Introduction
Methods
Search strategy and selection criteria
Search outcomes and analysis
Author | Year | Country | Participant group and number of participants | Type of data and data collection method | Research question or research aim |
---|---|---|---|---|---|
1. Baillie and Gallagher | United Kingdom | 51 nurses actively involved in the Royal College of Nursing”dignity campaign” | Qualitative data; semi-structured interviews | Discuss one theme from the study’s results that illuminate nurses’ strategies to respect dignity in care across diverse care settings | |
2. Bossy et al | Norway | 16 diabetes type 2 patients; part does and part does not participate in self-help group | Qualitative data; mixed focus groups | How do individuals with type 2 diabetes understand how group-based self-management support may (or may not) help accommodate the challenges of living with a long-term condition? why do some join while others refuse to participate in group-based self-management support? | |
3. Bramesfeld et al | Germany | 50 mental health service users | Qualitative data; focus groups | Does the WHO responsiveness concept with its eight domains [one of which is dignity] appropriately reflect the non-medical expectations of mental healthcare users? | |
4. Cairns et al | United Kingdom | 192 health and social care professionals providing care for older people | Qualitative data and quantitative data; survey, both closed and open-ended questions | What does dignified care mean for health and social care professionals? what are the most important aspects of dignified care as perceived by health and social care professionals? | |
5. Caspari et al | Norway | 17 caretakers (e.g. nurses, physiotherapists, psychologists) working in rehabilitation wards for patients suffering from head injuries or Multiple Sclerosis | Qualitative data; focus groups | Explore health personnel’s views on dignity in rehabilitation institutions and how they attend to, preserve and promote the dignity of patients who suffer from head injuries or Multiple Sclerosis | |
6. Collins et al | United States | 24 Latina women (“identified themselves as Hispanic, Spanish or Latina”) with severe mental illness | Qualitative data; qualitative interviews | How do the intersections of race/ethnicity, gender, class, status and the stigma of mental illness influence women’s sexual relationships and HIV risk? | |
7. Cook and Nunkoosing | Australia | 12 impoverished older persons; clients of the same social service agency | Qualitative data; narrative interviews | Examine the legitimacy and inadvertent consequences of paid-for participation (participants were paid 20 dollars for an interview) | |
8. Greer et al | United States | 29 adult food pantry patrons | Qualitative data; focus groups | What individual, interpersonal, organizational, environmental, and policy factors influence food pantry patrons’ ability to acquire sufficient food in a large, urban area? | |
9. Hedman Ahlström et al | Sweden | 8 parents identified with major depression | Qualitative data; narrative interviews | Elucidate the meaning of major depression in family life from the viewpoint of the ill parent | |
10. Holm and Severinsson | Norway | 6 care professionals: 4 mental health nurses, 1 geriatric nurse and 1 physiotherapist | Qualitative data; focus groups | Explore healthcare team members’ reflections on the ethical dilemmas involved in promoting self-management among depressed older persons | |
11. Holm et al | Norway | 15 elderly persons diagnosed with a depressive or mood disorder | Qualitative data; in-depth interviews | Deepen the understanding of depressed elderly persons’ lived experiences of physical health problems | |
12. Hughes et al | United States | 10 impoverished adults with advanced AIDS | Qualitative data; group interviews | Describe the meaning and experience of dignity to the urban poor with advanced AIDS, receiving care in an AIDS-dedicated nursing home unit | |
13. Jacobson | 2009 a | Canada | 64 participants including marginalized people, individuals who provide health or social services to these populations, and people working in the field of health and human rights | Qualitative data; semi-structured interviews | Develop a taxonomy of dignity – “a coherent vocabulary and framework to characterize dignity” |
14. Jacobson | 2009 b | Canada | 64 participants including marginalized people, individuals who provide health or social services to these populations, and people working in the field of health and human rights | Qualitative data; semi-structured lived experience interviews | Understand the violation of dignity in healthcare and explore the context in which such violations take place |
15. Jacobson et al | Canada | 64 participants including marginalized people, individuals who provide health or social services to these populations, and people working in the field of health and human rights | Qualitative data; semi-structured interviews | Examine the city as a setting for dignity encounters, seeking to understand how urban geography figures in the social processes that violate or promote dignity | |
16. Jacobson and Silva | Canada | 64 participants including marginalized people, individuals who provide health or social services to these populations, and people working in the field of health and human rights | Qualitative data; semi-structured lived experience interviews | Look at the ways in which the notion of dignity promotion can be used to complement our understanding of the principle of beneficence | |
17. Johnston et al | Canada | 21 adults with physical disabilities who visit a fitness centre adapted to people with disabilities | Qualitative data; focus groups and one-on-one interviews, visual images (participants made photos to illustrate experiences of dignity) and field notes | Understand the meaning of dignity and its importance to exercise participation | |
18. Kinnear et al | United Kingdom | 81 health and social care professionals who provide care for older people | Qualitative data; focus groups and qualitative interviews | What does dignified care mean for health and social care professionals? | |
19. Kinnear et al | United Kingdom | 192 health and social care professionals who provide care for older people | Qualitative data and quantitative data; self-completion questionnaire, both closed and open-ended questions | How dignified care for older people is understood and delivered by health and social care professionals; how organisational structures and policies can promote and facilitate, or hinder, the delivery of dignified care | |
