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Related Concept Videos

Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethical Standards I01:25

Ethical Standards I

The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

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Related Experiment Video

Updated: Jul 5, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

ICU nurses' maintaining dignity among older patients: A mixed methods study.

Wanting Xie1, Haili Zhu1,2, Han Fu3

  • 1Hunan University of Chinese Medicine, Changsha, China.

Nursing Ethics
|January 29, 2026
PubMed
Summary

Intensive care unit (ICU) nurses provide moderately high dignified care for older adults, but face challenges in preserving individualized dignity. Improving care requires addressing individual, environmental, and cultural factors.

Keywords:
ICU nursesaged patientsdignified careinfluencing factorsmixed-methods research

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Area of Science:

  • Nursing Care
  • Geriatric Care
  • Critical Care Medicine

Background:

  • Dignity preservation is fundamental to nursing, especially for older adults in intensive care units (ICUs) who are vulnerable to dignity loss.
  • Critical illness, invasive procedures, and communication barriers in ICUs exacerbate the risk of dignity compromise for elderly patients.

Purpose of the Study:

  • To assess the current status of dignified care practices for older patients by ICU nurses.
  • To identify factors influencing dignified care to inform quality improvement strategies.

Main Methods:

  • An explanatory sequential mixed-methods design was used, combining a questionnaire survey with semi-structured interviews.
  • 487 ICU nurses from five tertiary hospitals in China completed surveys, followed by interviews with 18 nurses.
  • Qualitative data were analyzed using descriptive phenomenology.

Main Results:

  • Nurses reported moderately high overall dignified care scores (79.12 ± 10.40), with higher scores for absolute dignity (87.05 ± 11.43) than relative dignity (70.19 ± 12.86).
  • Key predictors of dignified care included gender, education, ethics training, work environment, moral sensitivity, and psychological capital, explaining 38.4% of the variance.
  • Qualitative findings highlighted challenges in balancing technical demands with dignity, patient-related barriers, cultural conflicts, and organizational constraints like heavy workloads.

Conclusions:

  • ICU nurses generally perform well in dignity preservation but struggle with individualized patient needs.
  • Dignified care is a complex interplay of individual, environmental, and cultural factors.
  • Enhancing dignified care necessitates optimizing the clinical environment, strengthening ethics education and support, implementing dignity-centered standards, and fostering a patient-centered culture.