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KMID : 0614820090150010081
Journal of Korean Academy of Nursing Administration
2009 Volume.15 No. 1 p.81 ~ p.90
The Nurses¡¯ Perceptions and Experiences on the Older Adult¡¯s Dignity in Nursing Homes
Kim Ki-Kyong

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.
KEYWORD
Dignity, Patient rights, The aged, Elder abuse
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