| dc.description.abstract | Aims and objectives: To explore and compare nurses’ and patients’ viewpoints of disrespectful behaviours that threaten patient dignity during hospitalised care.
Background: Patient's dignity is an important ethical consideration for nursing care
practice. In clinical settings, nurse–patient interactions can generate behaviour considered
disrespectful
and
undignified,
often
due
to
a
disruptive
hospital
atmosphere
and
emotional frustrations of nurses and patients. How behaviours and attitudes
threaten patient dignity in Indonesian clinical care settings has not been well studied.
Design: Qualitative descriptive study.
Methods: This multi-site study purposively recruited nurses and inpatients from six
public hospitals in four districts in Eastern Java, Indonesia. Individual, face-to-face
semi-structured interviews were conducted with 35 inpatients and 40 registered
nurses from medical and surgical wards. Data from verbatim transcriptions of digital
audio recordings were analysed with inductive content analysis. The COREQ checklist
for
qualitative
research
was
used
for
reporting
this
study.
Results:
Five categories emerged which described disrespectful behaviours that
threaten patient dignity. Three categories were important for both nurses and patients:
negligence,
impoliteness
and
dismissal.
Descriptions
of
the
behaviours
were
comparable
for
both
groups.
The
forth
category,
inattentiveness,
was
highlighted
by
nurses,
while
the
fifth
category,
discrimination,
was
highlighted
by
patients.
Conclusions:
Examining
behaviours
considered
to
be
disrespectful
in
an
Indonesian
healthcare
setting
expand
on
perspectives
towards
dignity
in
care.
The
comparable
viewpoints
of
nurses
and
patients
provide
knowledge
of
how
undignified
behaviours
could
be
reduced
in
cross-cultural
healthcare
settings.
Behaviours
perceived
as
undignified
primarily
by
nurses
or
patients
might
result
from
differences
in
social
roles
and
responsibilities.
Relevance
to
clinical
practice:
Understanding
nurses’
and
patients’
perspectives
of
undignified
care
is
an
important
step
in
reducing
behaviours
that
violate
patient
dignity
in
clinical
practice.
Nurses’
commitment
to
patient-centred
care
should
include
being
responsive,
compassionate,
communicative
and
attentive,
which
could
ameliorate
instances
of
undignified
behaviours. | en_US |
