The overall objectives of this two year project were to identify and validate person-centred attributes of dignity in relation to continence, to develop reflective guidelines for the provision of dignified care in this setting and to produce recommendations for best practice. Phase one of the three part study reported here examines attributes of dignified bladder and bowel care using a literature search and interviews with older people in nursing homes and hospitals. The literature search focused on three main areas, dignity and older people, dignity and continence, and dignity and care. This revealed that knowledge is limited to broad descriptions of the pathways care should take to achieve dignity; little is understood about how dignified care can actually be undertaken and achieved, cognitive and linguistic ability to be able to participate and varying continence needs. The responses are disused in terms of defining dignity, coping strategies, professional care, communication, personal care, choice and privacy. The views provide evidence of user perceptions of continence services and their preferences; the emphasis being on sensitivity, timeliness, loss of self worth and good
The overall objectives of this two year project were to identify and validate person-centred attributes of dignity in relation to continence, to develop reflective guidelines for the provision of dignified care in this setting and to produce recommendations for best practice. Phase one of the three part study reported here examines attributes of dignified bladder and bowel care using a literature search and interviews with older people in nursing homes and hospitals. The literature search focused on three main areas, dignity and older people, dignity and continence, and dignity and care. This revealed that knowledge is limited to broad descriptions of the pathways care should take to achieve dignity; little is understood about how dignified care can actually be undertaken and achieved, particularly from a user perspective. Qualitative research then explored what dignified care meant to older people. Residents of two nursing homes and patients in an acute hospital setting were included from London and Kent (two contrasting areas in terms of socio-economic profiles and healthcare provision). Thirty three interviews were achieved. Those included were aged over 65 years, had sufficient cognitive and linguistic ability to be able to participate and varying continence needs. The responses are disused in terms of defining dignity, coping strategies, professional care, communication, personal care, choice and privacy. The views provide evidence of user perceptions of continence services and their preferences; the emphasis being on sensitivity, timeliness, loss of self worth and good communication.
Subject terms:
incontinence, person-centred care, privacy, user views, dignity;
This article discusses the progress the dignity campaign has made in raising awareness and understanding of the issues. The article also explains how Leeds health and social care services implemented their Dignity in Care campaign.
This article discusses the progress the dignity campaign has made in raising awareness and understanding of the issues. The article also explains how Leeds health and social care services implemented their Dignity in Care campaign.
Subject terms:
older people, privacy, quality of life, rights, dignity;
It is important that privacy is respected in all care settings so that people can maintain their dignity. This includes privacy regarding personal information; rooms; using the bathroom; post; phone calls; and relationships. These are some of the things that this film looks at when discussing privacy and its role as a major contributor to providing dignity in care. The film shows that if staff need to see someone's mail for administrative reasons, that event is signed and dated. Privacy in practice can mean making sure that a confidentiality policy is in place and followed by all staff; making issues of privacy and dignity a fundamental part of staff induction and training; and making sure that only those who need information to carry out their work have access to people's personal records
(Edited publisher abstract)
It is important that privacy is respected in all care settings so that people can maintain their dignity. This includes privacy regarding personal information; rooms; using the bathroom; post; phone calls; and relationships. These are some of the things that this film looks at when discussing privacy and its role as a major contributor to providing dignity in care. The film shows that if staff need to see someone's mail for administrative reasons, that event is signed and dated. Privacy in practice can mean making sure that a confidentiality policy is in place and followed by all staff; making issues of privacy and dignity a fundamental part of staff induction and training; and making sure that only those who need information to carry out their work have access to people's personal records or financial information.
(Edited publisher abstract)
Subject terms:
privacy, dignity, confidentiality, service users, access to information, interpersonal relationships;
... being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, people living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. All the inspections were unannounced, each
(Original abstract)
Report of an inspection of 500 care homes, which were inspected on five standards: respecting and involving people who use services; meeting their nutritional needs; safeguarding them from abuse; staffing; and records. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, people living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. All the inspections were unannounced, each scheduled to include a mealtime. Excerpts from individual inspection reports illustrate what worked well and what needed to improve.
(Original abstract)
Subject terms:
dignity, care homes, older people, residents, nutrition, privacy, nursing homes;
... to support people’s care. However, People living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care.
(Edited publisher abstract)
Report of an inspection of 500 care homes. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, People living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care.
(Edited publisher abstract)
Subject terms:
dignity, care homes, older people, residents, nutrition, privacy;
Comparing the results of the 2011 dignity and nutrition review with these latest findings, the inspectors found that more hospitals were meeting people’s nutritional needs. However, fewer hospitals were treating patients with dignity and respect. 50 hospitals were inspected against five standards: respecting and involving people; meeting their nutritional needs; safeguarding them from abuse;
(Original abstract)
Comparing the results of the 2011 dignity and nutrition review with these latest findings, the inspectors found that more hospitals were meeting people’s nutritional needs. However, fewer hospitals were treating patients with dignity and respect. 50 hospitals were inspected against five standards: respecting and involving people; meeting their nutritional needs; safeguarding them from abuse; staffing; and records. 33 hospitals were meeting all five standards. At the other end of the scale, three hospitals were meeting just two of the five standards, one hospital was meeting only one and one was not meeting any.
