Dignity in relationships and existence in nursing homes’ cultures
Rehnsfeldt, Arne Wilhelm; Slettebø, Åshild; Lohne, Vibeke; Sæteren, Berit; Lindwall, Lillemor; Heggestad, Anne Kari Tolo; Råholm, Maj-Britt; Høy, Bente; Caspari, Synnøve; Nåden, Dagfinn
Peer reviewed, Journal article
Published version
Permanent lenke
https://hdl.handle.net/11250/3022322Utgivelsesdato
2022Metadata
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- Institutt for helse- og omsorgsvitskap [2721]
Originalversjon
Rehnsfeldt, A., Slettebø, Å., Lohne, V., Sæteren, B., Lindwall, L., Heggestad, A. K. T., Råholm, M.-B., Høy, B., Caspari, S., & Nåden, D. (2022). Dignity in relationships and existence in nursing homes’ cultures. Nursing Ethics. 10.1177/09697330211041739Sammendrag
Introduction:
Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepted or not in the ward culture.
Background:
The rationale for the connection between existence and dignity in relationships and caring culture is that suffering is a part of existence, as well as compassion in relieving suffering, and ontological interdependency.
Aim:
To describe different expressions of dignity in relationships and existence in context of caring cultures from the perspective of the caregivers.
Research design:
The methodology and method are hermeneutic. The method used was to merge the theoretical preunderstanding as one horizon of understanding with empirical data.
Participants and research context:
Focus group interviews with caregivers in nursing homes.
Ethical considerations:
The principles of the Helsinki Declaration have been followed to, for example, preserve self-determination, integrity, dignity, confidentiality and privacy of the research persons.
Findings:
Data interpretation resulted in four themes: Encountering existential needs that promote dignity in a caring culture; To amplify dignity in relationships by the creative art of caring in a caring culture; Violation of dignity by ignorance or neglect in a non-caring culture and The ethic of words and appropriated ground values in a caring culture.
Discussion:
Dignity-promoting acts of caring, or dignity-depriving acts of non-caring are adequate to see from the perspective of dignity in relationships and existence and the caring culture.
Conclusions:
Dignity in relationships seems to touch the innermost existential life, as the existential life is dependent on confirmation from others.