Nurse Perspectives of Maintaining Patient Dignity in Indonesian Clinical Care Settings: A Multicenter Qualitative Study

Nurfika Asmaningrum, Yun Fang Tsai*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

9 Scopus citations


Purpose: Nurses have a professional obligation to maintain patient dignity when providing nursing care. The concept of dignity, however, is dependent on cultural context. The aim of this study was to elicit nurses’ perspectives for maintaining patient dignity in Indonesian clinical care settings. Design: A qualitative descriptive study was performed. Methods: A total of 40 clinical nurse participants were recruited by purposive sampling from six general public hospitals in Eastern Java, Indonesia, including six medical and six surgical units. Data were collected in 2017 using individual face-to-face semistructured interviews. Inductive content analysis was employed. Findings: The interview data revealed nurses considered three main elements were necessary to maintain patient dignity in clinical care: personalized care, which included prioritizing patients and treating as individuals; compassionate care, which included empathizing and providing emotional support; and patient care advocacy, which included protecting patient rights and being a representative for the patient. Conclusions: This study provided knowledge on how to maintain patient dignity from the cultural perspective of clinical nurses in Indonesia. Our findings highlight the importance of providing dignified care in a manner that is congruent with culture. The nurses in our study considered compassion and beneficence necessary values for providing dignified patient-centered care, which might be qualities that are culturally sensitive for an Indonesian population. Clinical Relevance: Strategies should be developed to improve dignity of care for hospitalized patients in Indonesia as well as other cultural settings, which could be incorporated into patient care. These should include improving patients’ health literacy to increase patient-centered communication, eliminating mixed-gender wards to enhance patient privacy, and involving family members as partners in health care.

Original languageEnglish
Pages (from-to)482-491
Number of pages10
JournalJournal of Nursing Scholarship
Issue number5
StatePublished - 09 2018

Bibliographical note

Publisher Copyright:
© 2018 Sigma Theta Tau International


  • Clinical care
  • content analysis
  • cross-cultural
  • dignity
  • nurse perspective
  • nursing
  • patient dignity
  • qualitative
  • respect


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