Lecturer, School of Nursing, The University of Jember, East Java Indonesia, PhD Candidate, The Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
Professor, School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan, and Department of Nursing, Chang Gung University of Science and Technology, Tao-Yuan, Taiwan, and Department of Psychiatry, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan.
J Nurs Scholarsh. 2018 Sep;50(5):482-491. doi: 10.1111/jnu.12410. Epub 2018 Jul 3.
Nurses have a professional obligation to maintain patient dignity when providing nursing care. The concept of dignity, however, is dependent on cultural context. The aim of this study was to elicit nurses' perspectives for maintaining patient dignity in Indonesian clinical care settings.
A qualitative descriptive study was performed.
A total of 40 clinical nurse participants were recruited by purposive sampling from six general public hospitals in Eastern Java, Indonesia, including six medical and six surgical units. Data were collected in 2017 using individual face-to-face semistructured interviews. Inductive content analysis was employed.
The interview data revealed nurses considered three main elements were necessary to maintain patient dignity in clinical care: personalized care, which included prioritizing patients and treating as individuals; compassionate care, which included empathizing and providing emotional support; and patient care advocacy, which included protecting patient rights and being a representative for the patient.
This study provided knowledge on how to maintain patient dignity from the cultural perspective of clinical nurses in Indonesia. Our findings highlight the importance of providing dignified care in a manner that is congruent with culture. The nurses in our study considered compassion and beneficence necessary values for providing dignified patient-centered care, which might be qualities that are culturally sensitive for an Indonesian population.
Strategies should be developed to improve dignity of care for hospitalized patients in Indonesia as well as other cultural settings, which could be incorporated into patient care. These should include improving patients' health literacy to increase patient-centered communication, eliminating mixed-gender wards to enhance patient privacy, and involving family members as partners in health care.
护士在提供护理时负有维护患者尊严的专业义务。然而，尊严的概念取决于文化背景。本研究旨在了解印度尼西亚临床护理环境中护士对维护患者尊严的看法。
这是一项定性描述研究。
采用目的抽样法，从印度尼西亚东爪哇的六所公立医院中招募了 40 名临床护士参与者，包括 6 个内科和 6 个外科病房。2017 年，使用个体面对面半结构化访谈收集数据。采用归纳内容分析法进行分析。
访谈数据显示，护士认为在临床护理中维护患者尊严需要具备三个主要要素：个性化护理，包括优先考虑患者并将其视为个体；富有同情心的护理，包括同情和提供情感支持；以及患者护理倡导，包括保护患者权利并代表患者。
本研究从印度尼西亚临床护士的文化角度提供了关于如何维护患者尊严的知识。我们的研究结果强调了以符合文化的方式提供有尊严的护理的重要性。我们研究中的护士认为同情和行善是提供有尊严的以患者为中心的护理的必要价值观，这可能是对印度尼西亚人群具有文化敏感性的特质。
应制定策略来改善印度尼西亚以及其他文化环境中住院患者的护理尊严，这些策略可以纳入患者护理中。这些策略包括提高患者的健康素养以加强以患者为中心的沟通，消除混合性别病房以增强患者隐私，以及让家庭成员作为医疗保健的伙伴。
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