Respect in the care of older patients in acute hospitals

Abstract

The aim of this study was to describe the experiences of older patients and their next of kin with regards to respect in the care given in an acute hospital. The data were collected using tape-recorded interviews (10 patients and 10 next of kin) and analysed via inductive content analysis. Based on the analysis, the concept of respect can be defined by the actions taken by nurses (polite behaviour, the patience to listen, reassurance, response to information needs, assistance in basic needs, provision of pain relief, response to wishes and time management) and next of kin (support, assistance and advocacy) and by factors related to the environment (appreciation of older people in society, management of health-care organizations, the nursing culture, the flow of information and patient placement). The information will be used to develop an instrument for assessing how well respect is maintained in the care of older patients.

Experiences of the older hospitalised person on nursing pain care: An ethnographic insight

“…Neville and Roan () confirmed nurses were conservative in their willingness to expend extra energy or time to manage pain for the older person with intractable or problematic pain. Similar to the findings in this study, obstacles to maintaining respect were noted to be uncaring attitudes and a culture of inflexible nursing care (Koskenniemi, Leino‐Kilpi, & Suhonen, ).…”

Being respected by nurses: Measuring older patients’ perceptions

“…The lowest ratings of respect were about showing interest in patients’ views within the listening subscale. These ratings support the findings of earlier studies suggesting that nurses should interact with their patients more often and listen carefully to their points of views (Koskenniemi et al., , ). The need for preparing for and engaging in empathic and meaningful relationships with patients is also widely expressed in earlier respect literature (Heliker & Nguyen, ; Jonasson et al., ; Thompson et al., ; Jonasson & Berterö, ; Papastavrou et al., ; Koskenniemi et al., , ).…”

“…These ratings support the findings of earlier studies suggesting that nurses should interact with their patients more often and listen carefully to their points of views (Koskenniemi et al., , ). The need for preparing for and engaging in empathic and meaningful relationships with patients is also widely expressed in earlier respect literature (Heliker & Nguyen, ; Jonasson et al., ; Thompson et al., ; Jonasson & Berterö, ; Papastavrou et al., ; Koskenniemi et al., , ). Person‐centred care, which fundamentally requires nurses to listen to their patients, is broadly accepted as an appropriate basis for care delivery (Dewin, ; McCormack & McCance, ).…”

“…It is pertinent that investigations consider older patients’ perceptions of nurses’ behaviours and attitudes towards respect in caring situations (Koskenniemi et al. , ).…”

Regionalism, Regime Complexes & The Crisis in International Criminal Justice

“…However, this fragmentation is unavoidable in a "rapidly transforming international system" and is a "positive demonstration of the responsiveness of legal imagination to social change." 446 In essence, new institutions are "an attempt to advance beyond the [unsatisfactory] political present." 447 Further development of the regime complex in international criminal law could potentially occur in a multitude of ways with states continuing to prosecute international criminal law violations domestically, and/or utilizing universal jurisdiction.…”