Dignity, the Voice of Elder Care: Concept Analysis
Advances in Nursing & Midwifery,
دوره 32 شماره 4 (2023),
15 اکتبر 2023
,
صفحه 8-15
https://doi.org/10.22037/anm.v32i4.43746
چکیده
Abstract
Introduction: The current study aimed at analyzing the concept of dignity for elderly population in Iran to provide a more accurate definition and perception of this notion. The study used a hybrid model of concept analysis, while systematic review of literature aimed at providing working definitions in the research theoretical stage.
Methods: A hybrid model of concept analysis was conducted. Definitions Dignity care for the elderly were obtained from a systematic literature review in the theoretical phase. This systematic review was conducted without any time limitation in international databases such as Pro Quest, SCOPUS, MEDLINE, Web of Sciences and Iranmedex using relevant keywords by 2 reviewers separately. Subsequent in-depth personal interviews initiated in the fieldwork phase corroborated and refined the concept. Interviews with the fifteen elder took place during December 2014 to January 2015 in Tehran. These qualitative data were integrated in the final analytical phase.
Results: The older people’s dignity can be considered a complicated and dynamic mental condition leading to the improvement of internal feelings. Personal, family, as well as social components affect dignity whose formation depends on relations with other people, ensuring the individual health. Elders’ dignity can be practically defined in association with the domains of dignity in older people, reflecting relative dignity that stems in cultural values and undergoes changes. Elders’ dignity can be characterized by respect, integrity, independence and authority, privacy, unique support as well as engagement in the self-care. The predisposing factors as well as antecedents are dependent on the individual, family, and social dimensions to establish such features.
Conclusions: Explicit conceptualization of dignity in the context of healthcare services results in a better perception of this notion among practitioners, while also improving the contribution of moral factors to the service delivery.
- Concept Formation
- Aged
- Moral Status
- Nursing Care
ارجاع به مقاله
مراجع
References
Weil DN. Population aging. National Bureau of Economic Research Cambridge, Mass., USA;2006.
Lee RD, Mason A. Population aging and the generational economy: A global perspective: Edward Elgar Publishing;2011.
Rudnicka E, Napierala P, Podfigurna A, Meczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas. 2020;139:6-11. doi: 10.1016/j.maturitas.2020.05.018 pmid: 32747042
Noroozian M. The elderly population in iran: an ever growing concern in the health system. Iran J Psychiatry Behav Sci. 2012;6(2):1-6.
Kerr D, Crone R, Dunning T. Perspectives about dignity during acute care for older people and their relatives: A qualitative study. J Clin Nurs. 2020;29(21-22):4116-27. doi: 10.1111/jocn.15438 pmid: 32757417
Clancy A, Simonsen N, Lind J, Liveng A, Johannessen A. The meaning of dignity for older adults: A meta-synthesis. Nurs Ethics. 2021;28(6):878-94. doi: 10.1177/0969733020928134 pmid: 32613895
Beard JR, Officer A, de Carvalho IA, Sadana R, Pot AM, Michel JP, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145-54. doi: 10.1016/S0140-6736(15)00516-4 pmid: 26520231
Artal R, Rubenfeld S. Ethical issues in research. Best Pract Res Clin Obstet Gynaecol. 2017;43:107-14. doi: 10.1016/j.bpobgyn.2016.12.006 pmid: 28190696
Tauber-Gilmore M, Addis G, Zahran Z, Black S, Baillie L, Procter S, et al. The views of older people and health professionals about dignity in acute hospital care. J Clin Nurs. 2018;27(1-2):223-34. doi: 10.1111/jocn.13877 pmid: 28514523
Gallagher A, Li S, Wainwright P, Jones IR, Lee D. Dignity in the care of older people - a review of the theoretical and empirical literature. BMC Nurs. 2008;7:11. doi: 10.1186/1472-6955-7-11 pmid: 18620561
Bagnasco A, Zanini M, Dasso N, Rossi S, Timmins F, Galanti MC, et al. Dignity, privacy, respect and choice-A scoping review of measurement of these concepts within acute healthcare practice. J Clin Nurs. 2020;29(11-12):1832-57. doi: 10.1111/jocn.15245 pmid: 32220088
Poss S. Towards death with dignity: Caring for dying people: Routledge;2021.
