Staff Tutor, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes.
Senior Lecturer in Social Work, Faculty of Health Sciences, University of Hull.
Br J Community Nurs. 2021 Nov 2;26(11):526-531. doi: 10.12968/bjcn.2021.26.11.526.
Although dignity has been widely explored in the context of healthcare, it has rarely been the subject of empirical exploration when care is delivered by community district nursing teams. This paper demonstrates how a commonplace community nursing task (changing dressings) can constitute a clinical lens through which to explore the ways in which community nurses can influence patients' dignity. This ethnographic study involved two research methods: interviews with patients and nurses (n=22) and observations of clinical interactions (n=62). Dignity can manifest during routine interactions between community nurses and patients. Patient-participants identified malodour from their ill-bodies as a particular threat to dignity. Nurses can reinforce the dignity of their patients through relational aspects of care and the successful concealment of 'leaky' bodies.
尽管尊严在医疗保健领域已经得到广泛探讨,但当社区护理团队提供护理时,它很少成为实证探索的主题。本文展示了如何通过一种常见的社区护理任务(更换敷料)来构建一个临床视角,探讨社区护士如何影响患者的尊严。这项民族志研究涉及两种研究方法:对患者和护士(n=22)的访谈以及对临床互动(n=62)的观察。尊严可以在社区护士与患者之间的日常互动中体现出来。患者参与者认为来自他们病态身体的异味是对尊严的特别威胁。护士可以通过护理的关系方面和成功隐藏“泄漏”的身体来增强患者的尊严。