(Original abstract)
Subject terms:
dignity, nutrition, patients, hospitals, privacy, health care, older people;
This inspection report compares the results of the 2011 dignity and nutrition review with the 2012 findings. The main findings are that more hospitals are meeting people’s nutritional needs but there are fewer hospitals where patients are always treated with dignity and their privacy and independence respected.
(Original abstract)
This inspection report compares the results of the 2011 dignity and nutrition review with the 2012 findings. The main findings are that more hospitals are meeting people’s nutritional needs but there are fewer hospitals where patients are always treated with dignity and their privacy and independence respected.
(Original abstract)
Subject terms:
nutrition, hospitals, dignity, older people, health care, privacy, patients;
Dementia: the International Journal of Social Research and Practice, 11(1), January 2012, pp.49-59.
Publisher:
Sage
This study investigated a patient garment developed for the care of people with severe memory problems, severe learning difficulties and brain injuries. A patient garment is designed to prevent undressing in socially inappropriate situations and/or to stop the user from removing an incontinence pad. This study is based on interviews with 14 designers of medical textiles, 9 dementia patients and 3 family carers in Finland. Results indicated that both designers and patients found patient garment to be infantilising and stigmatising for the user but accepted the basic functions of the product. The authors report on the results of a design project aimed at designing a new type of garment that takes into account the technical requirements but provides a more dignified look and opportunities for activity. Finally, they explore the ethical issues concerning the use of this kind of product in dementia care settings.
This study investigated a patient garment developed for the care of people with severe memory problems, severe learning difficulties and brain injuries. A patient garment is designed to prevent undressing in socially inappropriate situations and/or to stop the user from removing an incontinence pad. This study is based on interviews with 14 designers of medical textiles, 9 dementia patients and 3 family carers in Finland. Results indicated that both designers and patients found patient garment to be infantilising and stigmatising for the user but accepted the basic functions of the product. The authors report on the results of a design project aimed at designing a new type of garment that takes into account the technical requirements but provides a more dignified look and opportunities for activity. Finally, they explore the ethical issues concerning the use of this kind of product in dementia care settings.
Subject terms:
incontinence, older people, privacy, dementia, dignity, head injuries;
This report describes Phase 2 of a two year project. Phase 1 provided a foundation for the work by looking at attributes of dignified bladder and bowel care using a literature review supported by interviews. Phase 2 was in two stages, and sought to develop and refine person-centred attributes of dignity in continence care through observation and validation in nursing home and hospital settings. cope with undignified experiences are discussed within the predominant domains of dignity, choice and care, communication and care, privacy, and hygiene and comfort. The final stage of the project will be to develop guidelines for reflective practice, implement them and evaluate them using a validation process with continence and dignity experts.
This report describes Phase 2 of a two year project. Phase 1 provided a foundation for the work by looking at attributes of dignified bladder and bowel care using a literature review supported by interviews. Phase 2 was in two stages, and sought to develop and refine person-centred attributes of dignity in continence care through observation and validation in nursing home and hospital settings. Stage 1 developed and piloted a detailed structured observation schedule for measuring the quality of care, using the attributes identified in Phase 1. However, direct observation proved unfeasible and was changed to a post event qualitative validation approach. The challenges of, and rationale for, this methodological change are discussed. Stage 1 involved interviews with 10 individuals aged 65 plus with varying faecal/urinary continence needs living in a nursing home or as hospital inpatients in London or Kent. Stage 2 validated the observed attributes to check they were complete, reflective of and compatible with the patient experience using semi-structured interviews with four participants in Kent; well below the planned number of 20. The views of interviewees and the strategies they use to help them cope with undignified experiences are discussed within the predominant domains of dignity, choice and care, communication and care, privacy, and hygiene and comfort. The final stage of the project will be to develop guidelines for reflective practice, implement them and evaluate them using a validation process with continence and dignity experts.
Subject terms:
incontinence, person-centred care, privacy, user views, coping behaviour, dignity;
This article reports on a multi-method case study investigating the effect of staff behaviour on patient dignity. Qualitative data was collected via interviews with patients and staff, participant observation and document examination. The results indicate that patient dignity is promoted when staff provided privacy and use interactions that help patients feel comfortable, in control and valued. Individual staff behaviour as a major impact on whether threats to patient dignity actually lead to its loss.
This article reports on a multi-method case study investigating the effect of staff behaviour on patient dignity. Qualitative data was collected via interviews with patients and staff, participant observation and document examination. The results indicate that patient dignity is promoted when staff provided privacy and use interactions that help patients feel comfortable, in control and valued. Individual staff behaviour as a major impact on whether threats to patient dignity actually lead to its loss.
Subject terms:
human rights, patients, privacy, attitudes, communication, dignity, health professionals;