RESUMO
AIMS AND OBJECTIVES: To review the evidence for interventions to improve dignity for older patients in acute care. BACKGROUND: High profile cases have highlighted failure to provide dignified care for older people in hospitals. There is good evidence on what older people consider is important for dignified care and abundant recommendations on improving dignity, but it is unclear which interventions are effective. DESIGN: Narrative systematic review. METHODS: The Cochrane library, MEDLINE, EMBASE, CINAHL, BNI and HMIC electronic databases were searched for intervention studies of any design aiming to improve inpatients' dignity. The main population of interest was older patients, but the search included all patients. Studies that focused on 'dignity therapy' were excluded. RESULTS: There were no intervention studies found in any country which aimed to improve patient dignity in hospitals which included evaluation of the effect. A narrative overview of papers that described implementing dignity interventions in practice but included no formal evaluation was, therefore, undertaken. Five papers were identified. Three themes were identified: knowing the person; partnership between older people and health care professionals; and, effective communication and clinical leadership. The effect on dignity of improving these is untested. CONCLUSIONS: There are currently no studies that have tested interventions to improve the dignity of older people (nor anyone else) in hospitals. Further research using well designed trials of interventions is needed. There is also a need to develop and validate outcome measures for interventions to improve dignity. RELEVANCE TO CLINICAL PRACTICE: At present nurses lack robust evidence on how to improve dignity. There is ample evidence on what undermines patients' dignity and there is a need to develop and test interventions designed to improve patient dignity.
Assuntos
Hospitalização , Pacientes Internados/psicologia , Processo de Enfermagem , Direito a Morrer , Idoso , Idoso de 80 Anos ou mais , Serviços de Saúde para Idosos , Humanos , MasculinoRESUMO
This app is a training and educational tool for healthcare professionals and users of the Allevyn Life dressings.
Assuntos
Pessoal de Saúde/educação , Poliuretanos/uso terapêutico , Ferimentos e Lesões/terapia , Humanos , Reino UnidoRESUMO
The first day of your first placement can be a daunting experience, especially for students who may not have worked in a hospital before. The pace can seem very fast and it may be difficult to know where you fit in.
Assuntos
Hospitais/estatística & dados numéricos , Acontecimentos que Mudam a Vida , Quartos de Pacientes , Estudantes de Enfermagem , Competência Clínica , Humanos , Reino UnidoRESUMO
Archbishop Desmond Tutu once claimed that TB was the child of poverty, as well as its parent and provider. My first insight into the truth of this came while I was on a placement with Find & Treat, a pan-London tuberculosis (TB) service for vulnerable communities.