20. Klingeman | Poland | 112 participants, staff (43) and patients (69) of drug treatment facilities (three outpatient, three inpatient, three substitution and three harm reduction programs) | Qualitative data; focus groups interviews | Describe experience of equality in the dignity and rights of patients in four different specialist drug treatment settings | |
21. Kohon and Carder | United States | 47 low-income adults (55 +) currently living in or on the waiting list for publicly subsidized housing | Qualitative data; auto-photography with narrative interviews and photo elicitation with photographs taken by research participant | How do low-income older adults living in, or on a waiting list for, subsidized housing perceive their health and independence?; how do low-income older adults describe the benefits and challenges associated with their current housing or surrounding neighbourhood?; how does living in or applying for subsidized housing affect older adults’ identity and sense of self? | |
22. Lee | United-States | 12 mothers residing in an urban homeless shelter with their children | Qualitative data; observation and interviews (“ethnonursing research method”: focuses on naturalistic, open, and inductive modes of knowledge discovery) | Identify the meanings and experiences of family homelessness and its relationship to health as expressed by Appalachian mothers | |
23. Lindgren et al | Sweden | 11 adults (18 +) who had participated in medication-assisted treatment for opioid dependency for more than 3 years | Qualitative data; narrative interviews | Describe the lived experiences of participating in a medication-assisted treatment as disclosed by individuals with opioid dependence | |
24. Melin et al | Sweden | 13 adults (18 +) who had participated in medication-assisted treatment for opioid dependency for more than 3 years | Qualitative data; narrative interviews | Describe experiences of living with opioid dependence | |
25. Moe et al | Norway | 11 elderly patients (80 +) of home nursing care | Qualitative data; narrative interviews | Illuminate the meaning of receiving help from home nursing care for chronically ill, elderly persons living in their homes | |
26. Narayan et al | Australia | 5 adolescents (all female) in hospital setting; 12–16 years of age | Qualitative data; interviews 15–30 min | How do young people in a children’s hospital perceive dignity and how do their perceptions of dignity impact on their healthcare experience? | |
27. Ørjasæter and Ness | Norway | 12 psychiatric patients | Qualitative data; in-depth interviews | What enables meaningful participation in a music and theatre workshop, located in a mental health hospital, from a first-persons perspective of people with long-term mental health problems? | |
28. Radley et al | Scotland | 41 participants who either received opiate replacement therapy (ORT) or were the caregiver of someone prescribed ORT | Qualitative data; focus groups | Explore experiences of service users attending a community pharmacy to receive opiate replacement therapy | |
29. São José | Portugal | 49 participants: 24 elderly (65 +) receiving home care, 8 (female) home care workers and 17 family caregivers | Qualitative data; participant observation and informal conversations | Explore how older individuals receiving social care in the community, specifically home care, experience the loss of dignity and how they preserve their dignity | |
30. Skar and Soderberg | Sweden | 9 men who have personally filed a complaint with the Patients’ Advisory Committee in the county council | Qualitative data; semi-structured interviews | Describe experiences of dissatisfaction with encounters in healthcare among men who personally filed a complaint to the Patients Advisory Committee in the county council | |
31. Skorpen et al | Norway | 13 relatives of patients with psychoses, recruited via relatives’ user organisations | Qualitative data; Q-methodology, 51 statements (concourse based on 17 qualitative interviews with patients, staff members and relatives) | Reveal relatives’ opinions regarding what is important for taking care of patients’ dignity | |
32. Werner and Malterud | Norway/Denmark | 9 adults who grew up in families with problem-drinking parents | Qualitative data; qualitative interviews (retrospective accounts) | Explore informal adult support experienced by children of parents with alcohol problems during childhood and adolescence, to understand how professionals could show them recognition in a similar way | |
33. Whitaker et al | Ireland | 35 drug users who were engaging in or who had engaged in sex work (31 women and 4 men) | Qualitative data; in-depth interviews | Present selected findings on stigma experienced by drug-using sex workers in Dublin | |
34. Whitley and Campbell | United States | People with severe mental illness (SMI) living in small scale congregate housing units meant for people recovering from SMI; “recovery communities” [exact number of participants is not given] | Qualitative data; 22 focus groups over a period of 5 years, augmented by participant observation (authors state: “most residents participated repeatedly in multiple groups over time […] Focus groups typically included about six to twelve residents, although exact numbers were difficult to ascertain as many participants came and went during the group”) | Document and analyse strategies of management and control of stigma in a sample of people recovering from severe mental illness | |
35. Wiklund | Sweden | 9 individuals with rich experience of drug addiction | Qualitative data; narrative interviews | Describe caring needs associated with existential aspects of living with addiction |
Results
Reviewed studies
Relational practices that promote social dignity
Relationship between client and caregiver | |
Civilized interactions | 3; 8; 12; 13; 14; 16; 18; 25; 30; 33 |
Being treated in a non-stigmatizing way | 3; 8; 11; 12; 13; 14; 15; 16; 20; 22; 24; 27; 28; 33 |
Being treated as a unique individual | 1; 3; 4; 5; 13; 14; 16; 18; 19; 25; 27; 30; 31 |
Being taken seriously/listened to | 3; 5; 10; 11; 13; 14; 16; 27; 30; 31; 32; 35 |
Social position of the client | |
Maintaining a sense of positive identity | 2; 6; 7; 9; 13; 15; 17; 21; 22; 26; 29; 34; 35 |
Experiencing independence/autonomy | 2; 5; 13; 14; 15; 17; 26 |
Relating to others (peers, family members) | 2; 9; 12; 17; 23; 27; 29; 34; 35 |
Participating in daily life | 9; 13; 17; 23; 27; 29; 34 |