The influence of selected factors on the attributed dignity of hospitalized elderly
Authors:
Bermellová Jana; Kisvetrová Helena
Authors‘ workplace:
Centrum vědy a výzkumu, Fakulta zdravotnických věd, Univerzita Palackého Olomouc
Published in:
Geriatrie a Gerontologie 2023, 12, č. 4: 182-185
Category:
Overview
The concept of human dignity is linked to autonomy and quality of life, which is important even when the elderly are in an institutional setting. It includes self-esteem and behaviour that demonstrates self-respect and respect for others. Assessment of dignity from the perspective of the elderly can be done using the Jacelon Attributed Dignity Scale (JADS). The aim of our research was to determine the influence of selected sociodemographic and clinical characteristics on the assessment of attributed dignity in each domain of the JADS in hospitalized elderly (N = 150). A set of questionnaires focused on dignity (JADS), attitudes towards aging (AAQ), depression (GDS), level of self-sufficiency (BI) and cognition (MMSE), all of them in Czech versions, were used. Descriptive statistics, correlation coefficients (Pearson, Spearman) and one-factor analysis of variance (ANOVA) were used for data analysis. The results showed that in Domain 1 (Self-Evaluation), the older people perceived their dignity better if they had more positive attitudes toward aging and were less depressed. In Domain 2 (Evaluation perceived from others), only more positive attitudes toward aging influenced better perceptions of dignity in the older people. Domains 3 and 4 were not influenced by the factors examined. The results suggest the importance of promoting positive attitudes toward aging among the elderly.
Sources
1. Porta-Sales J, et al. Patient perspectives of dignity, autonomy and control at the end of life: systematic review and meta-ethnography. PloS One 2016; 11 (3): e0151435.
2. Papastavrou E, Charitou P, Kouta C. Psychometric properties of the Greek version of Jacelon attributed dignity scale. Nurs Ethics 2017; 24 (5): 612–625.
3. Van Leeuwen KM, Van Loon MS, Van Nes FA, et al. What does quality of life mean to older adults? A thematic synthesis. PloS One 2019; 14(3): e0213263.
4. Namjoo S, Allahverdipour H, Shaghaghi A, et al. Psychometric properties of Jacelon’s Attributed Dignity Scale with Iranian older people. Nurs Ethics 2020; 27(2): 372–380.
5. Jacelon CS. Managing personal integrity: The process of hospitalization for elders. J Adv Nurs 2004; 46: 549–557.
6. Jacelon CS, Dixon J, Knafl KA. Development of the attributed dignity scale. Res Gerontol Nurs 2009; 2(3): 202–213.
7. Jacelon CS. The dignity of elders in an acute care hospital. Qual Health Res 2003; 13(4): 543–556.
8. Moradoghli F, Darvishpoor KA, Esmaeili R. The association between frailty and dignity in community-dwelling older people. BMC Geriatr 2022; 22(1): 1–8.
9. Jacelon CS, Choi J. Evaluating the psychometric properties of the Jacelon Attibuted Dignity Scale. J Adv Nurs 2014; 70(9): 2149–2161.
10. Bermellová J, Kisvetrová H. Psychometrická validace české verze Jacelonové sebeposuzovací škály důstojnosti. Geri Gero 2020; 9(4): 203–208.
11. Barclay L. In sickness and in dignity: a philosophical account of the meaning of dignity in health care. Int J Nurs Stud 2016; 61: 136–141.
12. Sarvimäki A, Stenbock-Hult B. The meaning of vulnerability to older persons. Nurs Ethics 2016; 23(4): 372–383.
13. Merchant RA, Chen MZ, Tan LWL, et al. Singapore healthy older people everyday (HOPE) study: prevalence of frailty and associated factors in older adults. J Am Med Dir Assoc 2017; 18(8): 734–e9.
14. Ho AHY, Chan CLW, Leung PPY, et al. Living and dying with dignity in Chinese society: perspectives of older palliative care patients in Hong Kong. Age Ageing 2013; 42(4): 455–461.
15. McClimans L, Bickenbach J, Westerman M, et al. Philosophical perspectives on response shift. Qual Life Res 2013; 22(7): 1871–1878.
16. Hörder H, Frändin K, Larsson MH. Self-respect through ability to keep fear of frailty at a distance: Successful ageing from the perspective of community-dwelling older people. Int J Qual Stud Health Well-being 2013; 8(1): 20194.
17. Mehrabi F, Béland F. Frailty as a moderator of the relationship between social isolation and health outcomes in community-dwelling older adults. Int Journal Environ Res Public Health 2021; 18(4): 1675.
18. Black K, Dobbs D. Community-dwelling older adults‘ perceptions of dignity: ore meanings, challenges, supports and opportunities. Ageing Soc 2014; 34(8): 1292–1313.
19. Romo RD, Wallhagen MI, Yourman L, et al. Perceptions of successful aging among diverse elders with late-life disability. Gerontologist 2013; 53(6): 939–949.
20. Tabari F, Khaghanizade M, Dehghan-Nayeri N, et al. Explain the concept of autonomy in the maintain dignity elderly: a qualitative study. Iran J Nurs Midwifery Res 2016; 11(3): 17–27.
21. Yasamy MT, Dua T, Harper M, et al.; Growing Concern. Mental health and older people, WHO 2013; 4.
22. Kisvetrová H, Herzig R, Bretšnajdrová M, et al. Predictors of quality of life and attitude to ageing in older adults with and without dementia. Aging Ment Health 2021; 25(3): 535–542.
23. Ounalli H, Mamo D, Testoni I, et al. Improving dignity of care in community-dwelling elderly patients with cognitive decline and their caregivers. The role of dignity therapy. Behav Sci 2020; 10(12): 178.
24. Courtin E, Knapp M. Social isolation, loneliness and health in old age: a scoping review. Health Soc Care Community 2017; 25(3): 799–812.
25. Tobiasz-Adamczyk B, Galas A, Zawisza K, et al. Gender-related differences in the multi-pathway effect of social determinants on quality of life in older age-the COURAGE in Europe project. Qual Life Res 2017; 26(7): 1865–1878.
26. Ferretti F, Pozza A, Pallassini M, et al. Gender invariance of dignity in non-terminal elderly patients with chronic diseases: a multicentric study. Qual Quant 2019; 53(3): 1645–1656.
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Geriatrics and Gerontology
2023 Issue 4
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