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Studi sull’etica infermieristica: una revisione della letteratura sulla dignità professionale nel nursing
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Laura Sabatino, Chiara Grossi, Alessandro Stievano, Gennaro Rocco 
Anno di pubblicazione:  2017 Fascicolo: Lingua: Italiano 
Numero pagine:  14 P. 37-50 Dimensione file:  704 KB
DOI:  10.3280/SES2017-001004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


A narrative review on the topic of nursing’s professional dignity was carried out. Online databases such as PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), OvidSP e Scopus were searched. The review included different types of research articles (meta-analysis of RCT, systematic reviews, quantitative studies, qualitative studies and mixed-method researches). A total of 341 potentially relevant studies were identified. After their titles and abstracts were reviewed, duplicates and those articles not meeting the inclusion criteria were removed, 79 of them were selected and after reviewing the full texts a final sample of 14 manuscripts were content analysed. From the narrative synthesis of the included papers it emerged that the concept of nursing’s professional dignity is strictly linked to the construct of human dignity because it is intrinsic to and inherent in all persons irrespective of their social roles. Instead, concerning the work settings, the aspects that emphasize the significance of the concept of professional dignity are the relationships with other healthcare professionals, with patients and with caregivers. In this framework, however, it is always relevant to analyze the cultural environment where nurses operate because it strongly influences the lived experiences of the individuals. The respect of nursing’s professional dignity in the work setting, in turn, has a pivotal impact on the appropriateness, safety and quality of care.


Keywords: Dignità; esseri umani; relazioni intra e interprofessionali; assistenza infermieristica; dignità professionale; rispetto

