, control-related dignity type, independence-related dignity type, social-related dignity type, and care-related dignity type.
: The theory has similar elements with the previous literature but the whole construct is new. The theory reveals possible special characteristics in dignity realization of patients with stroke.
: For healthcare personnel, the theory provides a frame for a better understanding and recognition of how dignity of patients with stroke is realized.
尊严在医疗保健环境中被视为一个重要但复杂的概念。在这种情况下，对尊严的讨论包括自主性和隐私等其他伦理原则的概念。患者认为尊严涵盖个性、患者的感受、沟通和医疗保健人员的行为。然而，人们对医院护理中患者尊严的实现知之甚少，因此本研究的重点是实现中风弱势群体患者的尊严。
本研究旨在构建一个理论结构，描述中风患者在医院护理中的尊严实现。
2015 年，使用包含有关尊严的开放性问题的半结构化访谈，对 16 名中风患者进行了访谈。使用扎根理论的恒定比较对数据进行了分析。
大学伦理委员会批准了这项研究的伦理许可。医院批准了这项研究。参与者获得了知情同意。
“中风患者在医院护理中尊严实现理论”由一个核心类别组成，包括新情况的一般要素和尊严实现类型。核心类别被确定为“新情况下的尊严”，一般要素包括健康史、生活史、个性和中风。中风患者的尊严通过以下特定类型的实现得以实现：与个人相关的尊严类型、与控制相关的尊严类型、与独立性相关的尊严类型、与社会相关的尊严类型和与护理相关的尊严类型。
该理论与之前的文献有相似的要素，但整个结构是新的。该理论揭示了中风患者尊严实现的可能特殊特征。
对于医疗保健人员来说，该理论为更好地理解和认识中风患者的尊严如何实现提供了一个框架。
