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Table 2 Facilitators and barriers to the delivery of dignified care at the organisational, ward and individual level

From: What facilitates the delivery of dignified care to older people? A survey of health care professionals

  Facilitators n Barriers n
Organisational level
 Time “Having time to allow patients to express their thoughts/fears” (p. 28) 42 “Not enough time!” (p . 23) 47
 Staffing levels “Better staffing on the wards!” (p. 131) 34 “Inadequate staffing levels” (p. 13) 37
 Staff training and experience “Putting training into practice and delivering dignified care” (p. 11) 26 “Poorly trained/incompetent nurses” (p. 133) 11
 Organisational support/values “Having the right culture within the organisation with regard to values” (p. 42) 7 “The quantity of patient turnover and meeting target times that often appears more important to certain staff (i.e. managers)” (p. 33) 13
 Resources “Having the right resources to provide the right support and care (staff and equipment)” (p. 42) 19 “Lack of equipment” (p. 68) 19
 Specific Dignity measures “Protected meal times” (p. 89) 6 “Staff entering curtained area despite ‘privacy peg’” (p. 32) 11
Ward level
 Ward environment “Mobilising equipment to toilet/bathroom wherever possible rather than using commodes/bed pans” (p. 30) 23 “Lack of appropriate facilities such as quiet rooms to discuss confidential issues” (p. 29) 26
 Colleagues/team “Excellent teams within care of the elderly. Consultants are very proactive as are senior nurses and ward staff” (p. 61) 21 “Poor staff mix” (p. 182) 2
 Staff attitudes “Other members of staff participation in dignified care, everyone having the same ‘goal’” (p. 16) 13 “Non empathetic nurses” (p. 74) 8
 Work load “Less workload” (p. 58) 7 “Pressure to do things in a hurried manner can lead to a loss of dignity” (p. 179) 30
 Support “Support from colleagues” (p. 133) 19 “Not being supported by staff” (p. 45) 7
 Communication “Good communication between myself and members of the multi-disciplinary team” (p. 19) 4 “Staff not communicating well” (p. 130) 8
Individual level
 Addressing patients needs “An understanding of specific patient needs or beliefs” (p. 94) 17 “Sometimes feel we are box-filling and patients/carers may not feel this is individualised” (p. 73) 8
 Involving family/carers “Involving family/carers—this also provides an opportunity to gain insight into patient circumstances” (p. 5) 3 n/a  
 Reflection “Having the time to reflect on my own practice and prejudices and challenge my thinking about what ageing is about” (p. 101) 1 n/a  
 Dealing with an emergency n/a   “Emergency situations when the focus is on saving lives (if in patients best interest)—sometimes it is difficult to prevent exposure/timely communication” (p. 7) 3
 Religion n/a   “Religion can prevent you from providing dignified care although it shouldn’t. For example a muslim woman cannot be cared for by a male nurse because of their faith” (p. 53) 1
 Neglect n/a   “Staff not answering patients buzzers resulting in wetting the bed due to long wait” (p. 173) 1