EdenteV2, Istex, Corpus, bibRecord, 002A94

Undignifying institutions

Identifieur interne : 002A94 ( Istex/Corpus ); précédent : 002A93; suivant : 002A95

Undignifying institutions

Auteurs : D. Seedhouse ; A. Gallagher

Source :

Journal of Medical Ethics [ 0306-6800 ] ; 2002-12.

RBID : ISTEX:5751D4A7F00179964EC6F457324CB96FFB4319EC

English descriptors

KwdEn :
- Auckland university, Australian nursing council, Brian smith, Competency, Condition behaviour, Control site, Devastating loss, Dignity, Dignity loss, Dignity promotion, Educational intervention, Elderly care institutions, Experience dignity, Health care assistant, Health care assistants, Health care environment, Health professionals, Health workers, Inappropriate circumstances, Indignity, International council, Intuitive understanding, Lack dignity, Middlesex university, Midwifery council, Noble idea, Older patients, Older people, Patient capabilities, Patient dignity, Pilot study, Professional conduct, Resource levels, Respect dignity, Seedhouse, Serious loss, Social ethics, Staff behaviour, Traditional practices, Undignifying, Undignifying institutions, codes of ethics, dignity, practical application of philosophy.
Teeft :
- Auckland university, Australian nursing council, Brian smith, Competency, Condition behaviour, Control site, Devastating loss, Dignity, Dignity loss, Dignity promotion, Educational intervention, Elderly care institutions, Experience dignity, Health care assistant, Health care assistants, Health care environment, Health professionals, Health workers, Inappropriate circumstances, Indignity, International council, Intuitive understanding, Lack dignity, Middlesex university, Midwifery council, Noble idea, Older patients, Older people, Patient capabilities, Patient dignity, Pilot study, Professional conduct, Resource levels, Respect dignity, Seedhouse, Serious loss, Social ethics, Staff behaviour, Traditional practices, Undignifying, Undignifying institutions.

Abstract

Declarations of the importance of dignity in health care are commonplace in codes of practice and other mission statements, yet these documents never clarify dignity’s meaning. Their vague aspirations are compared to comments from staff and patients about opportunities for and barriers against the promotion of dignity in elderly care institutions. These suggest that while nurses and health care assistants have an intuitive understanding of dignity, they either do not or cannot always bring it about in practice. Thus, despite stated intentions to promote dignity, it appears that the circumstances of at least some elderly care institutions cause patients to experience avoidable indignities. Such institutions are “undignifying institutions” because they fail to acknowledge dignity’s basic components, focus excessively on quantifiable priorities, and have insufficient resources available to assure consistently dignifying care. As a partial solution, we argue that health workers should be taught to understand and specify the components of dignity, which will better prepare them to challenge undignifying practices and to recognise opportunities for dignity promotion.

Url:

https://api.istex.fr/document/5751D4A7F00179964EC6F457324CB96FFB4319EC/fulltext/pdf

DOI: 10.1136/jme.28.6.368

Links to Exploration step

ISTEX:5751D4A7F00179964EC6F457324CB96FFB4319EC

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<abstract xml:lang="en"><p>Declarations of the importance of dignity in health care are commonplace in codes of practice and other mission statements, yet these documents never clarify dignity’s meaning. Their vague aspirations are compared to comments from staff and patients about opportunities for and barriers against the promotion of dignity in elderly care institutions. These suggest that while nurses and health care assistants have an intuitive understanding of dignity, they either do not or cannot always bring it about in practice. Thus, despite stated intentions to promote dignity, it appears that the circumstances of at least some elderly care institutions cause patients to experience avoidable indignities. Such institutions are “undignifying institutions” because they fail to acknowledge dignity’s basic components, focus excessively on quantifiable priorities, and have insufficient resources available to assure consistently dignifying care. As a partial solution, we argue that health workers should be taught to understand and specify the components of dignity, which will better prepare them to challenge undignifying practices and to recognise opportunities for dignity promotion.</p>
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<abstract lang="en">Declarations of the importance of dignity in health care are commonplace in codes of practice and other mission statements, yet these documents never clarify dignity’s meaning. Their vague aspirations are compared to comments from staff and patients about opportunities for and barriers against the promotion of dignity in elderly care institutions. These suggest that while nurses and health care assistants have an intuitive understanding of dignity, they either do not or cannot always bring it about in practice. Thus, despite stated intentions to promote dignity, it appears that the circumstances of at least some elderly care institutions cause patients to experience avoidable indignities. Such institutions are “undignifying institutions” because they fail to acknowledge dignity’s basic components, focus excessively on quantifiable priorities, and have insufficient resources available to assure consistently dignifying care. As a partial solution, we argue that health workers should be taught to understand and specify the components of dignity, which will better prepare them to challenge undignifying practices and to recognise opportunities for dignity promotion.</abstract>
<note type="author-notes">Correspondence to:  Professor D Seedhouse, Centre for Health and Social Ethics, Auckland University of Technology, Akoranga Campus, Private Bag 92006, Auckland 1020, New Zealand;  david.seedhouse@aut.ac.nz</note>
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