Concept analysis of human dignity in patient care: Rodgers' evolutionary approach
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Abstract
Human dignity (HD) in patient care is an important concept in clinical ethics that has various definitions in existing literature. This study aimed at analyzing the concept of HD in patient care. To this end, Rodgers' evolutionary concept analysis was used. For this purpose, scientific databases PubMed, Elsevier, ScienceDirect, Scopus, OVID, Web of Science, CINHAL, IRANDOC, Google Scholar, Magiran, SID and IranMedex were searched fusing the words “human dignity”, “patient care” and “ethics”. The main criterion for inclusion in the final analysis was the literature published in English and Persian from 2006 to 2016 in online scientific journals within the context of health care disciplines. Ultimately, 21 articles were selected for the study. The attributes of the concept under study were identified in two areas of individual HD and social HD. Antecedents included facilitators and threats, and the consequences consisted of both favorable and unfavorable consequences. HD forms the essence of patient care and is a value-based and humanistic concept based on respect for the integrity of human beings and their beliefs. This concept, with its holistic approach to humans, takes into account all stages of disease, old age and the end of life period. HD in patient care is influenced by cultural, social, spiritual and religious factors, and with its justice-based approach emphasizes equality of all patients and extends patient care to all areas of society rather than restricting it to hospital settings. In this study, a clear definition of HD is introduced.
2. Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patients' perception of dignity in Iranian healthcare settings: a qualitative content analysis. J Med Ethics. 2012; 38(12): 723-8.
3. Lavasani SMH, Kalantarkousheh SM. The roots of human dignity according to Quranic verses. Australian Journal of Basic and Applied Sciences. 2013; 7(10): 393-7.
4. Salehi HR. Human dignity from the viewpoint of Iranian law. J Bioeth Inq. 2013; 10(2): 135-6.
5. Coventry ML. Care with dignity: a concept analysis. J Gerontol Nurs. 2006; 32(5):42-8.
6. Hemati Z, Ashouri E, AllahBakhshian M, et al. Dying with dignity: a concept analysis. J Clin Nurs. 2016;25(9-10):1218-28.
7. Mehdipour-Rabori R, Abbaszadeh A, Borhani F. Human dignity of patients with cardiovascular disease admitted to hospitals of Kerman, Iran, in 2015. J Med Ethics Hist Med. 2016; 9: 8.
8. Gennip IEV, Pasman HRW, Oosterveld-Vlug MG, Willems DL, Onwuteaka-Philipsen BD. How dementia affects personal dignity: a qualitative study on the perspective of individuals with mild to moderate dementia.The Journal of Gerontology. 2016; 71(3): 491-501.
9. 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.
10. Manookian A, Cheraghi MA, Nasrabadi AN. Factors influencing patients' dignity: A qualitative study. Nurs Ethics. 2014; 21(3):323-34.
11. Rodgers BL, Knafl KA. Concept Development in Nursing: Foundation, Techniques and Application, 2nd ed.Philadelphia: Saunders; 2000.
12. 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.
13. Bagheri H, Yaghmaei F, Ashktorab T, Zayeri F. Test of dignity model in patient with heart failure. Nurs Ethics.2016. pii: 0969733016658793.
14. Pleschberger S. Dignity and the challenge of dying in nursing homes: the residents' view. Age Ageing. 2007;36(2):197-202.
15. Hall S, Goddard C, Speck PW, Martin P, Higginson IJ. "It makes you feel that somebody is out there caring":a qualitative study of intervention and control participants' perceptions of the benefits of taking part in an evaluation of dignity therapy for people with advanced cancer. J Pain Symptom Manage. 2013; 45(4): 712-25.
16. Papastavrou E, Efstathiou G, Andreou C. Nursing students' perceptions of patient dignity. Nurs Ethics. 2016;23(1): 92-103.
17. Lohne V, Rehnsfeldt A, Raholm MB, Lindwall L, Caspari S, Saeteren B, et al. Family caregivers' experiences in nursing homes: narratives on human dignity and uneasiness. Res Gerontol Nurs. 2014; 7(6): 265-72.
18. Cheraghi MA, Manookian A, Nikbakht Nasrabadi A. Patients' lived experiences regarding maintaining dignity. J Med Ethics Hist Med. 2015; 8: 6.
19. Hamooleh MM, Borimnejad L, Seyedfatemi N, Tahmasebi M. Perception of Iranian nurses regarding ethicsbased palliative care in cancer patients. J Med Ethics Hist Med. 2013; 6: 12.
20. Gysels M, Reilly CC, Jolley CJ, et al. Dignity through integrated symptom management: lessons from the breathlessness support service. J Pain Symptom Manage. 2016; 52(4): 515-24.
21. Granero-Molina J, Díaz-Cortés Mdel M, Hernández-Padilla JM, García-Caro MP, Fernández-Sola C. Loss of dignity in end-of-life care in the emergency department: a phenomenological study with health professionals.J Emerg Nurs. 2016; 42(3): 233-9.
22. Cheraghi MA, Manookian A, Nasrabadi AN. Human dignity in religion-embedded cross-cultural nursing.Nurs Ethics. 2014; 21(8): 916-28.
23. Hoy B, Lillesto B, Slettebo A, et al. Maintaining dignity in vulnerability: a qualitative study of the residents' perspective on dignity in nursing homes. Int J Nurs Stud. 2016; 60: 91-8.
24. Slettebo A, Caspari S, Lohne V, Aasgaard T, Naden D. Dignity in the life of people with head injuries. J Adv Nurs. 2009; 65(11): 2426-33.
25. Borhani F, Abbaszadeh A, Rabori RM. Facilitators and threats to the patient dignity in hospitalized patients with heart diseases: a qualitative study. Int J Community Based Nurs Midwifery. 2016; 4(1): 36-46.
26. Bagheri H, Yaghmaei F, Ashktorab T, Zayeri F. Patient dignity and its related factors in heart failure patients.Nurs Ethics. 2012; 19(3): 316-27.
27. Lindwall L, Boussaid L, Kulzer S, Wigerblad A. Patient dignity in psychiatric nursing practice. J Psychiatr 28. Holmberg M, Valmari G, Lundgren SM. Patients' experiences of homecare nursing: balancing the duality between obtaining care and to maintain dignity and self-determination. Scand J Caring Sci. 2012; 26(4): 705-12.Ment Health Nurs. 2012; 19(7): 569-76.
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| Issue | Vol 11 (2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Human dignity Patient care Ethics Rodgers’ evolutionary approach | ||
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