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医疗保健专业人员对痴呆症患者尊严的看法:一项定性分析。

Healthcare Professionals' Perspectives on Dignity in Dementia: A Qualitative Analysis.

作者信息

Schou-Juul Frederik, Kjeldsen Rebecca Amalie Struwe, Ferm Lucca-Mathilde Thorup, Lauridsen Sigurd

机构信息

National Institute of Public health, University of Southern Denmark, Copenhagen, Denmark.

出版信息

Glob Qual Nurs Res. 2024 Sep 3;11:23333936241278074. doi: 10.1177/23333936241278074. eCollection 2024 Jan-Dec.

Abstract

In dementia care, the concept of dignity has garnered substantial attention from both researchers and policymakers. However, the concept often remains vague and open to interpretation, potentially leading to misunderstandings and suboptimal care for people with dementia. As healthcare professionals occupy a critical role in upholding dignity, exploring their viewpoints on this complex concept is paramount. In this study, we explore Danish healthcare professionals' views on the dignity of people with dementia and discuss these perspectives against existing theoretical accounts. We employed thematic analysis of data collected during facilitated discussions with a total of 99 healthcare professionals, including nurses and healthcare workers, during which we posed the question, "What is dignity to you?" and documented their perspectives. Through a systematic process of data coding and interpretation, we identified recurring patterns in their responses. This approach allowed us to uncover the depth and complexity of their viewpoints, providing valuable insights into the multifaceted nature of dignity as perceived by healthcare professionals. Our findings revealed that healthcare professionals possessed a nuanced understanding of dignity, recognizing both a subjective element and a universal aspect applicable to all individuals, aligning with theoretical interpretations. However, conceptual ambiguity remained a challenge.

摘要

在痴呆症护理领域,尊严的概念已引起研究人员和政策制定者的广泛关注。然而,这一概念往往仍很模糊且易于解读,这可能导致对痴呆症患者的误解和护理不当。由于医疗保健专业人员在维护尊严方面起着关键作用,探讨他们对这一复杂概念的看法至关重要。在本研究中,我们探讨丹麦医疗保健专业人员对痴呆症患者尊严的看法,并对照现有理论阐述讨论这些观点。我们对与总共99名医疗保健专业人员(包括护士和医护人员)进行的促进性讨论中收集的数据进行了主题分析,讨论期间我们提出了“尊严对你来说是什么?”这一问题,并记录了他们的观点。通过系统的数据编码和解读过程,我们在他们的回答中发现了反复出现的模式。这种方法使我们能够揭示他们观点的深度和复杂性,为医疗保健专业人员所理解的尊严的多面性提供了宝贵的见解。我们的研究结果表明,医疗保健专业人员对尊严有着细致入微的理解,既认识到主观因素,也认识到适用于所有人的普遍方面,这与理论解释相符。然而,概念上的模糊性仍然是一个挑战。

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