Improving the perception of respect for and the dignity of inpatients: a systematic review
Objectives The aim of this systematic review is to find evidence to determine which strategies are effective for improving hospitalised patients’ perception of respect and dignity.Methods A systematic review of the literature was conducted in accordance with Preferred Reporting Items for Systematic...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-05-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/5/e059129.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850284233117925376 |
|---|---|
| author | Pablo Eduardo Pereira Dutra Laiana Azevedo Quagliato Antonio Egidio Nardi |
| author_facet | Pablo Eduardo Pereira Dutra Laiana Azevedo Quagliato Antonio Egidio Nardi |
| author_sort | Pablo Eduardo Pereira Dutra |
| collection | DOAJ |
| description | Objectives The aim of this systematic review is to find evidence to determine which strategies are effective for improving hospitalised patients’ perception of respect and dignity.Methods A systematic review of the literature was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The MEDLINE/PubMed, PsycINFO and Cochrane Library databases were searched on 9 March 2021. Observational studies, prospective studies, retrospective studies, controlled trials and randomised controlled trials with interventions focused on improving respect for patients and maintaining their dignity were included. Case reports, editorials, opinion articles, studies <10 subjects, responses/replies to authors, responses/replies to editors and review articles were excluded. The study population included inpatients at any health facility. Two evaluators assessed risk of bias according to the Cochrane Handbook of Systematic Reviews of Interventions criteria: allocation, randomisation, blinding and internal validity. The reviewers were blinded during the selection of studies as well as during the quality appraisal. Disagreements were resolved by consensus.Results 2515 articles were retrieved from databases and 44 articles were included in this review. We conducted a quality appraisal of the studies (27 qualitative studies, 14 cross-sectional studies, 1 cohort study, 1 quali-quantitative study and 1 convergent parallel mixed-method study).Discussion A limitation of this study is that it may not be generalisable to all cultures. Most of the included studies are of good quality according to the quality appraisal. To improve medical and hospital care in most countries, it is necessary to improve the training of doctors and other health professionals.Conclusion Many strategies could improve the perception of respect for and the dignity of the inpatient. The lack of interventional studies in this field has led to a gap in knowledge to be filled with better designed studies and effect measurements.PROSPERO registration number CRD42021241805. |
| format | Article |
| id | doaj-art-c0f78b89d0b34b28a1af7ca14dc3ac1a |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c0f78b89d0b34b28a1af7ca14dc3ac1a2025-08-20T01:47:37ZengBMJ Publishing GroupBMJ Open2044-60552022-05-0112510.1136/bmjopen-2021-059129Improving the perception of respect for and the dignity of inpatients: a systematic reviewPablo Eduardo Pereira Dutra0Laiana Azevedo Quagliato1Antonio Egidio Nardi2Institute of Pyschiatry of UFRJ (IPUB/UFRJ), UFRJ, Rio de Janeiro, RJ, BrazilInstitute of Pyschiatry of UFRJ (IPUB/UFRJ), UFRJ, Rio de Janeiro, RJ, BrazilInstitute of Pyschiatry of UFRJ (IPUB/UFRJ), UFRJ, Rio de Janeiro, RJ, BrazilObjectives The aim of this systematic review is to find evidence to determine which strategies are effective for improving hospitalised patients’ perception of respect and dignity.Methods A systematic review of the literature was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The MEDLINE/PubMed, PsycINFO and Cochrane Library databases were searched on 9 March 2021. Observational studies, prospective studies, retrospective studies, controlled trials and randomised controlled trials with interventions focused on improving respect for patients and maintaining their dignity were included. Case reports, editorials, opinion articles, studies <10 subjects, responses/replies to authors, responses/replies to editors and review articles were excluded. The study population included inpatients at any health facility. Two evaluators assessed risk of bias according to the Cochrane Handbook of Systematic Reviews of Interventions criteria: allocation, randomisation, blinding and internal validity. The reviewers were blinded during the selection of studies as well as during the quality appraisal. Disagreements were resolved by consensus.Results 2515 articles were retrieved from databases and 44 articles were included in this review. We conducted a quality appraisal of the studies (27 qualitative studies, 14 cross-sectional studies, 1 cohort study, 1 quali-quantitative study and 1 convergent parallel mixed-method study).Discussion A limitation of this study is that it may not be generalisable to all cultures. Most of the included studies are of good quality according to the quality appraisal. To improve medical and hospital care in most countries, it is necessary to improve the training of doctors and other health professionals.Conclusion Many strategies could improve the perception of respect for and the dignity of the inpatient. The lack of interventional studies in this field has led to a gap in knowledge to be filled with better designed studies and effect measurements.PROSPERO registration number CRD42021241805.https://bmjopen.bmj.com/content/12/5/e059129.full |
| spellingShingle | Pablo Eduardo Pereira Dutra Laiana Azevedo Quagliato Antonio Egidio Nardi Improving the perception of respect for and the dignity of inpatients: a systematic review BMJ Open |
| title | Improving the perception of respect for and the dignity of inpatients: a systematic review |
| title_full | Improving the perception of respect for and the dignity of inpatients: a systematic review |
| title_fullStr | Improving the perception of respect for and the dignity of inpatients: a systematic review |
| title_full_unstemmed | Improving the perception of respect for and the dignity of inpatients: a systematic review |
| title_short | Improving the perception of respect for and the dignity of inpatients: a systematic review |
| title_sort | improving the perception of respect for and the dignity of inpatients a systematic review |
| url | https://bmjopen.bmj.com/content/12/5/e059129.full |
| work_keys_str_mv | AT pabloeduardopereiradutra improvingtheperceptionofrespectforandthedignityofinpatientsasystematicreview AT laianaazevedoquagliato improvingtheperceptionofrespectforandthedignityofinpatientsasystematicreview AT antonioegidionardi improvingtheperceptionofrespectforandthedignityofinpatientsasystematicreview |