Abstract
The concept of dignity has occasioned a robust conversation in recent healthcare scholarship. When viewed as a whole, research on dignity in healthcare has engaged each of the four bioethical principles popularized by Beauchamp and Childress, but has paid the least attention to beneficence. In this paper, we look at dignity and beneficence. We focus on the dignity promotion component of a model of dignity derived from a grounded theory study. After describing the study and presenting a précis of the resulting model, we review the principle of beneficence and look at the ways in which the notion of dignity promotion can be used to complement our understanding of this principle. Specifically, we explore what we can learn from dignity promotion about the relational nature of beneficence in healthcare and how dignity promotion can be marshaled to help address the epistemological quandary of soft paternalism.
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References
Beauchamp, T.L., and J.F. Childress. 2009. Principles of biomedical ethics, 6th ed. New York: Oxford University Press.
Beyleveld, D., and R. Brownsword. 2001. Human dignity in bioethics and biolaw. Oxford: Oxford University Press.
Birrrell, J., D. Thomas, and C.A. Jones. 2006. Promoting privacy and dignity for older patients in hospital. Nursing Standard 20(18): 41–46.
Blumer, H. 1969. Symbolic interactionism. Berkeley: University of California Press.
Calnan, M., D. Badcott, and G. Woolhead. 2006. Dignity under threat? A study of the experiences of older people in the United Kingdom. International Journal of Health Services 36(2): 355–375.
Chochinov, H.M. 2007. Dignity and the essence of medicine: The A, B, C, and D of dignity conserving care. BMJ 335: 184–187.
Chochinov, H.M., T. Hack, S. McClement, L. Kristjanson, and M. Harlos. 2002. Dignity in the terminally ill: A developing empirical model. Social Science & Medicine 54: 433–443.
Cody, W.K. 2003. Paternalism in nursing and healthcare: Central issues and their relation to theory. Nursing Science Quarterly 16(4): 288–296.
Gallagher, A., S. Li, P. Wainwright, I. Rees Jones, and D. Lee. 2008. Dignity in the care of older people: A review of the theoretical and empirical literature. BMC Nursing 7: 11.
Glaser, B.G., and A.L. Strauss. 1967. The discovery of grounded theory. New York: Aldine De Gruyter.
Jacelon, C.S. 2003. The dignity of elders in an acute care hospital. Qualitative Health Research 13(4): 543–556.
Jacobson, N. 2007. Dignity and health: A review. Social Science & Medicine 64: 292–302.
Jacobson, N. 2009a. Dignity violation in health care. Qualitative Health Research 19(11): 1536–1547.
Jacobson, N. 2009b. A taxonomy of dignity: A grounded theory study. BMC International Health and Human Rights 9(3). Accessible at http://www.biomedcentral.com/1472-698X/9/3.
Levenson, R. 2007. The challenge of dignity in care: Upholding the rights of the individual. London: Help the Aged. http://www.helptheaged.org (accessed July 25, 2008).
Lothian, K., and I. Philp. 2001. Maintaining the dignity and autonomy of older people in the healthcare setting. British Medical Journal 322: 668–670.
Lundqvist, A., and T. Nilstun. 2007. Human dignity in paediatrics: The effects of health care. Nursing Ethics 14(2): 216–228.
Malpas, J., and N. Lickis (eds.). 2007. Perspectives on human dignity: A conversation. Dordrecht: Springer.
Matiti, M.R., and G. Trorey. 2004. Perceptual adjustment levels: Patients’ perception of their dignity in the hospital setting. International Journal of Nursing Studies 41: 735–744.
Miller, S. C. 2003. The duty to care: Need and agency in Kantian and feminist ethics. PhD diss., Stony Brook University.
Miller, S.C. 2005. Need, care and obligation. Royal Institute of Philosophy Supplement 80(57): 137–160.
Nordenfelt, L. 2004. The varieties of dignity. Health Care Analysis 12(2): 69–81.
President’s Council on Bioethics. 2008. Human dignity and bioethics: Essays commissioned by the President’s Council on Bioethics. Washington, DC.
Pullman, D. 1999. The ethics of autonomy and dignity in long-term care. Canadian Journal on Aging 18(1): 26–46.
Schatzman, L. 1991. Dimensional analysis: Notes on an alternative approach to the grounding of theory in qualitative research. In Social organization and social process: Essays in honor of Anselm Strauss, ed. D.R. Maines, 303–314. New York: Aldine De Gruyter.
Soderberg, A., F. Gilje, and A. Norberg. 1997. Dignity in situations of ethical difficulty in intensive care. Intensive and Critical Care Nursing 13: 135–144.
Stabell, A., and D. Naden. 2006. Patients’ dignity in a rehabilitation ward: Ethical challenges for nursing staff. Nursing Ethics 13(3): 236–248.
Strauss, A.L. 1987. Qualitative analysis for social scientists. Cambridge: Cambridge University Press.
Acknowledgments
The authors thank Vanessa Oliver and Andrew Koch, who helped to plan and conduct this study, and all of the participants who agreed to be interviewed.
Funding Support
This research was supported by a grant from the Social Sciences and Humanities Research Council of Canada. In addition, support to the Centre for Addiction and Mental Health for salary of scientists and infrastructure has been provided by the Ontario Ministry of Health and Long Term Care. The views expressed in this article do not necessarily reflect those of the Ministry of Health and Long Term Care.
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This research upon which this article is based was part of a larger study, titled “A Taxonomy of Dignity,” conducted by the first author.
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Jacobson, N., Silva, D.S. Dignity Promotion and Beneficence. Bioethical Inquiry 7, 365–372 (2010). https://doi.org/10.1007/s11673-010-9258-y
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DOI: https://doi.org/10.1007/s11673-010-9258-y