The Nurses' Perceptions and Experiences on the Older Adult's Dignity in Nursing Homes

노인의 존엄성에 대한 노인요양시설 간호사의 인식과 경험

  • Kim, Ki-Kyong (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 김기경 (연세대학교 원주의과대학 간호학과)
  • Published : 2009.03.30

Abstract

Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

References

  1. 국가인권위원회 (2002). 무료 및 실비 노인요양시설에서의 인권실태 사례조사. 인권상황 실태조사 연구용역사업보고서.
  2. 김강운 (2005). 헌법상의 자기결정권의 의의. 법학연구, 20, 161-179.
  3. 김기숙, 김진희, 이선희, 차혜경, 신수정, 지성애 (2000). 병원 간호현장에서의 억제대 사용실태에 관한 연구. 대한간호학회지, 30(1), 60-71.
  4. 김 욱 (2002). 억압의 한 형태로서의 노인차별주의(Ageism): 사회복지적 대응과 함의. 사회복지정책, 14, 97-118.
  5. 요양시설 노인학대 예방책 마련 시급. (2008, December. 14). 노년시대 신문, 인터넷 신문(www.nnnew.co.kr).
  6. 대한간호협회 (2007), 한국간호사 윤리. 서울 : 대한간호협회.
  7. 대법원 홈페이지 (2009). http://www.scourt..go.kr
  8. 박찬운 (2008). 사회권의 성격과 사법구제 가능성. 법학논총, 25(3), 19-44.
  9. 법제처 홈페이지 (2009). http://www.moleg.go.kr
  10. 보건복지가족부 (2006). 노인복지시설 인권보호 및 안전관리지침.
  11. 이인영 (2008). 미국의 자연사법 규범과 의료인의 면책규정이 주는 시사점. 비교형사법연구, 10(1), 481-508.
  12. American Nurses Association (2001). Code of ethics for Nurses with Interpretative Statements. ANA : Washington, DC.
  13. Anderberg, P., Lepp, M., Berglund, A. L., & Segesten, K. (2007). Preserving dignity in caring for older adults: a concept analysis. JAN, 24 May, 635-643.
  14. Australian Nursing Council (1993). Code of ehics for Nurses in Australia. Australian Nursing Council : Canberra.
  15. Baillie, L. (2007). The impact of urological conditions on patients' dignity. International Journal of Urological Nursing, 1(1), 27-35 https://doi.org/10.1111/j.1749-771X.2006.00003.x
  16. Chilly, K. K. (1997). Professional Nursing (2nd), WB : Saunders Publishing Company
  17. Chockinov, H. M., Hack, T., McClement, S., Kristjanson, L., & Horlos, M. (2002). Dignity in the terminally ill: A developing empirical model. Social Science and Medicine, 54, 433-443. https://doi.org/10.1016/S0277-9536(01)00084-3
  18. Dochterman, J. M., & Bulechek, G. M. (2004). Nursing Interventions Classification (4th ed). St. Louis, Missouri : Mosby.
  19. Downe-Wamboldt, B. L., & Ellerton, M. L. (1986). A study of the role of hospice volunteers. Hospi J, 1, 17-31.
  20. Gallagher, A., & Seedhouse, D. (2002). Dignity in care: the views of patients and relatives, Nursing Times, 98, 39-40.
  21. Jacelon, C. S., Conelly, T. W., Brown, R., Proulx, K., & Vo, T. (2004). A concept analysis of dignity for older adults. Journal of Advanced Nursing, 48(1), 76-83. https://doi.org/10.1111/j.1365-2648.2004.03170.x
  22. Jacelon, C. S. (2003). The dignity of elders in an acute care hospital. Qualitative Health Research, 13, 543-556. https://doi.org/10.1177/1049732302250762
  23. Lai, C. Y., & Levy, V. (2002). Hong Kong Chinese women's experiences of vaginal examinations in labour. Midwifery, 18, 296-303. https://doi.org/10.1054/midw.2002.0326
  24. Matiti, M. R., & Trorey, G. (2004). Perceptual adjustment levels: patients' perception of their dignity in the hospital setting. International Journal of Nursing Studies, 41, 35-44.
  25. Moody, H. R. (1998). Why dignity in old age matters. Journal of Gerontological Social Work, 29, 13-38.
  26. NAND International (2007). Nursing Diagnosis: Definitions & Classification 2007-2008. Philadelphia : NANDA.
  27. Randers, I., & Mattiasson, A. C. (2004). Autonomy and integrity: Upholding older adult patients' dignity. Journal of Advanced Nursing, 45, 63-73. https://doi.org/10.1046/j.1365-2648.2003.02861.x
  28. Schnelle, J. F., Bates-Jensen, B. M., Levy-Storms, L., Grbic, V., Yonshii, J., Cadogan, M., & Shotton, L., & Seedhouse, D. (1998). Practical dignity in caring. Nursing Ethics, 5(3). 246-255.
  29. Tadd, W. (2004). Dignity and older Europeans: Comparative analysis of data from older people's focus groups from all centers. http://www.caediff.ac.uk
  30. Walsh, K., & Kowanko, I. (2002). Nurses' and patients' perceptions of dignity. International Journal of Nursing Practice, 8, 143-151. https://doi.org/10.1046/j.1440-172X.2002.00355.x
  31. Woolhead, G., Calnan, M., Dieppe, P., & Tadd, W. (2004). Dignity in older age: What do older people in the United Kingdom think? Age and Ageing, 33, 165-170. https://doi.org/10.1093/ageing/afh045