Looking at Dignified Care With The Eye of Palliative Care Patients And Nurses

Öz

Aim: Preserving human dignity is one of the necessities of health care. This study was carried out to explore views of palliative care patients and nurses working in this field about dignified care.
Material and Methods: This qualitative study was conducted between June-July 2018 with ten patients receiving palliative care and ten nurses caring those patients in inpatient clinics of two university hospitals in Ankara. The data was collected with demographic form and semi-structured interview form prepared separately for patients and nurses. The interviews were conducted through face-to-face in-depth interviews and taped on the audio recorder. Thereafter the data was transcribed verbatim, thematic analysis was performed.
Results: Three themes were derived for each group. Themes derived from data of nurses were maintaining respectability, barriers and facilitators, benefits of care for nurses. Themes derived from patients were respectability, caring practices, and usefulness.
Conclusion: The results of the study showed that dignified care is a process preserving patient's dignity, allows one to feel valued and safe, and receive holistic and individualized care. It has been concluded that it is important to establish institutional policies as well as individual education to promote dignified care. 

Anahtar Kelimeler

• dignified care
• dignity
• nursing
• palliative care
• theme analysis

Palyatif Bakım Hastaları ve Hemşirelerinin Gözünden İtibarlı Bakım

Öz

Amaç: İnsan onurunun korunması, sağlık hizmetinin gerekliliklerinden biridir. Bu çalışma palyatif bakım hastalarının ve bu alanda çalışan hemşirelerin itibarlı bakım hakkındaki görüşlerinin belirlenmesi amacıyla yürütülmüştür.
Gereç ve Yöntem: Nitel tipteki bu çalışma Haziran-Temmuz 2018 tarihleri arasında, Ankara’da iki üniversite hastanesinde palyatif bakım alan 10 hasta ve bu kliniklerde çalışan 10 hemşireyle gerçekleştirilmiştir. Veriler hasta ve hemşireler için farklı hazırlanmış demografik veri formu ve yarı yapılandırılmış görüşme formu ile toplanmıştır. Görüşmeler yüz yüze yapılmış ve ses kayıt cihazına kaydedilmiştir. Veriler deşifre edildikten sonra tema analizi yapılmıştır.
Bulgular: Hemşirelerle yapılan görüşmelerin analizinde saygınlığın sürdürülmesi, engeller ve çözüm önerileri, bakımın yararları; hasta görüşmelerinin analizinde ise saygınlık, bakım uygulamaları ve yararlılık olmak üzere 3 tema elde edilmiştir.
Sonuç: İtibarlı bakımın hastanın saygınlığını koruyan, kendini değerli ve güvende hissetmesine, bütüncül ve bireyselleştirilmiş bakım almasına olanak sağlayan bir süreç olduğu; itibarlı bakımı yaygınlaştırmak için bireysel eğitimin yanı sıra kurumsal politikalar oluşturulmasının önemli olduğu sonucuna ulaşılmıştır. 

Anahtar Kelimeler

• hemşirelik
• itibar
• itibarlı bakım
• palyatif bakım
• tema analizi

Kaynakça

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