Maintaining patients' dignity during clinical care: a qualitative interview study
Maintaining patients' dignity during clinical care: a qualitative interview study
复制标题
DOI：
10.1111/j.1365-2648.2010.05498.x
复制
发表时间：
2011-02-01
影响因子：
3.8
通讯作者：
Tsai, Yun-Fang
中科院分区：
文献类型：
--
作者：
Lin, Yea-Pyng;Tsai, Yun-Fang
目的：本文是一项研究的报告，旨在了解护士在临床实践中如何维护患者的尊严。背景：尊严是护理中的核心概念，维护患者的尊严对他们的康复至关重要。在西方国家，维护患者护理尊严的措施包括维护身体隐私、提供空间隐私、给予足够的时间、将患者作为一个整体对待，并允许患者拥有自主权。然而，这是一个在亚洲国家研究不足的课题。方法：在这项定性的描述性研究中，我们于2009年在台湾收集资料，透过深入访谈的方式，从台湾东部一家教学医院抽取30名护士为研究对象。录音访谈被逐字转录，并使用内容分析进行分析。结果：护士在病人护理中维护尊严的措施被记录在五个主题中：尊重、保护隐私、情感支持、平等对待所有病人和维护身体形象。与会者没有提到善行，这是通过护士的专业护理实现的关键因素，可以促进患者的康复。结论：帮助护士提高患者护理尊严的在职教育应强调情感支持，维护身体形象，平等对待所有患者。我们在病人护理中维护尊严的模型可以用来开发供护士在临床实践中使用的临床护理规程。
P>Aim.This article is a report of a study undertaken to understand how nurses maintain patients' dignity in clinical practice.Background.Dignity is a core concept in nursing care and maintaining patients' dignity is critical to their recovery. In Western countries, measures to maintain dignity in patients' care include maintaining privacy of the body, providing spatial privacy, giving sufficient time, treating patients as a whole person and allowing patients to have autonomy. However, this is an under-studied topic in Asian countries.Methods.For this qualitative descriptive study, data were collected in Taiwan in 2009 using in-depth interviews with a purposive sample of 30 nurses from a teaching hospital in eastern Taiwan. The audiotaped interviews were transcribed verbatim and analysed using content analysis.Findings.Nurses' measures to maintain dignity in patient care were captured in five themes: respect, protecting privacy, emotional support, treating all patients alike and maintaining body image. Participants did not mention beneficence, a crucial element achieved through the professional care of nurses that can enhance the recovery of patients.Conclusion.In-service education to help nurses enhance dignity in patient care should emphasize emotional support, maintaining body image and treating all patients alike. Our model for maintaining dignity in patient care could be used to develop a clinical care protocol for nurses to use in clinical practice.