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Journal of clinical nursing
Nov, 2023;32 (21-22): 7791-7801.

Self-reported dignity and factors that influence dignity in hospitalised older adults: A cross-sectional survey.

Abdul-Ganiyu Fuseini, Helen Rawson, Bernice Redley, Lenore Ley, Mohammadreza Mohebbi, Debra Kerr
Author Information
  1. Abdul-Ganiyu Fuseini: Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong Waterfront Campus, Geelong, Victoria, Australia. ORCID
  2. Helen Rawson: Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia. ORCID
  3. Bernice Redley: Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong Waterfront Campus, Geelong, Victoria, Australia. ORCID
  4. Lenore Ley: Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong Waterfront Campus, Geelong, Victoria, Australia. ORCID
  5. Mohammadreza Mohebbi: Faculty of Health, Biostatistics Unit, Deakin University, Geelong, Victoria, Australia. ORCID
  6. Debra Kerr: Centre for Quality and Patient Safety, Institute for Health Transformation, School of Nursing and Midwifery, Deakin University, Geelong Waterfront Campus, Geelong, Victoria, Australia. ORCID
PMID: 37604797 DOI: 10.1111/jocn.16850

Abstract

OBJECTIVE: This study examined levels of self-reported dignity and explored factors expected to influence dignity experienced by older adults during acute hospitalisation in Ghana.
BACKGROUND: Dignified care has been recognised as inseparable from quality nursing care and maintaining patients' dignity has been highlighted in professional codes of conduct for nurses. However, there is a lack of research on self-reported dignity and the factors that influence the dignity of older adults during acute hospitalisation in Africa.
SETTING: A large teaching hospital in the northern region of Ghana.
PARTICIPANTS: Hospitalised older adults.
METHODS: A cross-sectional survey was used to gather data from a convenience sample of 270 older inpatients, using the Hospitalized Older Adults' Dignity Scale. Data were analysed using descriptive statistics and stepwise ordinal logistic regression to investigate stratified dignity outcomes. The study was reported following the STROBE checklist.
RESULTS: More than half of the older adults surveyed reported low to moderate levels of dignity. Demographic characteristics such as age, marital status, religious status, occupation, level of education and type of hospital ward did not show any significant associations with dignity levels. However, there was a significant association found between dignity levels and sex and the number of hospitalisations.
CONCLUSION: Most older adults in a Ghanian hospital experienced loss of dignity during their acute hospitalisation. Male older adults reported higher dignity levels during acute hospitalisation than their female counterparts. Further, older adults who were admitted to hospital for the second time reported less dignity compared to those admitted three or more times.
RELEVANCE TO CLINICAL PRACTICE: The results emphasise the importance of healthcare professionals having the necessary knowledge and skills to provide gender-sensitive care, which ultimately promotes the dignity of all patients. Additionally, the results underscore the urgency of implementing measures that guarantee patients' dignity during all hospital admissions.
PATIENT OR PUBLIC CONTRIBUTION: Survey questionnaires were completed by hospitalised older adults at the study setting.

Keywords

acute settings dignified care dignity hospitalisation older adults

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Journal Article

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