  1. Aiken L.H., Sermeus W., Vanden Heede K. et al. (2012). Patient safety, satisfaction, and quality of hospital care: cross-sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344: e1717,
  2. Aiken L.H., Sloane D.M., Bruyneel L., Van den Heede K., Sermeus W., and the RN4CAST Consortium (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50: 143–153,
  3. Aiken L.H., Sloane D.M., Bruyneel L., Van den Heede K., Griffiths P., Busse R., Diomidous M., Kinnunen J., Kózka M., Lesaffre E., McHugh M.D., Moreno-Casbas M.T., Rafferty A.M., Schwendimann R., Scott P.A., Tishelman C., van Achterberg T., Sermeus W., for the RN4CAST consortium (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. The Lancet, 24; 383(9931): 1824-1830., 10.1016/S0140-6736(13)62631-DOI: 10.1016/S0140-6736(13)62631-
  4. American Nurses Credentialing Center (2015). Forces of magnetism. --Retrieved from: http://www.nursecredentialing.org/ForcesofMagnetism.aspx (accessed December, 2015).
  5. Becchi P. (2009). Il principio dignità umana. Brescia: Morcelliana.
  6. Cairns D., Williams V., Victor C., Richards S., Le May A., Martin W., Oliver D. (2013). The meaning and importance of dignified care: findings from a survey of health and social care professionals. BMC Geriatric, 13: 28., 10.1186/1471-2318-13-2DOI: 10.1186/1471-2318-13-2
  7. Chochinov H.M. (2002). Dignity-conserving care—A new model for palliative care. Journal of American Medical Association, 287(17): 2253–2260.
  8. Chochinov H.M., Hack T., Hassard T., Kristjanson L., McClement S., Harlos M. (2002). Dignity in the terminally ill: a cross-sectional, cohort study. The Lancet, 360(9350): 2026–2030., 10.1016/S0140-6736(02)12022-DOI: 10.1016/S0140-6736(02)12022-
  9. Edlund M., Lindwall L., von Post I., Lindström U.Å. (2013). Concept determination of human dignity. Nursing Ethics, 20(8): 851–860,, 10.1177/096973301348719DOI: 10.1177/096973301348719
  10. Freidson E. (1970a). Profession of medicine. A study of the sociology of the applied knowledge. New York: Dodd Mead. Trad. it. parziale di Vicarelli G., a cura di (2002). La dominanza medica, le basi sociali della malattia e delle istituzioni sanitarie. Milano: FrancoAngeli.
  11. Freidson E. (1970b). Professional dominance. The social structure of medical care. New York: Atherton Press. Trad. it. parziale di Vicarelli G., a cura di (2002). La dominanza medica, le basi sociali della malattia e delle istituzioni sanitarie. Milano: FrancoAngeli.
  12. Gallagher A. (2004). Dignity and respect for dignity – two key health professional values: implications for nursing practice. Nursing Ethics, 11(6): 587-599.
  13. Gallagher A., Zaboli E., Ventura C. (2012). Dignity in care: where next for nursing ethics scholarship and research?. Revista de Escola de Enfermagem USP, 46(esp): 51-57.
  14. Hall E.O., Hoy B (2012). Re-establishing dignity: nurses’ experiences of caring for older hospital patients. Scandinavian Journal of Caring Science, 26: 287–294.
  15. Hoffman H. (1999). La promessa della dignità umana. Rivista Internazionale di Filosofia del Diritto, 625 ss.
  16. Horton K., Tschudin V., Forget A. (2004). The value of nursing: a literature review. Nursing Ethics, 14: 716-740., 10.1177/096973300708211DOI: 10.1177/096973300708211
  17. Jacobson N. (2007). Dignity and health: a review. Social Science and Medicine, 64: 292–302.
  18. Jacobson N. (2009). A taxonomy of dignity: a grounded theory study. BMC International Health and Human Rights, 9: 3., 10.1186/1472-698X-9-DOI: 10.1186/1472-698X-9-
  19. Jormsri P., Kunaviktikul W., Ketefian S., Chaowalit A. (2005). Moral competence in nursing practice. Nursing Ethics, 12(6): 582-594.
  20. Kelly L., McHugh M., Aiken L. (2011). Nurse outcomes in Magnet® and Non-Magnet hospitals. Journal of Nursing Administration, 41(10): 428–433.
  21. Khademi M., Mohammedi E., Vanaki Z. (2012). Nurses’ experiences of violation of their dignity. Nursing Ethics, 19(3): 328-340., 10.1177/096973301143392DOI: 10.1177/096973301143392
  22. Laschinger H.K.S. (2004). Hospital nurses’ perceptions of respect and organizational justice. Journal of Nursing Administration, 34(7-8): 354–364., 10.1097/00005110-200407000-0000DOI: 10.1097/00005110-200407000-0000
  23. Lawless J. (2009). Why dignity at work is imperative for nurses. Nursing New Zealand, 14: 12-14.
  24. Lawless J., Moss C. (2007). Exploring the value of dignity in the work-life of nurses. Contemporary Nurse, 24: 226–236.