Newham R, Hewison A, Graves J, Boyal A. Human rights education in patient care: A literature review and critical discussion. Nurs Ethics. 2021;28(2):190-209. doi: 10.1177/0969733020921512 pmid: 32552480
Bedin MG, Droz-Mendelzweig M, Chappuis M. Caring for elders: the role of registered nurses in nursing homes. Nurs Inq. 2013;20(2):111-20. doi: 10.1111/j.1440-1800.2012.00598.x pmid: 22487323
Povlsen L, Borup I. Health Promotion: A developing focus area over the years. Scand J Public Health. 2015;43(16 Suppl):46-50. doi: 10.1177/1403494814568595 pmid: 26311798
Vadala G, Russo F, De Salvatore S, Cortina G, Albo E, Papalia R, et al. Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review. J Clin Med. 2020;9(4). doi: 10.3390/jcm9041023 pmid: 32260488
Kluzova Kracmarova L, Tomanova J, Cernikova KA, Tavel P, Langova K, Greaves PJ, et al. Perception of dignity in older men and women in the early stages of dementia: a cross-sectional study. BMC Geriatr. 2022;22(1):684. doi: 10.1186/s12877-022-03362-3 pmid: 35982424
Anderberg P, Lepp M, Berglund AL, Segesten K. Preserving dignity in caring for older adults: a concept analysis. J Adv Nurs. 2007;59(6):635-43. doi: 10.1111/j.1365-2648.2007.04375.x pmid: 17727405
Hasegawa N, Ota K. Concept synthesis of dignity in care for elderly facility residents. Nurs Ethics. 2019;26(7-8):2016-34. doi: 10.1177/0969733018824763 pmid: 30799707
Soderman A, Werkander Harstade C, Ostlund U, Blomberg K. Community nurses' experiences of the Swedish Dignity Care Intervention for older persons with palliative care needs - A qualitative feasibility study in municipal home health care. Int J Older People Nurs. 2021;16(4):e12372. doi: 10.1111/opn.12372 pmid: 33713554
Ostaszkiewicz J, Dunning T, Hutchinson A, Wagg A, Gwini S, Dickson-Swift V. The development and validation of instruments to measure dignity-protective continence care for care-dependent older people in residential aged care facilities: A study protocol. Neurourol Urodyn. 2020;39(5):1363-70. doi: 10.1002/nau.24343 pmid: 32227651
Marti-Garcia C, Fernandez-Ferez A, Fernandez-Sola C, Perez-Rodriguez R, Esteban-Burgos AA, Hernandez-Padilla JM, et al. Patients' experiences and perceptions of dignity in end-of-life care in emergency departments: A qualitative study. J Adv Nurs. 2023;79(1):269-80. doi: 10.1111/jan.15432 pmid: 36062865
Pivodic L, Smets T, Van den Noortgate N, Onwuteaka-Philipsen BD, Engels Y, Szczerbinska K, et al. Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study. Palliat Med. 2018;32(10):1584-95. doi: 10.1177/0269216318800610 pmid: 30273519
Verloo H, Salina A, Fiorentino A, Cohen C. Factors influencing the quality of life perceptions of cognitively impaired older adults in a nursing home and their informal and professional caregivers: a mixed methods study. Clin Interv Aging. 2018;13:2135-47. doi: 10.2147/CIA.S184329 pmid: 30464423
Gallagher A, Zoboli EL, Ventura C. Dignity in care: where next for nursing ethics scholarship and research? Rev Esc Enferm USP. 2012;46 Spec No:51-7. doi: 10.1590/s0080-62342012000700008 pmid: 23250258
Rodgers BL, Knafl KA. Concept development in nursing: Foundations, techniques, and applications.1993.
Schwartz-Barcott D. An expansion and elaboration of the hybrid model of concept development. Concept Development in Nursing Foundations, Techniques, and Applications. 2000:129-59.
Ide-Okochi A, Tadaka E. A hybrid concept analysis of children of concern: Japanese healthcare professionals' views of children at a high risk of developmental disability. BMC Pediatr. 2016;16(1):171. doi: 10.1186/s12887-016-0715-6 pmid: 27793129
Kramer MK. Concept clarification and critical thinking: integrated processes. J Nurs Educ. 1993;32(9):406-14. doi: 10.3928/0148-4834-19931101-06 pmid: 8277349
Andersson M, Hallberg IR, Edberg AK. Old people receiving municipal care, their experiences of what constitutes a good life in the last phase of life: a qualitative study. Int J Nurs Stud. 2008;45(6):818-28. doi: 10.1016/j.ijnurstu.2007.04.003 pmid: 17540379
Galloway J. Dignity, values, attitudes, and person-centred care. Nursing Care for older People: A Textbook for Students and Nurses, Oxford University Press, Oxford. 2011:9-22.
Rodgers BL. Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. J Adv Nurs. 1989;14(4):330-5. doi: 10.1111/j.1365-2648.1989.tb03420.x pmid: 2661622
Danial Z, Motamedi MH, Mirhashemi S, Kazemi A, Mirhashemi AH. Ageing in iran. Lancet. 2014;384(9958):1927. doi: 10.1016/S0140-6736(14)62278-9 pmid: 25435450
Mehri N, Messkoub M, Kunkel S. Trends, determinants and the implications of population aging in Iran. Age Internat. 2020;45(4):327-43. doi: 10.1007/s12126-020-09364-z
Esmaieli R, ABED SJ, Ashktorab T, ESMAILI M. Concept of elderly dignity in nursing perspective: a systematic review. 2014.
