Fuseini Abdul-Ganiyu, Rawson Helen, Redley Bernice, Ley Lenore, Mohebbi Mohammadreza, Kerr Debra
Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong Waterfront Campus, Geelong, Victoria, Australia.
Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
J Clin Nurs. 2023 Nov;32(21-22):7791-7801. doi: 10.1111/jocn.16850. Epub 2023 Aug 21.
This study examined levels of self-reported dignity and explored factors expected to influence dignity experienced by older adults during acute hospitalisation in Ghana.
Dignified care has been recognised as inseparable from quality nursing care and maintaining patients' dignity has been highlighted in professional codes of conduct for nurses. However, there is a lack of research on self-reported dignity and the factors that influence the dignity of older adults during acute hospitalisation in Africa.
A large teaching hospital in the northern region of Ghana.
Hospitalised older adults.
A cross-sectional survey was used to gather data from a convenience sample of 270 older inpatients, using the Hospitalized Older Adults' Dignity Scale. Data were analysed using descriptive statistics and stepwise ordinal logistic regression to investigate stratified dignity outcomes. The study was reported following the STROBE checklist.
More than half of the older adults surveyed reported low to moderate levels of dignity. Demographic characteristics such as age, marital status, religious status, occupation, level of education and type of hospital ward did not show any significant associations with dignity levels. However, there was a significant association found between dignity levels and sex and the number of hospitalisations.
Most older adults in a Ghanian hospital experienced loss of dignity during their acute hospitalisation. Male older adults reported higher dignity levels during acute hospitalisation than their female counterparts. Further, older adults who were admitted to hospital for the second time reported less dignity compared to those admitted three or more times.
The results emphasise the importance of healthcare professionals having the necessary knowledge and skills to provide gender-sensitive care, which ultimately promotes the dignity of all patients. Additionally, the results underscore the urgency of implementing measures that guarantee patients' dignity during all hospital admissions.
Survey questionnaires were completed by hospitalised older adults at the study setting.
本研究调查了自我报告的尊严水平，并探讨了预期会影响加纳老年人急性住院期间尊严体验的因素。
有尊严的护理已被视为与优质护理不可分割，并且在护士的职业行为准则中强调了维护患者尊严。然而，在非洲，关于急性住院期间老年人自我报告的尊严以及影响其尊严的因素的研究较少。
加纳北部的一家大型教学医院。
住院老年人。
采用横断面调查，使用住院老年人尊严量表，从270名老年住院患者的便利样本中收集数据。使用描述性统计和逐步有序逻辑回归分析数据，以研究分层的尊严结果。本研究按照STROBE清单进行报告。
超过一半接受调查的老年人报告尊严水平为低到中等。年龄、婚姻状况、宗教状况、职业以及教育程度和医院病房类型等人口统计学特征与尊严水平均无显著关联。然而，尊严水平与性别和住院次数之间存在显著关联。
加纳医院的大多数老年患者在急性住院期间尊严受损。男性老年患者在急性住院期间报告的尊严水平高于女性。此外，与住院三次或更多次的患者相比，第二次住院的老年患者报告的尊严感较低。
结果强调了医疗保健专业人员具备提供性别敏感护理所需知识和技能的重要性，这最终能提升所有患者的尊严。此外，结果还凸显了在所有住院期间实施保障患者尊严措施的紧迫性。
住院老年人在研究地点完成了调查问卷。