  25. Lin Y.P., Watson R., Tsai Y.F. (2013). Dignity in care in the clinical setting: a narrative review. Nursing Ethics, 20(2): 168-177., 10.1177/096973301245860DOI: 10.1177/096973301245860
  26. Macklin R. (2003). Dignity is a useless concept. British Medical Journal, 327: 1419-1420.
  27. Mairis E.D. (1994). Concept clarification in professional practice: dignity. Journal of Advanced Nursing, 19: 947-953.
  28. Milton C.L. (2003). The American Nurses Association Code of Ethics: A reflection on the ethics of respect and human dignity with nurse as expert. Nursing Science Quarterly, 16(4): 301-304., 10.1177/089431840325702DOI: 10.1177/089431840325702
  29. Milton C.L. (2008). The ethics of human dignity: a nursing the theorietical perspective. Nursing Science Quarterly, 21(3): 207-210., 10.1177/089431840832014DOI: 10.1177/089431840832014
  30. Nordenfelt L. (2004). The varieties of dignity. Health Care Analysis, 12(2): 69-89., 10.1023/B:HCAN.0000041183.78435.4DOI: 10.1023/B:HCAN.0000041183.78435.4
  31. Price S., Doucet S., McGillis Hall L. (2014). The historical social positioning of nursing and medicine: implications for career choice, early socialization and interprofessional collaboration. Journal of Interprofessional Care, 28(2): 103-109., 10.3109/13561820.2013.86783DOI: 10.3109/13561820.2013.86783
  32. Rassin M. (2005). Nurses’ professional and personal values. Nursing Ethics, 15(5): 614- 630., 10.1177/096973300809287DOI: 10.1177/096973300809287
  33. Ravari A., Bazargan H.S., Ebadi A., Mirzaei T., Oshvandi K. (2013). Work values and job satisfation: a qualitative study of Iranian nurses. Nursing Ethics, 20(4): 448-458., 10.1177/096973301245860DOI: 10.1177/096973301245860
  34. Sabatino L., Kangasniemi M.K., Rocco G., Alvaro R., Stievano A. (2014a). Nurses’ perceptions of professional dignity in hospital setting. Nursing Ethics, 23(3): 277-293., 10.1177/096973301456410DOI: 10.1177/096973301456410
  35. Sabatino L., Stievano A., Rocco G., Kallio H., Pietila A.M., Kangasniemi M.K. (2014b). The dignity of the nursing profession. A meta-synthesis of qualitative research. Nursing Ethics, 21(6): 659-672., 10.1177/096973301351321DOI: 10.1177/096973301351321
  36. Shahriani M., Mohammadi E., Abbaszadeh A., Bahrami M. (2013). Nursing ethical values and definitions: a literature review. Iranian Journal of Nursing and Midwifery Research, 18(1): 1-8.
  37. Stievano A., Alvaro R., Russo M.T. (2009). The value of nursing professional dignity. International Nursing Perspectives, 9(3): 97-105.
  38. Stievano A., De Marinis M.G., Russo M.T., Rocco G., Alvaro R. (2012). Professional dignity in nursing in clinical and community workplaces. Nursing Ethics, 19(3): 341-356., 10.1177/096973301141496DOI: 10.1177/096973301141496
  39. Stievano A., Rocco G., Sabatino L., Alvaro R. (2013). Dignity in professional nursing: guaranteeing better patient care. Journal of Radiology Nursing, 32(3): 120-123.
  40. Sturm B. & Dellert J.C. (2016). Exploring nurses’ personal dignity, global self-esteem and work satisfation. Nursing Ethics, 23(4): 384-400., 10.1177/096973301456702DOI: 10.1177/096973301456702
  41. Sulmasy D.P. (2013). The varieties of human dignity: a logical and conceptual analysis. Medicine Health Care and Philosophy, 16(4): 937-944.
  42. Thomas J., Herrin D. (2008). The executive master of science in nursing program. Incorporating the 14 forces of magnetism. Journal of Nursing Administration, 38(2): 64-67., 10.1097/01.NNA.0000310717.53591.0DOI: 10.1097/01.NNA.0000310717.53591.0
  43. Treccani (2015). Vocabolario. --Tratto da Treccani. http://www.treccani.it/vocabolario/dignita consultato il giorno 25 giugno 2015.
  44. Tschudin V. (2004). Editorial. Nursing Ethics, 11(6): 539-540.
  45. Vanlaere L., Gastmans C. (2011). A personalist approach to care ethics. Nursing Ethics, 18: 161–173., 10.1177/096973301038892DOI: 10.1177/096973301038892
  46. Vincenti U. (2009). Diritti e dignità umana. Roma-Bari: Laterza.
  47. Viola F. (2008). I volti della dignità umana. In: Argiroffi A., Becchi P., Anselmo D., a cura di, Colloqui sulla dignità umana. Roma: Aracne.
  48. Wainwright P., Gallagher A. (2008). On different types of dignity in nursing care: a critique of Nordenfelt. Nursing Philosophy, 9(1): 46-54.
  49. Yalden B.J., McCormack B. (2010). Constructions of dignity: a pre-requisite for flourishing in the workplace?. International Journal of Older People Nursing, 5: 137–147.

Laura Sabatino, Chiara Grossi, Alessandro Stievano, Gennaro Rocco, in "SALUTE E SOCIETÀ" 1/2017, pp. 37-50, DOI:10.3280/SES2017-001004

   

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