Hastanede yatarak tedavi gören yaşlı bireylerin onur algıları ölçeği: Türkiye geçerlilik-güvenilirlik çalışması

Abstract

Amaç: Bu çalışmanın amacı, Hastanede Yatan Yaşlıların Onuru Ölçeği'nin (HOADS) Türkçe versiyonunun güvenilirliğini ve geçerliliğini test etmektir. Yöntem: Çalışmada kesitsel bir tasarım kullanılmıştır. Çalışmaya 65 ile 91 yaşları arasında, 165 yaş ve üzeri hastanede yatan bireyler dahil edilmiştir. Bulgular: Ölçeğin faktör yükü uygun aralıktaydı (0,517-0,872), Cronbach'ın α değeri 0,763 olarak belirlendi. Sonuç: HOADS'ın Türkçe versiyonu değerlendirilmiş ve Türkiye'deki yaşlı hastalar için geçerli ve güvenilir bir ölçüm aracı olduğu tespit edilmiştir. Sağlık çalışanları, hastanede yatan yaşlı hastalarda saygınlık algısını belirlemek için bu aracı kullanabilirler.

Keywords

• Yaşlı yetişkin
• hemşire,
• onur
• , ölçek
• , geçerlilik

Supporting Institution

Bu çalışma herhangi bir kurum tarafından desteklenmemiştir.

Ethical Statement

Bu araştırmada geçerliliği ve güvenilirliği incelenen ölçeğin kullanım izni, ilgili yazar Fuseini AG'den alınmıştır. Ayrıca, devlet üniversitesinin (Kocaeli Üniversitesi Girişimsel Olmayan Klinik Çalışmalar Etik Kurulu-2023/12.17) girişimsel olmayan klinik çalışmalar etik kurulu onayı ve çalışmanın yürütüleceği hastaneden yazılı izin alınmıştır. Ek olarak, araştırma Helsinki Bildirgesi Prensipleri doğrultusunda ve hastalardan "Katılımcı Onam Formu" ile yazılı onay alınarak yürütülmüştür.

Thanks

Yazarlar çalışmaya katılan herkese teşekkür ederler

RELIABILITY AND VALIDITY OF THE PERCEPTION OF DIGNITY SCALE FOR HOSPITALIZED OLDER ADULTS: THE TURKISH VERSION

Abstract

Objective: The purpose of this study is to evaluate the validity and reliability of the "Honor Scale that can be used to determine the perceptions of dignity of elderly hospital patients in Türkiye. Methods: The Sociodemographic Information Form and the Honor Scale were used to collect data. The study was completed with 165 patients aged 65–91 who were hospitalized. Results: Factor loadings of the scale fell within the acceptable range of 0.517–0.872, with internal consistency (Cronbach’s alpha) of 0.763. Conclusions: Outcomes Results support the validity and reliability of the Turkish version of Honor Scale for older patients in Türkiye. In conclusion, the Honor Scale can be used nurse and other healthcare professionals to evaluate the perception of dignity among hospitalized older adults.

Keywords

• Older adult
• , nurses
• , dignity
• , scale
• ,validity

Supporting Institution

This study was not supported by any institution.

Ethical Statement

Permission to use the scale, whose validity and reliability were studied in this research, was obtained from the correspondence author Fuseini AG. Furthermore, ethics committee approvalfrom the non-invasive clinical studies ethics committee of astate university (Kocaeli University Non-Interventional EthicsCommittee-2023/12.17) and written consent from the hospital where the study would be conductedwere received. Additionally, the research was conducted in line with the Principles of the Declaration of Helsinki and by getting written consent from the patients with an “Participant Consent Form”.

Thanks

The authors thank everyone who participated in the study.

References

1. Buonaccorso L, Soncini S, Bassi MC, Mecugni D, Ghirotto L. Training healthcare professionals to dignity-in-care: A scoping review. Nurse Educ Today. 2025;146:106543. doi:10.1016/j.nedt.2024.106543
2. Düzgün G, Hakverdioğlu Yönt G, Polat G. Yaşam Sonu Bakımda Onurun Korunması. sak. 2023;8(3):590-598. doi:10.25279/sak.1150022
3. Lebech M. What is human dignity? Maynooth Philosophical Papers. 2004;2:59-69. doi:10.5840/mpp200428
4. Sæteren B, Nåden D. Dignity: an essential foundation for promoting health and well-being. In: Haugan G, Eriksson M, eds. Health Promotion in Health Care: Vital Theories and Research. Springer; 2021:71-84. doi:10.1007/978-3-030-63135-2_7
5. Isaacs D. Respect. J Paediatr Child Health. 2020;56(2):189-190. doi:10.1111/jpc.14663
6. Cairns D, Williams V, Victor C, et al. The meaning and importance of dignified care: findings from a survey of health and social care professionals. BMC Geriatr. 2013;13:28. Published 2013 Mar 22. doi:10.1186/1471-2318-13-28
7. Fuseini AG, Ley L, Rawson H, Redley B, Kerr D. A systematic review of patient-reported dignity and dignified care during acute hospital admission. J Adv Nurs. 2022;78(11):3540-3558. doi:10.1111/jan.15370
8. Mema A, Bressan V, Stevanin S, Cadorin L. The perception of dignity in the hospitalized patient: Findings from a meta-synthesis. Nurs Ethics. 2025;32(1):19-41. doi:10.1177/09697330241238339

