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A systematic review of patient‐reported dignity and dignified care during acute hospital admission

AIMS: 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 demog...

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Autores principales: Fuseini, Abdul‐Ganiyu, Ley, Lenore, Rawson, Helen, Redley, Bernice, Kerr, Debra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795980/
https://www.ncbi.nlm.nih.gov/pubmed/35841334
http://dx.doi.org/10.1111/jan.15370
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author Fuseini, Abdul‐Ganiyu
Ley, Lenore
Rawson, Helen
Redley, Bernice
Kerr, Debra
author_facet Fuseini, Abdul‐Ganiyu
Ley, Lenore
Rawson, Helen
Redley, Bernice
Kerr, Debra
author_sort Fuseini, Abdul‐Ganiyu
collection PubMed
description AIMS: 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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spelling pubmed-97959802022-12-28 A systematic review of patient‐reported dignity and dignified care during acute hospital admission Fuseini, Abdul‐Ganiyu Ley, Lenore Rawson, Helen Redley, Bernice Kerr, Debra J Adv Nurs Reviews AIMS: 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. John Wiley and Sons Inc. 2022-07-16 2022-11 /pmc/articles/PMC9795980/ /pubmed/35841334 http://dx.doi.org/10.1111/jan.15370 Text en © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Fuseini, Abdul‐Ganiyu
Ley, Lenore
Rawson, Helen
Redley, Bernice
Kerr, Debra
A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title_full A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title_fullStr A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title_full_unstemmed A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title_short A systematic review of patient‐reported dignity and dignified care during acute hospital admission
title_sort systematic review of patient‐reported dignity and dignified care during acute hospital admission
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795980/
https://www.ncbi.nlm.nih.gov/pubmed/35841334
http://dx.doi.org/10.1111/jan.15370
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