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  • 1.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wigerblad, Åse
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lindwall, Lillemor
    Department of Nursing Science, Karlstads universitet.
    Respecting dignity in forensic care: the challenge faced by nurses of maintaining patient dignity in clinical caring situations2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 1, p. 1-8Article in journal (Refereed)
    Abstract [en]

    Introduction: We must recognise the importance of increased understanding for maintaining patient dignity to expand earlier formulated knowledge about caring ethics. Illuminations of this topic can create conditions for changing and developing care, as well as making caregivers’ preservation of dignity evident. The aim was to illuminate the meaning of maintenance of patient dignity in forensic care.

    Methods: A qualitative design with a phenomenological- hermeneutic approach was used to analyse and interpret focus group interviews with nurses in forensic care.

    Findings: In the text the meaning of maintenance of patient dignity was protection and respect but also brotherly humanity. Protection was shown outwards to cover or screen the patient and to guard against danger. The inner form was described as protecting the patients’ needs and arousing the patients’ protection resources. Respect was shown outwards to take the patient seriously and to show others that patients are to be reckoned with, inwards in teaching patients to create respect and in teaching patients to expect respect from others. Meeting patients with human brotherhood was shown in doing “the little extra” and demonstrating human similarity.

    Conclusions: The new understanding will enable nurses to plan and provide professional care, based on caring science.

  • 2.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wigerblad, Åse
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindwall, Lillemor
    Karlstads universitet, avd för omvårdnad.
    Respecting dignity in psychiatric care:: Working Together for Health Security2012Conference paper (Refereed)
  • 3.
    Gustafsson, Lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wigerblad, Åse
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lindwall, Lillemor
    Karlstad University.
    Undignified care: Violation of patient dignity in involuntary psychiatric hospital care from a nurse's perspective2014In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, no 2, p. 176-186Article in journal (Refereed)
    Abstract [en]

    Patient dignity in involuntary psychiatric hospital care is a complex yet central phenomenon. Research is needed on the concept of dignity's specific contextual attributes since nurses are responsible for providing dignified care in psychiatric care. The aim was to describe nurses' experiences of violation of patient dignity in clinical caring situations in involuntary psychiatric hospital care. A qualitative design with a hermeneutic approach was used to analyze and interpret data collected from group interviews. Findings reveal seven tentative themes of nurses' experiences of violations of patient dignity: patients not taken seriously, patients ignored, patients uncovered and exposed, patients physically violated, patients becoming the victims of others' superiority, patients being betrayed, and patients being predefined. Understanding the contextual experiences of nurses can shed light on the care of patients in involuntary psychiatric hospital care.

  • 4.
    Gustafsson, lena-Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wigerblad, Åse
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindwall, Lillemor
    karlstads universitet, avd. för omvårdnad.
    Un-dignifying care: Violation of patient’s dignity in involuntary psychiatric careIn: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Article in journal (Refereed)
    Abstract [en]

    Patient dignity in involuntary psychiatric hospital care is a complex yet central phenomenon. Research is needed on the concept of dignity’s specific contextual attributes since nurses are responsible for providing dignified care in psychiatric care. The aim was to describe nurses’ experiences of violation of patient dignity in clinical caring situations in involuntary psychiatric hospital care. A qualitative design with a hermeneutic approach was used to analyze and interpret data collected from group interviews. Findings reveal seven tentative themes of nurses’ experiences of violations of patient dignity; Patients not taken seriously, patients ignored, patients uncovered and exposed, patients physically violated, patients becoming the victims of others’ superiority, patients being deceived and patients being pre-defined. Understanding the contextual experiences of nurses can shed light on the care of patients in involuntary psychiatric hospital care.

  • 5.
    Lindwall, L.
    et al.
    Karlstad Univ.
    Boussaid, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Kulzer, Sonja
    Mälardalen University, School of Health, Care and Social Welfare.
    Wigerblad, Åse
    Mälardalen University, School of Health, Care and Social Welfare.
    Patient dignity in psychiatric nursing practice2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, p. 569-576Article in journal (Refereed)
    Abstract [en]

    Accessible summary Dignity is a concept that relates to health and mental health care. Dignity is also related to human rights. In psychiatric nursing practice, caregivers want to promote good and safe care, and take their ethical responsibility to safeguard the patient's dignity in caring situations. Dignity may emerge when the will and courage to be there for someone else is allowed to permeate the caring acts. There are situations where a patient's dignity is offended in psychiatric nursing practice. Where value conflict exists, these may lead to conflict in the human being and result in guilt and shame for the caregivers. Abstract Professional nurses have an ethical responsibility to protect and preserve the patients' dignity. The aim of this study was to describe how nurses experienced incidents relating to patients' dignity in a psychiatric nursing practice. A hermeneutic approach was used and data were collected using the critical incident technique. Data included 77 written critical incidents, which were interpreted by using a hermeneutic text interpretation. The findings show preserved dignity caregivers have the courage to be present, and offended dignity caregivers create powerlessness taken away by the patient. These findings show that patients' dignity in a psychiatric nursing practice can be preserved when caregivers act on their ethical responsibility. When patients' dignity is offended, the caregiver has become an inner value conflict, something they have been a part of against their own will.

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