9. Vávěrková R, Kisvetrová H, Bermellová J. Gender differences in the perception of dignity among hospitalized older adults. Ošetřovatelské Perspektivy. 2022;5(2):31-43. doi:10.25142/osp.2022.011
10. Li YC, Feng YH, Ma SC, Wang HH. Dignity and related factors in patients with cancer: A cross-sectional study. Asian Nurs Res (Korean Soc Nurs Sci). 2023;17(1):8-14. doi:10.1016/j.anr.2022.12.001
11. Kerr D, Crone R, Dunning T. Perspectives about dignity during acute care for older people and their relatives: A qualitative study. J Clin Nurs. 2020;29(21-22):4116-4127. doi:10.1111/jocn.15438
12. Fuseini AG, Rawson H, Redley B, Ley L, Mohebbi M, Kerr D. Self-reported dignity and factors that influence dignity in hospitalised older adults: A cross-sectional survey. J Clin Nurs. 2023a;32(21-22):7791-7801. doi:10.1111/jocn.16850
13. Dong D, Cai Q, Zhang QZ, et al. Dignity and its related factors among older adults in long-term care facilities: A cross-sectional study. Int J Nurs Sci. 2021;8(4):394-400. Published 2021 Aug 21. doi:10.1016/j.ijnss.2021.08.003
14. Salarvand S, Hashemzadeh A, Delshad Noghabi A. The sense of dignity care and the perceived social support for hospitalized elderly patients. Int J Afr Nurs Sci. 2023;18:100523. doi:10.1016/j.ijans.2022.100523
15. Walsh K, Kowanko I. Nurses' and patients' perceptions of dignity. Int J Nurs Pract. 2002;8(3):143-151. doi:10.1046/j.1440-172X.2002.00355.X
16. Kisvetrová H, Mandysová P, Tomanová J, Steven A. Dignity and attitudes to aging: A cross-sectional study of older adults. Nurs Ethics. 2022;29(2):413-424. doi:10.1177/09697330211057223
17. Avestan Z, Rahmani A, Heshmati-Nabavi F, et al. Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings. Asian Pac J Cancer Prev. 2015;16(13):5453-5458. doi:10.7314/apjcp.2015.16.13.5453
18. Kılıç NP. Individual ageism in health. Kurgu. 2017;25(3):53-77. https://dergipark.org.tr/tr/download/article-file/1505490
19. Liu X, Liu Z, Cheng Q, Xu N, Liu H, Ying W. Effects of meaning in life and individual characteristics on dignity in patients with advanced cancer in China: A cross-sectional study. Support Care Cancer. 2021;29(5):2319-2326. doi:10.1007/s00520-020-05732-2
20. Gallagher A. Dignity and respect for dignity--two key health professional values: implications for nursing practice. Nurs Ethics. 2004;11(6):587-599. doi:10.1191/0969733004ne744oa
21. Jamalimoghadam N, Yektatalab S, Momennasab M, Ebadi A, Zare N. Hospitalized adolescents' perception of dignity: A qualitative study. Nurs Ethics. 2019;26(3):728-737. doi:10.1177/0969733017720828
22. Bagheri H, Yaghmaei F, Ashktorab T, Zayeri F. Patient dignity and its related factors in heart failure patients. Nurs Ethics. 2012;19(3):316-327. doi:10.1177/0969733011425970
23. Fuseini AG, Rawson H, Ley L, Kerr D. Patient dignity and dignified care: A qualitative description of hospitalised older adults' perspectives. J Clin Nurs. 2023b;32(7-8):1286-1302. doi:10.1111/jocn.16286
24. Fuseini AG, Mohebbi M, Redley B, Rawson H, Ley L, Kerr D. Development and psychometric validation of the Hospitalized Older Adults' Dignity Scale for measuring dignity during acute hospitalization. J Adv Nurs. 2023c;79(10):4058-4073. doi:10.1111/jan.15714
25. Esin MN. Data collection methods and tools: Reliability and validity of data collection tools. In: Erdoğan S, Nahcivan N, Esin MN, eds. Research in Nursing: Process, Application and Critical Analysis. Nobel Medical Bookstore; 2014:193-235.
26. Karagöz, Y. SPSS and AMOS 23 Applied statistical analysis. Ankara, Nobel Academy. 2016; Publishing.