Bakhshiarab Amirheidar, Mardani Hamooleh Marjan, Salamat Akram, Mirhosseini Seyedmohammad, Abbasi Ali
Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Nursing and Midwifery Care Research Center, Department of Psychiatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Heliyon. 2024 Oct 30;10(21):e39983. doi: 10.1016/j.heliyon.2024.e39983. eCollection 2024 Nov 15.
Identifying threats to patients' dignity is crucial for maintaining and promoting their dignity. Preserving patient dignity should be regarded as both a patient's right and a moral obligation. This study was conducted to evaluate nurses' understanding of threats to human dignity in the care of patients with COVID-19.
This qualitative study was conducted using conventional content analysis in various clinical departments in Iran. Clinical nurses from different departments were selected through purposeful sampling. Data were collected via in-depth semi-structured interviews with 15 clinical nurses over two months in 2021 and analyzed using qualitative content analysis.
During data analysis, two main categories and ten subcategories were identified: 1) Unethical behaviors (lack of respect for patient privacy, lack of patient involvement in decision-making procedures, ignoring the patient as an individual, aggressive behaviors, stigmatization, and failure to provide palliative and end-of-life care to patients and their families); 2) Organizational factors (inadequate financial support, lack of patient-care facilities, strict restrictions, and employing less experienced nurses in COVID wards).
The present study showed that most participants expressed concerns about violations of patients' dignity and identified many threats to it. Based on the findings, it is suggested that other factors threatening patients' dignity be identified, the threats eliminated, and healthy treatment environments created to promote patients' dignity.
识别对患者尊严的威胁对于维护和促进其尊严至关重要。维护患者尊严应被视为患者的权利和道德义务。本研究旨在评估护士对新冠肺炎患者护理中人类尊严威胁的理解。
本定性研究采用传统内容分析法，在伊朗的各个临床科室进行。通过目的抽样从不同科室选取临床护士。2021年，在两个月的时间里，通过对15名临床护士进行深入的半结构化访谈收集数据，并采用定性内容分析法进行分析。
在数据分析过程中，确定了两个主要类别和十个子类别：1）不道德行为（缺乏对患者隐私的尊重、患者未参与决策程序、忽视患者个体、攻击性行为、污名化以及未能为患者及其家属提供姑息治疗和临终关怀）；2）组织因素（资金支持不足、缺乏患者护理设施、严格限制以及在新冠肺炎病房雇佣经验不足的护士）。
本研究表明，大多数参与者对侵犯患者尊严表示担忧，并识别出许多尊严威胁。基于研究结果，建议识别其他威胁患者尊严的因素，消除这些威胁，并营造促进患者尊严的健康治疗环境。
