Dignity

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Dignity

• Nicola Davis-Job
• Acute Care and Leadership Adviser
• RCN Wales

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What is dignity?

• Dignity is concerned with how people feel,
  think and behave in relation to the worth or
  value of themselves and others. To treat someone
  with dignity is to treat them as being of worth,
  in a way that is respectful of them as valued
  individuals.
• (RCN 2008)

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Dignified care

• When dignity is present people feel in
  control, valued, confident, comfortable and able
  to make decisions for themselves.
• Everyone has equal worth as human beings and
  must be treated as if they are able to feel,
  think and behave in relation to their own worth
  or value.

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Dignified care

• When dignity is absent people feel devalued,
  lacking control and comfort.
• They may lack confidence and be unable to make
  decisions for themselves. They may feel
  humiliated, embarrassed and ashamed.

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Public Influences

• Legislation Policy
• Reviews Reports
• Adverse Incidents
• Media Public Perception

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Safeguarding Adults
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Legislation

• Race Relations Amendment Act 2000
• Disability Discrimination Act 1995
• Freedom of Information Act 2000
• Human Rights Act 1998

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measured
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Dignified careIn care situations, dignity
may be promoted or diminished by

• the physical environment (place)
• by the attitudes and behaviour of nurses and
  others (people)
• by the way in which care activities are carried
  out (processes)

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Dignified careWhich of these 3 factors can you
influence?

• 1. People
• What can you do to ensure that your own (and
  other individuals) values, beliefs and
  behaviours, even your appearance ensure that the
  people you care for receive dignified care?

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Dignified careWhich of these 3 factors can you
influence?

• 2. Process
• What can you do to ensure that the practices
  and policies in your workplace ensure that the
  people you care for receive dignified care?

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Dignified careWhich of these 3 factors can you
influence?

• 3. Place
• What can you do to ensure that the physical
  environment you work in ensure that the people
  you care for receive dignified care?

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The RCN Dignity Charter
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• Accountability
• Communication
• Diversity
• My job
• My organisation
• Work life balance

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• 1.1 Accountability
• I have the right to
• be empowered to make appropriate decisions in
  line with my responsibilities
• I have the responsibility to
• challenge decisions constructively
• be accountable and take responsibility for my
  actions and role.

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• As a manager I have the right to
• hold employees to account for the role they
  undertake.
• As a manager I have the responsibility to
• ensure that decision making processes are clear
  with explicit rationale
• respect challenges and not be afraid to make
  difficult decisions.

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Dignity

• Is it at the heart of everything we do?

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• The RCN's 'Dignity at the heart of everything we
  do' gave support and direction to the UK's
  nursing workforce during delivery of care for
  patients and clients of any health status in
  every setting.

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• Respecting patients' and clients' diversity and
  cultural needs their privacy - including
  protecting it as much as possible in large,
  open-plan hospital wards and the decisions they
  make
• Being compassionate when a patient or client
  and/or their relatives need emotional support,
  rather than just delivering technical nursing
  care
• Demonstrating sensitivity to patients' and
  clients' needs, ensuring their comfort.

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