Schachter O. Human dignity as a normative concept. America J Int Law. 1983;77(4):848-54. doi: 10.2307/2202536
Mattson DJ, Clark SG. Human dignity in concept and practice. Polic Sci. 2011;44(4):303-19. doi: 10.1007/s11077-010-9124-0
Hall S, Dodd RH, Higginson IJ. Maintaining dignity for residents of care homes: a qualitative study of the views of care home staff, community nurses, residents and their families. Geriatr Nurs. 2014;35(1):55-60. doi: 10.1016/j.gerinurse.2013.10.012 pmid: 24246690
Barclay L. In sickness and in dignity: A philosophical account of the meaning of dignity in health care. Int J Nurs Stud. 2016;61:136-41. doi: 10.1016/j.ijnurstu.2016.06.010 pmid: 27351830
Garrard J. Health sciences literature review made easy.2020.
Cowles KV, Rodgers BL. The concept of grief: a foundation for nursing research and practice. Res Nurs Health. 1991;14(2):119-27. doi: 10.1002/nur.4770140206 pmid: 1842669
McCrudden C. Understanding human dignity. 2013. doi: 10.5871/bacad/9780197265642.001.0001
Jacobson N. Dignity violation in health care. Qual Health Res. 2009;19(11):1536-47. doi: 10.1177/1049732309349809 pmid: 19797155
Schmidt J, Trappenburg M, Tonkens E. Social dignity for marginalized people in public healthcare: an interpretive review and building blocks for a non-ideal theory. Med Health Care Philos. 2021;24(1):85-97. doi: 10.1007/s11019-020-09987-8 pmid: 33111158
Andorno R. The dual role of human dignity in bioethics. Med Health Care Philos. 2013;16(4):967-73. doi: 10.1007/s11019-011-9373-5 pmid: 22173655
Kane J, de Vries K. Dignity in long-term care: An application of Nordenfelt's work. Nurs Ethics. 2017;24(6):744-51. doi: 10.1177/0969733015624487 pmid: 26811400
Tadd W, Hillman A, Calnan S, Calnan M, Bayer T, Read S. Dignity in Practice: An exploration of the care of older adults in acute NHS Trusts: Citeseer;2011.
Thompson GN, McArthur J, Doupe M. Identifying Markers of Dignity-Conserving Care in Long-Term Care: A Modified Delphi Study. PLoS One. 2016;11(6):e0156816. doi: 10.1371/journal.pone.0156816 pmid: 27304853
Baillie L. Patient dignity in an acute hospital setting: a case study. Int J Nurs Stud. 2009;46(1):23-36. doi: 10.1016/j.ijnurstu.2008.08.003 pmid: 18790477
Hall EO, Hoy B. Re-establishing dignity: nurses' experiences of caring for older hospital patients. Scand J Caring Sci. 2012;26(2):287-94. doi: 10.1111/j.1471-6712.2011.00931.x pmid: 22011324
Lin YP, Tsai YF, Chen HF. Dignity in care in the hospital setting from patients' perspectives in Taiwan: a descriptive qualitative study. J Clin Nurs. 2011;20(5-6):794-801. doi: 10.1111/j.1365-2702.2010.03499.x pmid: 21320204
Papastavrou E. Respecting Human Dignity through Individualized Care. J Nurs Care. 2012;201(2):1. doi: 10.4172/2167-1168.1000e104
Harlow M, Laurence R. Viewing the old: recording and respecting the elderly at Rome and in the empire On Old Age: Approaching Death in Antiquity and the Middle Ages. 2011:3-24. doi: 10.1484/M.HDL-EB.4.3002
Jizong Y. Innovating the Culture of Respecting the Elderly People and Setting up Positive Concept about the Elderly. J Hubei Engineer Univ. 2015.
Yeh SF, Hong CY, Huang YL, Liu TY, Choo KB, Chou CK. Effect of an extract from Phyllanthus amarus on hepatitis B surface antigen gene expression in human hepatoma cells. Antiviral Res. 1993;20(3):185-92. doi: 10.1016/0166-3542(93)90019-f pmid: 8470882
Min Z. The Han Culture of Respecting the Elderly and Its Implications. J Hubei Engineer Univ. 2015.
Dixon S, Palfreyman S, Shackley P, Brazier J. What is dignity? A literature review and conceptual mapping. 2011.
Kim BJ. Respect for the elderly: Implications for human service providers: University Press of America;2009.
Jones RL. 'Older people'talking as if they are not older people: Positioning theory as an explanation. J Age Stud. 2006;20(1):79-91. doi: 10.1016/j.jaging.2004.12.003
Davies S, Ellis L, Laker S. Promoting autonomy and independence for older people within nursing practice: an observational study. J Clin Nurs. 2000;9(1):127-36. doi: 10.1046/j.1365-2702.2000.00348.x pmid: 11022501
Nouri A, Esmaeili R, Torab TA, Amin M. Dignity in older people: A systematic review of studies. Pharmacophore. 2017;8(6):e1173433.
Esmaeili R, Abedsaeidi Z, Ashktorab T. The philosophy of human relationship and moral principle in medical sciences. Quarter Med Ethic. 2011;5(16):79-93.
- چکیده مشاهده شده: 497 بار
- pdf (English) دانلود شده: 217 بار