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Practices in Human Dignity in Palliative Care: A Qualitative Study.
Esra Akin Korhan1, Çağatay Üstün, Derya Uzelli Yilmaz
1Faculty of Health Science, Department of Nursing, İzmir Katip Çelebi University, Çiğli- İzmir, Turkey (Drs Korhan and Yilmaz); and Faculty of Medicine, Department of History of Medicine and Medical Ethics, Ege University, Bornova-İzmir, Turkey (Dr Üstün).
Holistic Nursing Practice
|February 13, 2018
Summary
Nurses and physicians sometimes violate patients' existential dignity in palliative care, despite ethical awareness. This study highlights the need for improved understanding and practice regarding human dignity in end-of-life care.
Area of Science:
- Medical Ethics
- Palliative Care
- Nursing Practice
Background:
- Human dignity is fundamental to nursing and medical practice, especially in palliative care.
- Understanding healthcare professionals' approaches to dignity is crucial for ethical patient care.
Purpose of the Study:
- To explore nurses' and physicians' approaches to human dignity during palliative care.
- To identify ethical considerations and potential violations of dignity in palliative care settings.
Main Methods:
- Qualitative study employing a phenomenological research design.
- In-depth, semistructured interviews with 9 nurses and 5 physicians.
- Data analysis using the Colaizzi method, identifying 8 themes and 43 subthemes.
Main Results:
- Healthcare professionals demonstrated ethically sensitive behavior in some palliative care decisions.
- Identified instances where patient dignity was violated due to a lack of awareness.
- Revealed gaps in ethical, medical, and social responsibilities concerning patient dignity.
Conclusions:
- Palliative care providers' practices reveal a complex approach to human dignity.
- There is a critical need to enhance awareness and training on upholding patient dignity in palliative care.
- Further research is needed to address ethical challenges and ensure consistent respect for existential dignity.
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