Nurse Perspectives of Maintaining Patient Dignity in Indonesian Clinical Care Settings: A Multicenter Qualitative Study

Asmaningrum, Nurfika; Tsai, Yun‐Fang

doi:10.1111/jnu.12410

Cited by 12 publications

(17 citation statements)

References 24 publications

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“…This finding indicates negligence of care violates the domain of responsiveness in healthcare. Responsiveness has been reported to be one element of dignified care that is important to both patients (Asmaningrum & Tsai, ) and nurses (Asmaningrum & Tsai, ) and is essential for promoting patient‐centred care (National Clinical Guideline Centre ). Hence, negligence in providing patient care not only threatens patient dignity, but also reduces the value of patient‐centred care.…”

Section: Discussionmentioning

confidence: 99%

“…nurses (Asmaningrum & Tsai, 2018b) and is essential for promoting patient-centred care (National Clinical Guideline Centre 2012). Hence, negligence in providing patient care not only threatens patient dignity, but also reduces the value of patient-centred care.…”

Section: Discussionmentioning

confidence: 99%

“…(Matiti, 2005). These perceptions can also differ for patients, nurses and the characteristics of cultural and social perspectives of the healthcare setting (Asmaningrum & Tsai, 2018b;Jacobson, 2009;Matiti, 2005). The complex and multifaceted concept of dignity (Clark 2010) must take into account individual differences (Gallagher, 2004), which requires accommodating multiple views.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Existing research on dignity in healthcare includes several qualitative studies that provide global perspectives towards maintaining patient dignity in diverse cultural settings. These have included studies of Indonesian patients (Asmaningrum & Tsai, 2018a) and nurses (Asmaningrum & Tsai, 2018b), which found person-centred care was important for maintaining dignity. Studies on perspectives of Taiwanese nurses showed nurses considered treating all patients with respect and treating them equally demonstrated dignified care (Lin & Tsai, 2010), while a sense of control and feeling nurses cared about their overall well-being was considered dignified care by patients (Lin, Tsai, & Chen, 2011).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Perceptions of what constitutes patient dignity, such as how dignity is maintained or diminished, and what are perceived as undignified behaviours, can vary within multicultural and global communities (Matiti, ). These perceptions can also differ for patients, nurses and the characteristics of cultural and social perspectives of the healthcare setting (Asmaningrum & Tsai, ; Jacobson, ; Matiti, ). The complex and multifaceted concept of dignity (Clark ) must take into account individual differences (Gallagher, ), which requires accommodating multiple views.…”

Section: Introductionmentioning

confidence: 99%

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Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

Asmaningrum

Kurniawati

Tsai

2020

Journal of Clinical Nursing

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

Asmaningrum

Kurniawati

Tsai

2020

Journal of Clinical Nursing

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Moral awareness and its relationship with moral sensitivity among Iranian nursing students: A basis for nursing ethics education

et al. 2022

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The healthcare environment is always fraught with moral issues and challenges for all members of the healthcare team, including nurses as the largest group of service providers in the healthcare system (Rasoal et al., 2017). Due to their continuous attendance to the patients at their bedside, nurses have a major effect on the quality of and patients' satisfaction with healthcare services (Rohde & Domm, 2018;Zamanzadeh et al., 2017). Adherence to ethical principles contributes to the provision of high-quality nursing care (Rahnavard et al., 2021).Commitment to ethics in healthcare constitutes the core of nursing values (Eskandari et al., 2016), and the World Health Organization (WHO, n.d.) has emphasized the significance of professional behaviour in accordance with healthcare values and ethics (Organization).Although ethics has long been closely associated with the nursing profession, it has classically received attention since the foundation of the International Council of Nurses (ICN) in 1899, such that the first ethical codes for nurses were compiled and published by ICN in 1953(Stievano & Tschudin, 2019. The American Nurses Association (ANA) considers ethical codes as part of the principles of nursing profession and mandates ethical commitment in any relationship, even with nursing students (Fowler, 2017;McCrink, 2010).

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Indonesian hospital’s preparedness for handling COVID-19 in the early onset of an outbreak: A qualitative study of nurse managers

Asmaningrum

Ferguson

Ridla

et al. 2022

Australasian Emergency Care

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Nurse Perspectives of Maintaining Patient Dignity in Indonesian Clinical Care Settings: A Multicenter Qualitative Study

Cited by 12 publications

References 24 publications

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

Moral awareness and its relationship with moral sensitivity among Iranian nursing students: A basis for nursing ethics education

Indonesian hospital’s preparedness for handling COVID-19 in the early onset of an outbreak: A qualitative study of nurse managers

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