Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

Human Dignity in Nursing Care: Examining the Views of Nursing Staff in Teaching Hospitals in Yazd

Document Type : Original Article

Authors
Mahdieh Momayyezi 1
Parisa Peigan 2
Farzan Madadizadeh 3
Hossein Fallahzadeh 4
1 MSc of health education , Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2 MSc of Epidemiology, Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3 . Associate Professor of Biostatistics Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4 Professor of Biostatistics, Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
10.22118/jsmj.2025.480201.3688
Abstract
Background and Objectives Maintaining the patient's dignity is an important issue in the health care system and a fundamental value in nursing care. This study was therefore conducted to investigate nurses' commitment to respecting human dignity in nursing care.
Subjects and Methods This cross-sectional descriptive study was conducted in 2023 on 360 nurses employed in the teaching hospitals of Shahid Sadougi University of Medical Sciences in Yazd. Data collection utilized cluster sampling and employed a questionnaire, which encompassed demographic-social information and the Dignity in Care Scale for Nurses (DICSN). Data were analyzed using independent t-tests, ANOVA, and logistic regression in SPSS version 20 software.
Results The mean score of human dignity in nursing care was 135.99±18.08, and the mean score of all dimensions of the questionnaire was higher than the acceptable range. Among the dimensions, communication skills (42.84±6.04), confidentiality of patient information (24.2±3.93) and quick response to patient's needs (23.42±3.3) were in a more favorable condition. Also, the mean score of the questionnaire was higher in women (138.29±17.16) than in men (133.2±18.9) (p=0.02). According to the logistic regression model, women were more likely than men to have more appropriate behavior in respecting human dignity in nursing care. (OR=5.54, CI=2.14-14.34) (p<0.001). The results showed that with the increase in the education level correlated with a decrease in nurses' commitment to respecting patient dignity (p=0.01).
Conclusion The mean score for human dignity and for all dimensions of the questionnaire exceeded the acceptable range. To further enhance human dignity in nursing care, we suggest implementing effective training courses.
Keywords
Dignity in care
Nurse
Patient
Subjects
 
[1]Yousefi Maghsoudbeiki H, Naderi M, Tajmiri MR, Daryabeig R. Privacy as an aspect of human dignity in nursing. Education and Ethics In Nursing ISSN: 2322-5300. 2022 Dec 25;2(4):21-7.
[2]Różyk‐Myrta A, Brodziak A, Kołat E. Nurses as new heroes of modern times. International nursing review. 2021 Jun;68(2):163-5. [10.1111/inr.12676 ] [PMID]
[3]Lin YP, Tsai YF. Development and validation of a Dignity in Care Scale for Nurses. Nursing Ethics. 2019 Nov;26(7-8):2467-81. [10.1177/0969733018819120 ] [PMID]
[4]Manookian A, Cheraghi MA, Nasrabadi AN, Peiravi H, Shali M. Nurses' lived experiences of preservation of patients' dignity. Journal of Medical Ethics & History of Medicine. 2014 Jan 1;7(1).
[5]Bidabadi FS, Yazdannik A, Zargham-Boroujeni A. Patient’s dignity in intensive care unit: A critical ethnography. Nursing ethics. 2019 May;26(3):738-52. [10.1177/0969733017720826 ] [PMID]
[6]Stephen Ekpenyong M, Nyashanu M, Ossey-Nweze C, Serrant L. Exploring the perceptions of dignity among patients and nurses in hospital and community settings: an integrative review. Journal of Research in Nursing. 2021 Sep;26(6):517-37.[ 10.1177/1744987121997890 ] [PMID]
[7]Tauber‐Gilmore M, Addis G, Zahran Z, Black S, Baillie L, Procter S, Norton C. The views of older people and health professionals about dignity in acute hospital care. Journal of clinical nursing. 2018 Jan;27(1-2):223-34. [10.1111/jocn.13877 ] [PMID]
[8]Griffith R, Tengnah CA. Law and professional issues in nursing.
[9]Mullen RF. Exploring nursing students' perspectives on preserving dignity in care: a mixed methods Q-methodology study (Doctoral dissertation, Edinburgh Napier University).
 [10]Høy B, Lillestø B, Slettebø Å, Sæteren B, Heggestad AK, Caspari S, Aasgaard T, Lohne V, Rehnsfeldt A, Råholm MB, Lindwall L. Maintaining dignity in vulnerability: A qualitative study of the residents’ perspective on dignity in nursing homes. International Journal of Nursing Studies. 2016 Aug 1;60:91-8.[ 10.1016/j.ijnurstu.2016.03.011 ] [PMID]
[11]Moen EK, Nåden D. Intensive care patients’ perceptions of how their dignity is maintained: A phenomenological study. Intensive and Critical Care Nursing. 2015 Oct 1;31(5):285-93. [10.1016/j.iccn.2015.03.003 ] [PMID]
[12]Hall S, Dodd RH, Higginson IJ. Maintaining dignity for residents of care homes: a qualitative study of the views of care home staff, community nurses, residents and their families. Geriatric Nursing. 2014 Jan 1;35(1):55-60. [10.1016/j.gerinurse.2013.10.012 ] [PMID]
[13]Baillie L. Patient dignity in an acute hospital setting: a case study. International journal of nursing studies. 2009 Jan 1;46(1):23-37. [10.1016/j.ijnurstu. 2008. 08. 003 ] [PMID]
[14]Ferri P, Muzzalupo J, Di Lorenzo R. Patients’ perception of dignity in an Italian general hospital: a cross-sectional analysis. BMC health services research. 2015 Jan 28;15(1):41. [10.1186/s12913-015-0704-8 ] [PMID]
[15]Barclay L. In sickness and in dignity: a philosophical account of the meaning of dignity in health care. International journal of nursing studies. 2016 Sep 1;61:136-41. [10.1016/j.ijnurstu.2016.06.010 ] [PMID]
 [16]Cronican LR. Preserving Dignity in the Long Term Care of Actively Dying Residents. 2017.
[17]Hojaji E, Zavoshy R, Noroozi M, Jahanihashemi H, Ezzedin N. Assessment of household food security and its relationship with some pregnancy complications. Journal of Mazandaran University of Medical Sciences. 2015 Apr 10;25(123):87-98.
 [18]Rousta A, Rabori RM, Sabzevari S. The study of the relationship between mental workload of nurses and maintaining human dignity of patients.
[19]Raee Z, Abedi H, Shahriari M. Nurses’ commitment to respecting patient dignity. Journal of education and health promotion. 2017 Jan 1;6(1):16. [10.4103/2277-9531.204743 ] [PMID]
[20]Vaskooei Eshkevari K, Karimi M, Asnaashari H, Kohan N. The assessment of observing patients' right in Tehran University of Medical Sciences' hospitals. Iranian journal of medical ethics and history of medicine. 2009 Oct 10;2(4):47-54.
[21]Raee Z, Abedi H. Nurses' perspectives on human dignity of hospitalized patients. Iran Journal of Nursing. 2017 Feb;29(104):55-65.
[22]Ella RE, Samson-Akpan PE, Mgbekem MA, Edet G. Factors influencing patients perception of nurses respect for their dignity in a public Hospital in Calabar, Nigeria: Implications for nursing education. International Journal of Humanities Social Sciences and Education. 2016;3(8):72-81.
[23]Asmaningrum N, Tsai YF. Nurse perspectives of maintaining patient dignity in Indonesian clinical care settings: A multicenter qualitative study. Journal of Nursing Scholarship. 2018 Sep;50(5):482-91. [10.1111/ jnu.12410 ] [PMID]
[24]Parsapoor A, Bagheri A, Larijani B. Patient's rights charter in Iran. Acta Medica Iranica. 2014:24-8.[PMID]
[25]Sabzvari S, Kohan N, Nakai N, Kohan M. The patients, attitude regarding to one’s privacy in medical surgical wards in Kerman medical university. Journal of
 
