Journal ArticleDOI
Dignity as experienced by nursing home staff
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TLDR
Nursing home staff members deal with a moral conflict between what they are able to deliver and what they would like to provide in the care of older people, and there is a need to take account of staff members' work situation.Abstract:
Aims and objectives. To explore nursing home staff members' experiences of what dignity in end of life care means to older people and to themselves. Background. Dignity is a concept often used in end-of-life care, but its meaning is rarely clarified. Design. Qualitative descriptive study. Methods. Content analysis. This study is based on interviews with 21 staff members in four different nursing homes in Sweden. Findings. The results show that staff members balanced between providing for the older person's physical needs while wishing to be able to deliver a 'deeper' level of care. The older people's dignity is presented in the main theme: Feeling trust - Showing respect. The staff members' dignity is presented in the main theme: Maintaining self-respect - Being shown respect. Threats to dignity are presented in the main theme: conflicts between the ideal and the reality. Conclusions. The results reveal that nursing home staff members deal with a moral conflict between what they are able to deliver and what they would like to provide in the care of older people. Relevance to clinical practice. To promote older people's dignity, there is a need to take account of staff members' work situation. Supervision and continuous education could be one way of achieving this.read more
Citations
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Journal ArticleDOI
An integrative review of dignity in end-of-life care:
Qiaohong Guo,Cynthia S. Jacelon +1 more
TL;DR: The meaning of dying with dignity is clarified and common aspects of dignity in end-of-life care are synthesized to evaluate the meaning across cultures and to explore individualized dignity-based care.
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Having to focus on doing rather than being-Nurse assistants' experience of palliative care in municipal residential care settings.
TL;DR: More focus is needed on the trajectory of older peoples' dying, on the importance of involving relatives throughout the period of care provision, and on support when encountering death and dying.
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Rethinking decent work: the value of dignity in tourism employment
TL;DR: In this paper, the authors focus on establishing a conceptual grounding for the value of dignity in tourism employment for achieving decent work as part of the sustainable development agenda and explore how the context and conditions of tourism employment are conducive (or not) for offering dignified and sustainable employment.
Journal ArticleDOI
A discourse of silence: professional carers reasoning about death and dying in nursing homes
TL;DR: The findings show that nursing-home staff need more knowledge and support to enable them to feel that they do a good job, including training and support for the staff in their work.
Journal ArticleDOI
Nursing home staff’s views on residents’ dignity: a qualitative interview study
Mariska Oosterveld-Vlug,H. Roeline W. Pasman,Isis E. van Gennip,Dick L. Willems,Bregje D. Onwuteaka-Philipsen +4 more
TL;DR: Tailoring dignity-conserving care to an individual nursing home resident appears hard to bring about in daily practice, and both attention to solve contextual barriers within the nursing home as well as more awareness of staff members for their own values, which they take as a reference point in treating residents, is needed to promote personal dignity in the Nursing home setting.
References
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Book
Qualitative research & evaluation methods
TL;DR: In this paper, conceptual issues and themes on qualitative research and evaluaton methods including: qualitative data, triangulated inquiry, qualitative inquiry, constructivism, constructionism, complexity (chaos) theory, qualitative designs and data collection, fieldwork strategies, interviewing, tape-recording, ethical issues, analysis, interpretation and reporting, observations vs. perceived impacts and utilisation-focused evaluation reporting.
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The Analytic Challenge in Interpretive Description
TL;DR: In this paper, the authors further develop their understanding of this methodological alternative by elaborating on the objective and mechanisms of its analytic processes and by expanding their consideration of its interpretive products.
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Nurse Moral Distress and Ethical Work Environment
TL;DR: A difference between moral distress intensity and frequency and the importance of the environment tomoral distress intensity is revealed.
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Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care
TL;DR: Kindness, humanity, and respect—the core values of medical professionalism—are too often being overlooked in the time pressured culture of modern health care, says HarveyChochinov, and the A, B, C, and D of dignity conserving care can reinstate them.
Journal ArticleDOI
Dignity in the terminally ill: a cross-sectional, cohort study
Harvey Max Chochinov,Thomas F. Hack,Thomas Hassard,Linda J. Kristjanson,Susan McClement,Mike Harlos +5 more
TL;DR: The extent to which dying patients perceive they are able to maintain a sense of dignity is identified, and how demographic and disease-specific variables relate to the issue of dignity in these individuals are ascertained.