Conceptualization of Dignity |
Concepts |
Intrinsic Dignity |
Dignity as an intrinsic, unconditional worth of every individual. |
Foundation of ethical care and human rights. |
Sulmasy, 2008 |
Role-Related Dignity |
Dignity derived from one’s social roles and the ability to fulfill associated expectations. |
Reflects on societal values and personal self-esteem. |
Chochinov et al., 2002 |
Social Dignity |
Dignity influenced by social interactions, respect, and recognition by others. |
Critical for psychological well-being and social integration. |
Matiti & Trorey, 2008 |
Key Themes |
Themes |
Control and Autonomy |
Importance of control over personal decisions and life. |
Central to patient-centered care and empowerment. |
Chochinov, 2002 |
Privacy and Respect |
Respect, privacy, and maintaining bodily integrity are essential. |
Vital for ethical healthcare practices and patient comfort. |
Jacelon et al., 2004 |
Identity and Self-Worth |
The affirmation of personal value and identity beyond illness. |
Essential for holistic care and recognizing individuals’ worth. |
van Wijngaarden et al., 2013 |
Factors Influencing Dignity |
Individual |
Illness Trajectory |
The impact of illness on dignity, related to symptoms and dependence. |
Directly impacts quality of life and autonomy. |
Chochinov et al., 2002 |
Autonomy and Control |
The role of autonomy in maintaining dignity despite illness progression. |
Key for patient engagement and respect for personal choices. |
van Wijngaarden et al., 2013 |
Psychological State |
Effects of mental health on dignity, including depression and existential distress. |
Influences overall well-being and dignity preservation. |
Chochinov, 2002 |
Spirituality |
The role of spiritual beliefs and meaning in supporting dignity. |
Supports coping mechanisms and existential well-being. |
Jacelon et al., 2004 |
Interpersonal Factors |
Interpersonal |
Caregiver Relations |
Quality of interactions with healthcare providers affects dignity. |
Crucial for effective and compassionate care delivery. |
Matiti & Trorey, 2008 |
Social Support |
Supportive relationships reinforce dignity; isolation undermines it. |
Important for emotional well-being and social connectivity. |
Henoch & Danielson, 2009 |
Systemic Factors |
Systemic |
Healthcare Environments |
The care setting's physical and cultural environment influences dignity. |
Significantly affects patients’ experience and perception of care. |
van Wijngaarden et al., 2013 |