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The views of older people and health professionals about dignity in acute hospital care

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Listed:
  • Marcelle Tauber‐Gilmore
  • Gulen Addis
  • Zainab Zahran
  • Sally Black
  • Lesley Baillie
  • Sue Procter
  • Christine Norton

Abstract

Aims and objectives To report the findings from interviews conducted as part of a wider study on interventions to support dignified care in older people in acute hospital care. The data in this study present the interview data. Background Dignity is a complex concept. Despite a plethora of recommendations on how to achieve dignified care, it remains unclear how to attain this in practice and what the priorities of patients and staff are in relation to dignity. Design A purposive sample of older patients and staff took part in semi‐structured interviews and gave their insight on the meaning of dignity and examples of what sustains and breaches a patient's dignity in acute hospital care. Method Thirteen patients and 38 healthcare professionals in a single metropolitan hospital in the UK interviewed. Interviews were transcribed verbatim and underwent a thematic analysis. Results The meaning of dignity was broadly agreed on by patients and staff. Three broad themes were identified: the meaning of dignity, staffing level and its impact on dignity, and organisational culture and dignity. Registered staff of all healthcare discipline and student nurses report very little training on dignity or care of the older person. Conclusion There remain inconsistencies in the application of dignified care. Staff behaviour, a lack of training and the organisational processes continue to result in breaches to dignity of older people. Clinical nurses have a major role in ensuring dignified care for older people in hospital. Relevance to clinical practice There needs to be systematic dignity‐related training with regular refreshers. This education coupled with measures to change the cultural attitudes in an organisation towards older peoples’ care should result in long‐term improvements in the level of dignified care. Hospital managers have an important role in changing system to ensure that staff deliver the levels of care they aspire to.

Suggested Citation

  • Marcelle Tauber‐Gilmore & Gulen Addis & Zainab Zahran & Sally Black & Lesley Baillie & Sue Procter & Christine Norton, 2018. "The views of older people and health professionals about dignity in acute hospital care," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 223-234, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:223-234
    DOI: 10.1111/jocn.13877
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    References listed on IDEAS

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    1. Yea‐Pyng Lin & Yun‐Fang Tsai & Hsiu‐Fang Chen, 2011. "Dignity in care in the hospital setting from patients’ perspectives in Taiwan: a descriptive qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(5‐6), pages 794-801, March.
    2. Valentine, Nicole & Darby, Charles & Bonsel, Gouke J., 2008. "Which aspects of non-clinical quality of care are most important? Results from WHO's general population surveys of "health systems responsiveness" in 41 countries," Social Science & Medicine, Elsevier, vol. 66(9), pages 1939-1950, May.
    3. Zainab Zahran & Marcelle Tauber & Holly Howe Watson & Phoebe Coghlan & Sarah White & Sue Procter & Gulen Addis & Christine Norton, 2016. "Systematic review: what interventions improve dignity for older patients in hospital?," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 311-321, February.
    4. Åsa Nilsson & Lisa Skär & Siv Söderberg, 2015. "Nurses' views of shortcomings in patent care encounters in one hospital in Sweden," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(19-20), pages 2807-2814, October.
    5. Jacobson, Nora, 2007. "Dignity and health: A review," Social Science & Medicine, Elsevier, vol. 64(2), pages 292-302, January.
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    1. Debra Kerr & Rosie Crone & Trisha Dunning, 2020. "Perspectives about dignity during acute care for older people and their relatives: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4116-4127, November.

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