Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Gallagher, A.; Curtis, Katherine; Dunn, M.; Baillie, L. (2017)
Publisher: London South Bank University
Languages: English
Types: Article
Background: More than 400,000 older people reside in over 18,000 care homes in England. A recent social care survey found up to 50% of older people in care homes felt their dignity was undermined. Upholding the dignity of older people in care homes has implications for residents’ experiences and the role of Registered Nurses. Aims and objectives: The study aimed to explore how best to translate the concept of dignity into care home practice, and how to support this translation process by enabling Registered Nurses to provide ethical leadership within the care home setting. Design: Action research with groups of staff (Registered Nurses and non-registered caregivers) and groups of residents and relatives in four care homes in the south of England to contribute to the development of the dignity toolkit. Methods: Action research groups were facilitated by 4 researchers (2 in each care home) to discuss dignity principles and experiences within care homes. These groups reviewed and developed a dignity toolkit over six cycles of activity (once a month for 6 months). The Registered Nurses were individually interviewed before and after the activity. Results: Hard copy and online versions of a dignity toolkit, with tailored versions for participating care homes, were developed. Registered Nurses and caregivers identified positive impact of making time for discussion about dignity-related issues. Registered Nurses identified ongoing opportunities for using their toolkit to support all staff. Conclusions: Nurses and caregivers expressed feelings of empowerment by the process of action research. The collaborative development of a dignity toolkit within each care home has the potential to enable ethical leadership by Registered Nurses that would support and sustain dignity in care homes. Implications for practice: Action research methods empower staff to maintain dignity for older people within the care home setting through the development of practically useful toolkits to support everyday care practice. Providing opportunities for caregivers to be involved in such initiatives may promote their dignity and sense of being valued. The potential of bottom-up collaborative approaches to promote dignity in care therefore requires further research.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Baillie, L., Gallagher, A., & Wainwright, P. (2008). Defending dignity in care: Challenges and opportunietis for nurses. London: Royal College of Nursing.
    • BBC News. Care home abuse: Staf sacked or suspended over poor care. 30th April 2014a. Retrieved from htp://www.bbc.co.uk/news/uk27217218.
    • BBC News. Orchid View care home scandal review 'not enough'. 9th June 2014b. Retrieved from htp://www.bbc.co.uk/news/uk-england-sussex-27761939.
    • Bjarnson, D., & LaSala, C. A. (2011). Moral leadership in nursing. Journal of Radiology Nursing, 30, 18-24.
    • Braun, V., & Clark, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101.
    • British Medical Association (2016). Medical students tool kit introduction. Retrieved from htps://www.bma.org.uk/advice/employment/ethics/ medical-students-ethics-toolkit/introduction (accessed 21st June 2016).
    • Burdet Trust for Nursing (2013). Grant programme: delivering dignity through empowered leadership. Retrieved from htp://www.btfn.org.uk/ grant-programmes/.
    • Chochinov, H. M. (2012). Dignity therapy: Final words for final days. Oxford: Oxford University Press.
    • Commission on Dignity in Care (2012). Delivering dignity: Securing dignity in care for older people in hospitals and care homes. Retrieved from htp:// www.nhsconfed.org/Publications/Documents/Delivering_Dignity_fi - nal_report150612.pdf (accessed 05/07/15).
    • Coser, L., Tozer, K., Van Borek, N., Tzemis, D., Taylor, D., Saewyc, E., & Buxton, J. (2014). Finding a voice: Participatory research with streetinvolved youth in the youth injection prevention project. Health Promoiton Practice, 15, 732-738.
    • Curtis, K., Ramage, C., Montgomery, J., Martin, C., Leng, J., Theodosius, C., Glynn, A., Anderson, J., Wrigley, M. & Gallagher, A. (2016 in press). Using Appreciative Inquiry to develop, implement and evaluate a multi-organisation 'Cultivating Compassion' programme for health professional and support staf Journal of Research in Nursing
    • Dewar, B., & Sharp, C. (2013). Appreciative dialogue for co- facilitation in action research and practice development. International Practice Development Journal, 3, 2. Article 7 (see htp://www.fons.org/library/journal/ volume3-issue2/article7).
    • Dwyer, L.-L., Andershed, B., Nordenfelt, L., & Temestedt, B.-M. (2009). Dignity as experienced by nursing home sta.f International Journal of Older People Nursing, 4, 185-193.
    • Franklin, L.-L., Ternestedt, B.-M., & Nordenfelt, L. (2006). Views on dignity of elderly nursing home residents. Nursing Ethics, 13, 130-146.
    • Gallagher, A. (2004). Dignity and respect for dignity - two key health professional values: Implications for everyday nursing practice. Nursing Ethics, 11, 587-599.
    • Gallagher, A. (2011). Editorial: What do we know about dignity in care? Nursing Ethics, 18, 471-473.
    • Gallagher, A., Cox, A. (2015) The RIPE Project protocol: researching intervenitons that promote ethics in social care working papers in health scienc - es. Retrieved from htp://www.southampton.ac.uk/assets/centresresearch/documents/wphs/AGRIPE.pdf.
    • Gallagher, A., Li, S., Wainwright, P., Rees Jones, I., & Lee, D. (2008). Dignity in the care of older people: A review of the theoretical and empirical literature. BMC Nursing, 7, 11. Published online 2008 Jul 11. doi: HYPERLINK “htp://dx.doi.org/10.1186% 2F1472-6955-7-11”10.1186/1472-6955-7-11.
