Dr. Evridiki Papastavrou, Dr. Georgios Efstathiou Department of ...

Perspectives of Patients’ Dignityin Nursing EducationDr. Georgios Efstathiou, Dr. Evridiki PapastavrouDepartment of Nursing, Cyprus University of TechnologyEU CNOs Meeting9 -10 October 2012, Cyprus

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EU CNOs MeetingCyprus

DignityVaguely defined in nursing• Preserve• Maintain• RespectMany studies exploring the content of patient dignity asperceived by patients or nursesno studies among nursing studentsEU CNOs MeetingCyprus

Nursing studentsΙmportant to increase the knowledge on howstudents feel about dignity so as to design moreappropriate teaching strategies especiallyconcerning specific actions that show respect ofpatient dignityEU CNOs MeetingCyprus

AimTo explore nursing students’ perceptions on dignitythrough their experiences during nursing education(clinical placement)EU CNOs MeetingCyprus

MethodFocus group study (4 group discussions)• Nursing students of the CUT (N=34)• Each group consisted of students from the sameyear of studies, similar age• Different clinical placements• Moderator to facilitate discussions• Open for exchange of ideas• Thematic content analysisEU CNOs MeetingCyprus

Ethical considerations• Study’s protocol reviewed by the Cyprus NationalBioethics Committee• Ethical standards descibed by Beauchamp andChildress (2009)• Participants informed on the study (right to refuseparticipation, withdraw, verbal informed consent etc)EU CNOs MeetingCyprus

ResultsMany factors that may compromise (violate) patients’dignityThemes• Nurse-patient interaction• Patient’s charactestics• Nurse’s characteristicsEU CNOs MeetingCyprus

Results• Nurse-patient interactionInformation«the patient has the right to know […] the nurse needs toinform…»«the nurse must explain»«I will provide as much information as possible»«the patient was not informed, therefore he left hisroom…»«the patient wanted to be informed on the procedure,nevertheles nobody provided such information»EU CNOs MeetingCyprus

Results• Nurse-patient interactionTalking to the patient«… the way we talk to the patient. It is different to call himGeorgie and different to call him Mr. George»«we don’t call the patients as Mr. Michalis, Mr Kostas butrather Hey Kostas»«the way nurses talk to the patients for example granny,honey…»«where is the appendicitis?»«I cannot say 6A meaning a patient, he has a name»EU CNOs MeetingCyprus

Results• Nurse-patient interactionPrivacy«…you need to close the curtains to give a bed bath»«… there are cases when nurses do not close thecurtains […] and there are other patients and visitorslooking»«nurses were coming in and out of the patients’ roomswithout even closing the door and at the same time wewere giving bed baths»EU CNOs MeetingCyprus

Results• Nurse-patient interactionPersonal data/confidentiality«…the nurse was shouting about the patient’s treatment{ I have inserted a catheter you may pass urine now}»«has the patient given the right to the nurse to shoutabout the medications he receives or about thetreatment?»EU CNOs MeetingCyprus

Results• Nurse-patient interactionPatient’s will«…this patient had a fear for injections […] the nurseinsisted on doing the injection. He did not respect thepatient’s fear on injections»«…you look inexperienced in drawing blood , letsomebody else to do it. And the nurse replied you cannotjudge me, let me do my job»«…the nurse was shouting you will have a bath now»EU CNOs MeetingCyprus

Results• Nurse-patient interactionPatient’s will«…the patient has the right to refuse»«…I will explain to her about the benefits of the treatmentbut I cannot force her to accept it»«…you cannot do anything on a patients body withouthis/her permission»EU CNOs MeetingCyprus

Results• Patient’s characteristicsNeed for help / inabillity of self care«…to accept that nurses will provide care to them,something that they used to do before their admission tothe hospital»«… to need help for a bath»EU CNOs MeetingCyprus

Results• Patient’s characteristicsPerception on hospital admision«At home the patients had more comforts, they didwhat they wanted to do, now in the hospital they sharethe place with other people»«The patient may not feel as important as at home»«The patient may feel incapable, he cannot work, hecannot raise his children…»EU CNOs MeetingCyprus

Results• Patient’s characteristicsNationality«…this foreigner patient. One nurse was expecting someother nurse to give this patient a bed-bath. At the endnobody did. Nobody wanted to give a bed bath to thispatient»«…muslims do not eat pork, I have to respect this»EU CNOs MeetingCyprus

Results• Nurse’s characteristicsAge«…younger nurses are more carefull concernign therepsect of the privacy and dignity of the patients»«…the curtains during bed bath, I see younger nurses touse them more often»EU CNOs MeetingCyprus

Results• Nurse’s characteristicsPsychological status«… the nurse may not feel well that day»«... personal problems, for example with children, wife,money. It is not always possible to leave this behind»EU CNOs MeetingCyprus

ConclusionPatient dignity can be violated (as perceivedby nursing students) – in line with previous studiesNursing students• recognised cases of violated patient dignity• recognised the importance of maintaning patientdignityEU CNOs MeetingCyprus

ImplicationsNursing students are the future nurses (as health careprofesionals)• educators need to undestand whan students believe• educators need to tailor programmes to promote therespect of patient dignityPolicy makers and nursing leaders need to understandthe value of respecting patient dignity as a means forenhancing the quality of care provided and patientsatisfactionEU CNOs MeetingCyprus

Thank You