 
Authors retain the copyright and full publishing rights.
Published by ahvaz jundishapur university of medical science. This article is an open access article licensed under the Creative Commons Attribution-NonCommercial 4.0 (https://creativecommons.org/licenses/by-nc/4.0/).
 
Qualitative Research in Health Sciences. 2010 Oct 1;9(1):41-6.
[26]Torabizadeh C, Jafari S, Momennasab M. Patient’s dignity: viewpoints of patients and nurses in hospitals.
Hospital Topics. 2021 Oct 11;99(4):187-97. [10.1080/ 00185868.2021.1897487 ] [PMID]
[27]Bagheri H, Taghva F, Sadeh M, Shahbeygi N, Shamsizadeh M. Viewpoint of nurses and patients about inherent dignity of patients. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2018 Nov 20;4(2):50-8.
[28]Beach MC, Forbes L, Branyon E, Aboumatar H, Carrese J, Sugarman J, Geller G. Patient and family perspectives on respect and dignity in the intensive care unit. Narrative inquiry in bioethics. 2015;5(1):15A-25A. [10.1353/nib.2015.0000 ] [PMID]
[29]Arab MO, Zarei A, Hosseini M. Awareness and observation of patients' rights from the perspective of patients: a study in university hospitals in Tehran. Journal of School of Public Health & Institute of Public Health Research. 2010 Jul 1;8(2).
[30]Philipp R, Mehnert A, Lehmann C, Oechsle K, Bokemeyer C, Krüll A, Vehling S. Detrimental social interactions predict loss of dignity among patients with cancer. Supportive Care in Cancer. 2016 Jun;24(6):2751-8. [10.1007/s00520-016-3090-9] [PMID]
 [31]Delmar, Phd C, Alenius-Karlsson, Rn N, Højer Mikkelsen, Msc A. The implications of autonomy: Viewed in the light of efforts to uphold patients dignity and integrity. International journal of qualitative studies on health and well-being. 2011 Jan 1;6(2):6045. [10.3402/qhw.v6i2.6045 ] [PMID]
[32]Humayun A, Fatima N, Naqqash S, Hussain S, Rasheed A, Imtiaz H, Imam SZ. Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. BMC medical ethics. 2008 Sep 25;9(1):14. [10.1186/1472-6939-9-14 ] [PMID]
[33]ATRAK H, KHOSHDEL RM. The nature and scope of patient autonomy.
[34]Zirak M, Ghafourifard M, Mamaghani EA. Patients’ dignity and its relationship with contextual variables: a cross-sectional study. Journal of Caring Sciences. 2017 Mar 1;6(1):49.[ 10.15171/jcs.2017.006 ] [PMID]
 [35]Korhan EA, Üstün Ç, Yilmaz DU. Practices in human dignity in palliative care: a qualitative study. Holistic Nursing Practice. 2018 Mar 1;32(2):71-80. [10.1097/HNP.0000000000000252 ] [PMID]

  • Receive Date 25 September 2024
  • Revise Date 29 January 2025
  • Accept Date 09 February 2025