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A systematic review of patient-reported dignity and dignified care during acute hospital admission
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posted on 2023-02-08, 22:14 authored by AG Fuseini, Lenore LeyLenore Ley, H Rawson, B Redley, Debra KerrDebra KerrAims: To synthesize quantitative evidence on levels of dignity during acute hospital admission and identify barriers and facilitators to patients' dignity or dignified care from the perspective of hospitalized patients. The secondary aim was to examine the relationship between dignity and demographic, clinical and psychological characteristics of patients. Design: A systematic review based on the protocol of the Preferred Reporting Items for Systematic reviews and Meta-Analyses guideline for reporting systematic reviews. Data Sources: Five electronic databases (PubMed, CINAHL, Embase, PsycINFO, AgeLine) were searched in February 2021, followed by backward-forward searching using Web of Science and Scopus databases. Review Methods: Potentially eligible articles were scrutinized by two reviewers. Articles that met the eligibility criteria were appraised for quality using the Critical Appraisal Tool for Cross-Sectional Studies. Two reviewers extracted data for the review and resolved differences by consensus. Results: Out of 3052 potentially eligible studies, 25 met the inclusion criteria. Levels of dignity for hospitalized patients vary widely across geographic locations. Patients' dignity is upheld when healthcare professionals communicate effectively, maintain their privacy, and provide dignity therapy. Patients' perceptions of dignity were, in some studies, reported to be associated with demographic (e.g. age, marital status, gender, employment, educational status), clinical (e.g. hospitalization, functional impairment, physical symptoms) and psychological (e.g. depression, anxiety, demoralization, coping mechanisms) variables whilst other studies did not observe such associations. Conclusion: Patients in acute care settings experience mild to a severe loss of dignity across different geographic locations. Patients' dignity is influenced by several demographic, clinical and psychological characteristics of patients. Impact: The findings of the review support impetus for improvement in dignified care for hospitalized patients, addressing factors that facilitate or impede patients' dignity. Measures aimed at alleviating suffering, fostering functional independence and addressing patients' psychosocial needs can be used to promote dignity.
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Journal
Journal of Advanced NursingLocation
EnglandPublisher DOI
ISSN
0309-2402eISSN
1365-2648Language
EnglishPublisher
WILEYUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineNursingacute careacute hospital admissionautonomycommunicationdignified caredignityhealthcare professionalsnursingpatientsprivacysystematic reviewPALLIATIVE CARECANCER-PATIENTSTERMINALLY-ILLSYMPTOM BURDENOF-LIFEHEALTHINVENTORYTHERAPYENDINTERVENTIONMental HealthBehavioral and Social Science8.1 Organisation and delivery of services7.1 Individual care needsGeneric health relevanceNursing not elsewhere classified
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