Black K, Dobbs D. Community-dwelling older adults' perceptions of dignity: core meanings, challenges, supports and opportunities. Ageing Soc. 2014; 34:(8)1292-1313

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3:(2)77-101

Braun V, Clarke V. Successful qualitative research: a practical guide for beginners.London: Sage; 2013

Department of Health and Social Care. The NHS constitution the NHS belongs to us all. 2015. (accessed 13 October 2021)

Dhivya S, Padma VV, Santhini E. Wound dressings-a review. Biomed. 2015; 5:(4)24-28

Dignity in Care. The 10 dignity do's. 2019. (accessed 16 October 2021)

Drew D. Professional identity and the culture of community nursing. Br J Community Nurs. 2011; 16:(3)126-131

Gallagher A. Dignity as a virtue: appreciating ambiguity. Nurs Ethics. 2009; 16:(2)145-146

Griffith R. The changing nature of the district nurse patient relationship. Br J Community Nurs. 2016; 21:(6)311-313

Hemati Z, Ashouri E, Allahbakhshian M Dying with dignity: a concept analysis. J Clin Nurs. 2016; 25:(9–10)1218-1228

International Council for Nurses. Code of ethics for nurses. 2012. (accessed 16 October 2021)

Matiti MR. Learning to promote patient dignity: an inter-professional approach. Nurse Educ Pract. 2015; 15:(2)108-110

Understanding quality in district nursing services: Learning from patients, carers and staff. 2016. (accessed 16 October 2021)

National Institute for Clinical Excellence. Patient experience in adult NHS services: improving the experience of care for people using adult NHS services (Clinical Guidance 138). 2021. (accessed 16 October 2021)

National Wound Care Strategy Programme. Recommendations for surgical wounds. 2021. (accessed 16 October 2021)

Nursing and Midwifery Council. Code of professional standards of practice and behaviour for nurses and midwives. 2018. (accessed 16 October 2021)

Social Care Institute for Excellence. Defining dignity in care. 2020. (accessed 16 October 2021)

Stevens E, Price E, Walker E. Making the mundane remarkable: an ethnography of the ‘dignity encounter’ in community district nursing. Ageing Soc. 2021; 1-23

Zahran Z, Tauber M, Watson HH Systematic review: what interventions improve dignity for older patients in hospital?. J Clin Nurs. 2016; 25:(3–4)311-321

Zirak M, Ghafourifard M, Aliafsari Mamaghani E. Patients' dignity and its relationship with contextual variables: a cross-sectional study. J Caring Sci. 2017; 6:(1)49-51

Dressings and dignity in community nursing

02 November 2021
Volume 26 · Issue 11


Although dignity has been widely explored in the context of healthcare, it has rarely been the subject of empirical exploration when care is delivered by community district nursing teams. This paper demonstrates how a commonplace community nursing task (changing dressings) can constitute a clinical lens through which to explore the ways in which community nurses can influence patients' dignity. This ethnographic study involved two research methods: interviews with patients and nurses (n=22) and observations of clinical interactions (n=62). Dignity can manifest during routine interactions between community nurses and patients. Patient-participants identified malodour from their ill-bodies as a particular threat to dignity. Nurses can reinforce the dignity of their patients through relational aspects of care and the successful concealment of ‘leaky’ bodies.

Policy and guidance recognise the importance of dignity in healthcare (Department of Health and Social Care (DHSC), 2015; Dignity in Care, 2019). A quality indicator from the National Institute for Health and Care Excellence (NICE) states that nurses and health professionals should ‘treat patients with respect, kindness, dignity, compassion, understanding, courtesy and honesty’ (NICE, 2012; 2021). However, by noting that dignity is an indicator of quality, there is a danger that it may be viewed as an optional extra, rather than a standard element of care. In practice, caring for patients with dignity is mandated through professional codes of practice for nurses (International Council of Nurses (ICN), 2012; Nursing and Midwifery Council (NMC), 2018), yet dignity remains difficult to define (Social Care Institute for Excellence (SCIE), 2020) and, of course, operationalise.

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