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Realising dignity in care home practice: an action research project
Ann Gallagher1, Katherine Curtis2, Michael Dunn3
1Ethics and Care, International Care Ethics Observatory, School of Health Sciences, University of Surrey, Surrey, UK.
International Journal of Older People Nursing
|November 19, 2016
Summary
Care home staff and residents co-developed a dignity toolkit using action research. This empowers Registered Nurses to provide ethical leadership, enhancing dignity for older people in care homes.
Area of Science:
- Gerontology
- Nursing Ethics
- Healthcare Management
Background:
- Over 400,000 older adults reside in English care homes.
- Up to 50% of care home residents report undignified experiences.
- Upholding dignity is crucial for resident well-being and nursing practice.
Purpose of the Study:
- To explore translating dignity concepts into care home practices.
- To support ethical leadership by Registered Nurses in care settings.
Main Methods:
- Action research involving staff and residents across four care homes.
- Development of a dignity toolkit over six monthly cycles.
- Individual interviews with Registered Nurses before and after the intervention.
Main Results:
- A dignity toolkit (print and online) was created, tailored to each home.
- Staff reported positive impacts from discussing dignity.
- Registered Nurses saw opportunities to use the toolkit for staff support.
Conclusions:
- Action research empowered nurses and caregivers, fostering ethical leadership.
- Collaborative toolkit development can sustain dignity in care homes.
- Bottom-up approaches show promise for promoting dignity, warranting further research.
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