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Dignity in Nursing

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Dignity in Nursing
Individuality and dignity are both major concepts in nursing practice. Indeed they are often mentioned in healthcare policies (Suhonen et al., 2009 and Baillie, 2009). Dignity and individualtiy are also basic human rights. The United Nations (1948), acknowledges that every person has the right to freedom, equality and dignity, regardless of race, gender, colour, religion, political opinon, property or other status. This essay aims to detail what both dignity and individuality are, their importance in nursing practice and the nurses role in respecting and catering for a persons individuality and promoting and maintaining dignity. There are, however, many barriers in nursing practice to providing individualised care and maintaining dignity. These barriers will also be highlighted within the course of this essay.

Dignity is an integral aspect in nursing practice. The Nursing and Midwifery Council (NMC, 2008), highlights that nurses’ must make patient care their priority, and respect their patient’s dignity and treat them as individuals. Dignity refers to the esteem, regard and worth both felt by a person and endowed upon them by others (Gallagher, 2004). From this it can be seen that dignity relates to how people feel about themselves, their worth and others. When patients’ come into a hospital they assume that they will be treated with dignity (Heijkenskjöld et al., 2010).

It is important to preserve a patient’s dignity as when dignity is maintained people feel contented, secure, comfortable, in control of the situation and feel that they can make decisions for themselves and have them respected (Royal College of Nursing (RCN, 2008). In a study, carried out by Harrefors et al. (2009), into older people’s views on how they would like to be cared for, it was found that it was vital to the subjects interviewed that they would be treated with dignity until the end of their lives especially in situations pertaining to bodily functions, vulnerabilities and intellectual



References: Baillie L (2009) Patient dignity in an acute hospital setting: a case study, International Journal of Nursing Studies, 46 (1), pp. 23-37. Baillie L, Ford P, Gallagher A and Wainwright P (2009) Nurses’ views on dignity in care, Nursing Older People, 21 (8), pp. 22-29. Downey L and Lloyd H (2008) Bed bathing patients in hospital, Nursing Standard, 22 (34), pp. 35-40. Finfgeld-Connett D (2008) Qualitative convergence of three nursing concepts: art of nursing, presence and caring, Journal of Advanced Nursing, 63 (5), pp. 527-534. Gallagher A (2004) Dignity and respect for dignity – two key health professional values: implications for nursing practice, Nursing Ethics, 11 (6), pp. 587-599. Harrefors C, Sävenstedt S and Axelsson K (2009) Elderly people’s perceptions of how they want to be cared for: an interview study with healthy elderly couples in Northern Sweden, Scandinavian Journal of Caring Sciences, 23 (2), pp. 353-360. Hawley M. P, and Jensen L (2007) Making a difference in critical care nursing practice, Qualitative Health Research, 17 (5), pp. 663-673. Heijkenskjöld K B, Ekstedt M and Lindwall L (2010) The patient’s dignity from the nurse’s perspective, Nursing Ethics, 17 (3), pp. 313-324. Jirwe M, Gerrish K and Emami A (2010) Student nurses’ experience of communication in cross-cultural care encounters, Scandinavian Journal of Caring Sciences, 24 (3), pp. 436-444. Kale E and Syed H R (2010) Language barriers and the use of interpreters in the public health services: a questionnaire-based survey, Patient Education and Counseling, 81 (2), pp. 187-191. Land L and Suhonen R (2009) Orthopaedic and trauma patients’ perceptions of individualised care, International Nursing Review, 56 (1), pp. 131-137. Lowe J and Archibald C (2009) Cultural diversity: the intention of nursing, Nursing Forum, 44 (1), pp. 11-18. McCormack B, Karlsson B, Dewing J and Lerdal A (2010) Exploring person-centredness: a qualitative meta-synthesis of four studies, Scandinavian Journal of Caring Sciences, 24 (3), pp. 620-634. Nursing and Midwifery Council (2008) The code: standards of conduct, performance and ethics for nurses and midwives, London: NMC. Soanes C and Stevenson A editors (2005) Oxford Dictionary of English (2nd edition revised), Oxford: Oxford University Press. Available from: http://oxforddictionaries.com/view/entry/m_en_gb0407930#m_en_gb0407930 (Accessed 08 November 2010) (Internet). Royal College of Nursing (2008) Defending dignity: opportunities and challenges for nursing, London: RCN. Sasso L, Stievano A, Jurado M G and Rocco G (2008) Code of ethics and conduct for european nursing, Nursing Ethics, 15 (6), pp. 821-836. Sayer A (2007) Dignity at work: broadening the agenda, Interdisciplinary Journal of Organization Theory and Society, 14 (4), pp. 565-581. Suhonen R, Välimäki M, Leino-Kilpi H and Katajisto J (2004) Testing the individualised care model, Scandinavian Journal of Caring Sciences, 18 (1), pp. 27-36. Suhonen R, Välimäki M and Leino-Kilpi H (2005) Individualized care, quality of life and satisfaction with nursing care, Journal of Advanced Nursing, 50 (3), pp. 283-292. Suhonen R, Schmidt L A and Radwin L (2007a) Measuring individualized nursing care: assessment of reliability and validity of three scales, Journal of Advanced Nursing, 59 (1), pp. 77-85. Suhonen R, Välimäki M, Katajisto J and Leino-Kilpi H (2007b) Provision of individualised care improves hospital patient outcomes: an explanatory model using LISREL, International Journal of Nursing Studies, 44 (2), pp. 197-207. Suhonen R, Välimäki M and Leino-Kilpi H (2009) The driving and restraining forces that promote and impede the implementation of individualised nursing care: a literature review, International Journal of Nursing Studies, 46 (12), pp. 1637-1649. Terry P B. (2007) Informed consent in clinical medicine, Chest, 131 (2), pp. 563-568. Torjuul K and Sorlie V (2006) Nursing is different than medicine: ethical difficulties in the process of care in surgical units, Journal of Advanced Nursing, 56 (4), pp. 404-413. United Nations (1948) The Universal Declaration of Human Rights, New York: United Nations. Available from: http://www.un.org/en/documents/udhr/ (Accessed 01 November 2010) (Internet). Wadensten B, Engholm R, Fahlström G and Hägglund D (2009) Nursing staff’s description of a good encounter in nursing homes, International Journal of Older People Nursing, 4 (3), pp.203-210.

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