    • Gallagher, A., & Tschudin, V. (2010). Educating for ethical leadership. Nurse Education Today, 30, 224-227.
    • Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18, 326-331.
    • Hall, S., Dodd, R., Higginson, I., & Irene, J. (2014). Maintaining dignity for residents of care homes: A qualitative study of views of care home sta,f community nurses, residents and families. Geriatric Nursing, 35, 55-60.
    • Hart, P., & Cooper, N. (2015). Reflective practice undertaken by healthcare and medical trainees and practioners: So what's all the fuss about? Critical and Reflective Practice in Education, 4, 11-17.
    • Jones, S., & Gelling, L. (2013). Participation in action research. Nurse Researcher, 21, 6-7.
    • Kateb, G. (2011) Human dignity. Cambridge: The Bellnap Press of Harvard University Press.
    • Khademi, M., Mohammadi, E., & Vanaki, Z. (2012). Nurses' experience of violations of their dignity. Nursing Ethics, 19, 328-340.
    • Kings Fund (2013). Leadership survey, Kings Fund, London. Retrieved from htp://www.kingsfund.org.uk/publications/patient-centred-leadership.
    • Koukkanen, L., Leino-Kilpi, H., & Katajisto, J. (2002). Do nurses feel empowered? Nurses' assessments of their own qualities and performance with regard to nurse empowerment. Journal of Professional Nursing, 18, 328-335.
    • Latimer, S., Chaboyer, W., & Gillespie, B. (2014). Patient participation in pressure injury prevention: Giving patient's a voice. Scandinavian Journal of Caring Sciences, 28, 648-656.
    • Lohne, V., Høy, B., Lillestø, B., Saeteren, B., Tolo Heggestad, A. K., Aasgaard, T., … Nåden, D. (2016). Fostering dignity in the care of nursing home residents through slow caring. Nursing Ethics, htp://nej.sagepub. com/content/early/2016/02/04/0969733015627297.full.pdf+html. 0969733015627297, first published on February 4, 2016.
    • Macklin, R. (2003). Dignity is a useless concept. British Medical Journal, 327, 1419-1420.
    • Magee, H., Parsons, S., & Askham, J. (2008). Measuring dignity in care for older people: a research report for help the aged Picker Institute Europe.
    • Mati, R. M., & Baillie, L. (Eds.) (2011). Dignity in healthcare: A practical approach for nurses and midwives. London: Radclief Publishing Ltd.
    • McLeod, J. (2011). Qualitative research in counselling and psychotherapy. London: SAGE.
    • Naden, D., Roholm, M.-B., Lohne, V., & Eriksson, K. (2013). Nursing ethics and dignity, Nursing Ethics online special issue. Retrieved from htp:// nej.sagepub.com/site/Additional/dignity.pdf.
    • Nordenfelt, L. (2009). Dignity in care for older people. Oxford: Blackwell Publishing.
    • Northern Ireland Human Rights Commission (2012). In Defence of Dignity: The human rights of older people in nursing homes. Northern Ireland Human Rights Commission, Belfast.
    • Nursing and Midwifery Council (2015). The code: Professional standards of practice and behaviour for nurses and midwives. London: NMC.
    • Pinker, S. (2008). The stupidity of dignity. The New Republic, 28 May 2008. Retrieved from htp://pinker.wjh.harvard.edu/articles/media/The%20 Stupidity%20of%20Dignity.htm (accessed 05/07/15).
    • Rao, A. (2012). The contemporary construction of nurse empowerment. Journal of Nursing Scholarship, 44, 396-402.
    • Ross, T. (2013). 'Elderly who fear care home abuse' The Telegraph 12/11/2013. Retrieved from htp://www.telegraph.co.uk/health/ elderhealth/10445449/Elderly-who-fear-care-home-abuse.html (accessed 05/07/15).
    • Sabatino, L., Kangasniemi, M. K., Rocco, G., Alvaor, R., & Stievano, A. (2012). Nurses' perceptions of professional dignity in hospital setings. Nursing Ethics, ???, ???-???. 0969733014564103, first published on December 30, 2014.
    • Sama, M., & Shoaf, V. (2007). Ethical leadership for the professions. Journal of Business Ethics, 78, 39-46.
    • Skills for Care (2012). The common core principles: Dignity. Retrieved from www.skillsforcare.org.uk/dignity (accessed 05/07/15).
    • Stabell, A., & Naden, D. (2006). Patients' dignity in a rehabilitation ward: Ethical challenges for nursing sta.f Nursing Ethics, 13, 236-248.
    • Sturm, B. A., & Dellert, J. C. (2015). Exploring nurses' personal dignity, global self-esteem and work satisfaction. Nursing Ethics, 23, 384-400. 0969733014567024, first published on February 9.
    • Tranvåg, O., Peterson, K. A., & Naden, D. (2015). Relational interactions preserving dignity experience: Perceptions of persons living with dementia. Nursing Ethics, 22, 577-593.
    • Willamson, G. R., Bellman, L., & Webster, J. (2012). Action research in nursing and healthcare. London: SAGE.
    • Wong, C., & Laschinger, H. (2013). Authentic leadership. Performance and job satisfaction: The mediating role of empowerment. Journal of Advanced Nursing, 69, 947-959.
    • How to cite this arctile: Gallagher, A., Cursti, K., Dunn, M. and Baillie, L. (2016), Realising dignity in care home pracctie: an acotin research project. Internaotinal Journal of Older People Nursing, 00: 1-10. doi: 10.1111/opn.12128
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article