Respect and dignity towards elderly in nursing home care agencies Introduction
Authors:
I. Juhásová 1; A. Pokorná 1; D. Tichá 2; L. Cetlová 1
Authors place of work:
Vysoká škola polytechnická Jihlava
Katedra zdravotnických studií
Vedoucí: PhDr. Vlasta Dvořáková, PhD.
1; Nemocnice Nové Město na Moravě
Oddělení ARO – Následná intenzivní péče
Primář: MUDr. Dušan Mach
2
Published in the journal:
Prakt. Lék. 2016; 96(6): 261-266
Category:
Of different specialties
Summary
Introduction:
Respecting the dignity of clients represents a current challenge in the nursing approach.
Aim:
To evaluate the degree of dignified nursing approach towards elderly patients in home care agencies, to identify subscale, which is mostly endangered by the nurses’ misconduct and simultaneously to record the link between the respect of a dignified approach and general nurses’ demographic data (nurses’ age, educational achievements, the graduation year, the length of professional experience in the healthcare and in a home care agency).
Methods:
The research was carried out in 19 home care agencies in the Vysočina region, the questionnaire survey was attended by 92 nurses. To determine the level of a respectful, dignified approach, the authorized questionnaire (Tabaková©) was used, which consists of 26 items and was divided into five subscales (the awareness of patient, autonomy, confidence, principle of justice, and intimacy).
Results:
Specifically, the lowest rating was found in the subscale of patient autonomy and the highest rating in the subscale of confidence and protection of information. Generally, the dignified approach to the elderly increases with the nurse’s younger age and with less practice in the home care agency (p ≤ 0,05).
Conclusion:
We recommend that nurses look at each patient as an active subject of the care to enable those patients to participate in decisions about themselves. There is need for continuous educational and audit activities to ensure the change of attitudes.
Keywords:
dignity – home care – community care – elderly
Zdroje
1. Busato A, Künzi B. Differences in the quality of interpersonal care in complementary and conventional medicine. BMC Complement Altern Med 2010; 10: 63. doi:10.1186/1472-6882-10-63
2. Dignity in Care. Toolkit. The Patient Dignity Question (PDQ) [on line] [cit. 31-07-2016] Dostupné z: http://www.dignityincare.ca/en/toolkit.html
3. Dávideková M. Etické hodnoty a dôstojnosť v sociálnej práci. Prohuman 2010 [online] [cit. 31-07-2016]. Dostupné z: http://www.prohuman.sk/socialna-praca/eticke-hodnoty-a-dostojnost-v-socialnej-praci
4. Evropská charta práv a povinností starších osob vyžadujících dlouhodobou péči a pomoc [online] 2010 [cit. 31-07-2016]. Dostupné z: http://www.zivot90.cz/uploads/document/156.pdf
5. Fahlberg B. Promoting patient dignity in nursing care. Nursing 2014; 44(7): 14.
6. Gallagher A, Li S, Wainwright P, et al. Dignity in the care of older people – a review of the theoretical and empirical literature. BMC Nursing [online] 2008 [cit. 31-07- 2016]. Dostupné z: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2483981/. doi:10.1186/1472-6955-7-11
7. Holmerová I, Jurašková B, Zikmundová K, et al. Vybrané kapitoly z gerontologie. 3. přepracované a doplněné vydání. Praha: EV public relations 2007.
8. Jacelon CS, Connelly TW, Brown R, et al. A concept analysis of dignity for older adults. J Adv Nurs 2004; 48(1): 76–83.
9. Jo KH, Doorenbos A. Understanding the meaning of human dignity in Korea: a content analysis I. J Palliat Nurs 2009; 15 (4): 178–185.
10. Ivanová K. Základy etiky a organizační kultury v managementu zdravotnictví. Brno: NCONZO 2006.
11. Kelley E, Hurst J. Health care quality indicators project conceptual framework paper. 2006. OECD Health Working Papers [online] [cit. 31-07-2016]. Dostupné z: http://www.oecd.org/dataoecd/1/34/36262514.pdf
12. Kalvach Z. Podpora rozvoje komunitního systému integrovaných podpůrných služeb. Praha: Diakonie ČCE 2014.
13. Kalvach Z, Zadák Z, Jirák R, a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004.
14. Krátká A, Šilháková G. Ošetřovatelství v komunitní péči. Zlín: Univerzita Tomáše Bati ve Zlíně 2008.
15. Lelkešová S, Juhásová I. Dôstojný prístup k pacientom v domovoch sociálnych služieb. Ošetřovatelství a porodní asistence [online] 2012; 3 (4) [cit. 31-07-2016-]. Dostupné z: http://periodika.osu.cz/osetrovatelstviaporodniasistence/dok/2012-04/4_lelkesova_juhasova.pdf
16. Mastiliaková D. Holistické přístupy v péči o zdraví: základní otázky lékařské etiky. Brno: NCONZO 2007.
17. Papp R, Borbas I, Dobos E, et al. Perceptions of quality in primary health care: perspectives of patients and professionals based on focus group discussions. BMC Family Practice 2014; 15: 128. doi:10.1186/1471-2296-15-128
18. Petrovicová E, Trešlová M. Respect, autonomy and identity of patient as a basic component to retain human dignity. Ošetrovateľstvo: teória, výskum, vzdelávanie [online] 2016; 6(1): 19–25 [cit. 31-07- 2016-]. Dostupné z: http://www.osetrovatelstvo.eu/archiv/2016-rocnik-6/cislo-1/respekt-autonomie-a-intimita-pacienta-jako-zakladni-komponenty-uchovani-lidske-dustojnosti
19. Plevová I. Ošetřovatelství II. Praha: Grada Publishing 2011.
20. Pokorná A, Dvořáková S. Role praktického lékaře a spokojenost s péčí z pohledu seniorů. Prakt. Lék. 2015; 95(5): 199–204.
21. Pokorná A. Komunikace se seniory. Praha: Grada Publishing 2010.
22. Ptáček R, Bartůněk P, a kol. Etika a komunikace v medicíně. Praha: Grada Publishing 2011.
23. Tabaková M. Rešpektovanie dôstojného prístupu k pacientovi u sestier v agentúrach domácej ošetrovateľskej starostlivosti. Ošetřovatelství a porodní asistence [online] 2010; 1(4): 106–112 [cit. 31-07-2016-]. Dostupné z: http://periodika.osu.cz/osetrovatelstviaporodniasistence/dok/2010-04/1_tabakova.pdf19
24. Ústav zdravotnických informací a statistiky ČR. Zdravotnická statistika 2015 [cit. 31-07-2016]. Dostupné z: http:// http://www.uzis.cz/registry-nzis/nrpzs
25. Weber P. Minimum z klinické gerontologie pro lékaře a sestru v ambulanci. Brno: IDV PZ 2000.
Štítky
General practitioner for children and adolescents General practitioner for adultsČlánok vyšiel v časopise
General Practitioner
2016 Číslo 6
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Memantine Eases Daily Life for Patients and Caregivers
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
Najčítanejšie v tomto čísle
- Hospitalism in pediatric patients
- Complex rehabilitation of patients after stroke – project of Stroke centre in Thomayer’s hospital
- Cholesterol myths
- Hygiene hypothesis and the increasing incidence of allergic diseases in the children and adolescent population