Undignifying institutions
Identifieur interne : 002A94 ( Istex/Corpus ); précédent : 002A93; suivant : 002A95Undignifying institutions
Auteurs : D. Seedhouse ; A. GallagherSource :
- Journal of Medical Ethics [ 0306-6800 ] ; 2002-12.
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:
DOI: 10.1136/jme.28.6.368
Links to Exploration step
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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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<topic>Elderly care institutions</topic>
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