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1 Chapter 1 Setting out the context for the Study 1.1 Introduction This thesis reports on an illuminative evaluation of the response to the National Dignity in Care campaign, within an acute healthcare Trust in England. This first chapter identifies the definition of dignity used within the National Dignity in Care campa ign launched by The Department of Health in England in 2006, as well as consideration of how dignity is situated within professional codes of conduct, and nursing standards within professional bodies. The nature of concerns raised through published report s on dignity in care is identified followed by a comprehensive review of healthcare policies and guidance related to dignity. A detailed description of the National Dignity in Care campaign along with a review of work undertaken to inform the campaign is given. Finally, the context of the acute healthcare Trust where the evaluation study took place is considered along with how the Dignity in Care campaign was translated within th is Trust and the priority areas identified by the Trust to improve aspects of care related to dignity. 1.2 Definition of Dignity used within the Dignity in Care Campaign The definition used for the National Dignity in Care campaign was: – respect. Di gnity in care, therefore, means the kind of care, in any setting, which supports and – ( Social Care Institut e for Excellence, [SCIE], 200 6, p. 6). This has been derived from a dictionary definition as opposed to studies undertaken in this area ; however it does capture the inherent worth of an individual as a key feature of dignity, the subjective nature of dig nity, as well as emphasising that the person being the recipient of care is treated respectful ly and without discrimination. The Dignity in Care campaign initially set out to focus on older people as there had been serious concerns about the quality of ca re for older people (Help the Aged, 1999; Health Advisory Service, [HAS], 2000; Department of Health [DH], 2001a). However , in August 2007 the Dignity in Care campaign was extended to include mental health service users. It is also acknowledged that older people over the age of 65 will occupy at least two thirds of hospital beds at any one time (DH, 2000 a ) and that there is
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