Table 5.
Presence and influence on dignity per item in a group of nursing home residents (N = 95), ordered per domain
|
Item |
Yes, present
1
% |
Influence on dignity
2
|
|
|---|---|---|---|
| Mean | % (very) much | ||
| (I) Evaluation of self in relation to others |
|
|
|
| Feeling worthless for friends and family |
16.8 |
3.25 |
43.8 |
| Not looking well-groomed |
5.3 |
3.20 |
40.0 |
| Very little self-respect |
16.8 |
3.00 |
35.7 |
| Not made any meaning or lasting contribution |
5.3 |
3.00 |
40.0 |
| Lost control over my life |
43.2 |
2.78 |
34.1 |
| Not able to oversee what’s happening to me |
32.6 |
2.77 |
35.5 |
| No longer feeling like the person I was before |
55.8 |
2.58 |
30.2 |
| A changed physical appearance* |
25.3 |
1.87 |
16.7 |
| (II) Functional status |
|
|
|
| Not able to carry out usual activities |
48.9 |
3.17 |
58.7 |
| Impaired sight despite using aids |
29.5 |
3.07 |
57.1 |
| Incontinence |
53.7 |
2.80 |
35.3 |
| Not able to wash, dress or go to the toilet independently |
83.2 |
2.59 |
24.1 |
| Not able to do domestic tasks |
95.8 |
2.58 |
27.5 |
| Hampered communication due to impaired hearing/speech |
30.5 |
2.55 |
34.5 |
| Physical complaints |
67.4 |
2.55 |
29.7 |
| Using medical-technical aids |
98.9 |
2.38 |
29.8 |
| Not able to eat and drink independently* |
7.4 |
2.14 |
14.3 |
| (III) Mental state |
|
|
|
| Lost fighting spirit |
26.3 |
3.00 |
44.0 |
| Feeling depressed |
31.6 |
2.87 |
26.7 |
| Mentally unable to take decisions** |
9.5 |
2.44 |
22.2 |
| Being forgetful* |
47.4 |
2.24 |
20.0 |
| (IV) Care and situational aspects |
|
|
|
| Not treated with respect by caregivers |
16.8 |
3.25 |
50.0 |
| Little privacy |
37.9 |
2.94 |
38.9 |
| Receiving little attention for my wishes from doctors |
23.7 |
2.86 |
36.4 |
| Insufficient opportunity to live according to beliefs or religion |
6.3 |
2.83 |
33.3 |
| Receiving little attention and care from people around me |
17.9 |
2.38 |
25.0 |
| Added items specific for LTC setting |
|
|
|
| Not being taken seriously |
21.3 |
3.10 |
40.0 |
| Difficulties with adjusting to the nursing home |
23.2 |
2.95 |
45.5 |
| Feeling bored and experiencing every day as the same |
36.2 |
2.74 |
38.2 |
| Missing the things I left behind |
80.9 |
2.62 |
36.8 |
| Feeling guilty about calling on the nurses a lot |
57.4 |
2.56 |
24.1 |
| Waiting a long time for help |
58.9 |
2.53 |
29.1 |
| No longer feeling part of society |
55.3 |
2.50 |
32.7 |
| Receiving little time from nurses* |
55.8 |
2.43 |
22.6 |
| Little opportunity to shower* |
38.9 |
2.33 |
22.2 |
| Difficult to be in living room with 'unknown’ others |
22.3 |
2.25 |
25.0 |
| A lot of different nurses* |
61.7 |
2.24 |
19.0 |
| Small room in nursing home* |
37.6 |
2.09 |
20.6 |
| Having little contact with other residents* | 58.5 | 2.02 | 20.4 |
1Presence: between 0 and 2 missing observations per item.
2Influence on dignity: between 0 and 2 missing observations per item (of the respondents who indicated that an item applied to their life).
*For this item the mean score for influence on dignity is lower than 2.50, and less than 25% of the nursing home residents to whom the item applied indicated this to influence their dignity quite a lot or very much (score 4 or 5); this item will therefore be removed from the instrument.
**Although the criteria for omission are met by this item, we reasoned to keep this item in the instrument in a reformulated phrase.