Win Tadd | Cardiff University (original) (raw)
Papers by Win Tadd
Older age is one stage of the lifecourse where dignity maybe threatened due to the vulnerability ... more Older age is one stage of the lifecourse where dignity maybe threatened due to the vulnerability created by increased incapacity, frailty and cognitive decline in combination with a lack of social and economic resources. Evidence suggests that it is in contact with health and welfare services where dignity is most threatened. This study explored the experiences of older people in acute National Health Service (NHS) Trusts in relation to dignified care and the organisational, occupational and cultural factors that affect it. These objectives were examined through an ethnography of four acute hospital Trusts in England and Wales, which involved interviews with older people (65+) recently discharged from hospital, their relatives/carers, and Trust managers, practitioners and other staff, complemented by evidence from non-participant observation. The picture which emerged was of a lack of consistency in the provision of dignified care which appears to be explained by the dominance of priorities of the system and organisation tied together with the interests of ward staff and clinicians. The emphasis on clinical specialism meant that staff often lacked the knowledge and skills to care for older patients whose acute illness is often compounded by physical and mental co-morbidities. The physical environment of acute wards was often poorly designed, confusing and inaccessible, and might be seen as ‘not fit for purpose’ to treat their main users, those over 65 years, with dignity. Informants generally recognised this but concluded that it was the older person who was in the ‘wrong place’, and assumed that there must be a better place for ‘them’. Thus, the present system in acute hospitals points to an inbuilt discrimination against the provision of high-quality care for older people. There needs to be a change in the culture of acute medicine so that it is inclusive of older people who have chronic co-morbidities and confusion as well as acute clinical needs.
Age and ageing, Jan 1, 2004
An academic directory and search engine.
Nursing …, Jan 1, 2006
Nurses are responsible for the well-being and quality of life of many people, and therefore must ... more Nurses are responsible for the well-being and quality of life of many people, and therefore must meet high standards of technical and ethical competence. The most common form of ethical guidance is a code of ethics/professional practice; however, little research on how codes are viewed or used in practice has been undertaken. This study, carried out in six European countries, explored nurses' opinions of the content and function of codes and their use in nursing practice. A total of 49 focus groups involving 311 nurses were held. Purposive sampling ensured a mix of participants from a range of specialisms. Qualitative analysis enabled emerging themes to be identified on both national and comparative bases. Most participants had a poor understanding of their codes. They were unfamiliar with the content and believed they have little practical value because of extensive barriers to their effective use. In many countries nursing codes appear to be 'paper tigers' with little or no impact; changes are needed in the way they are developed and written, introduced in nurse education, and reinforced/implemented in clinical practice.
Patient education and …, Jan 1, 2006
Quality in Ageing and …, Jan 1, 2005
Professionals' views concerning the importance of dignity and how this can best be maint... more Professionals' views concerning the importance of dignity and how this can best be maintained is important for the planning and provision of appropriate services, especially for older people. Dignity was described as an integral part of being human and closely related to ...
Quality in Ageing and Older Adults, Jan 1, 2005
This paper reports the findings of 89 focus groups and 18 individual interviews (involving 391 ol... more This paper reports the findings of 89 focus groups and 18 individual interviews (involving 391 older people in 6 European countries) that were held to explore how older people view human dignity in their lives. Participants were all aged over 60 years and 25% were aged 80+ ...
Nursing ethics, Jan 1, 2000
Since 1964, the Declaration of Helsinki has been accepted internationally as the cornerstone for ... more Since 1964, the Declaration of Helsinki has been accepted internationally as the cornerstone for research ethics. As such it has been incorporated into a number of guidance documents for research undertaken on human subjects. In 1999, the American Medical Association put forward a proposal for wide-ranging revision of the document, which would significantly weaken the rights of research subjects and lower the standards for research on human subjects. This article discusses the probable effects of the most significant proposals for change and argues against them. It also urges nurses, especially those involved in research, to become involved in the international consultation currently being undertaken by the World Medical Association.
Encyclopedia of applied ethics, Jan 1, 1998
Reviews in Clinical …, Jan 1, 2002
Ethics and the professions. Aldershot: Avebury, Jan 1, 1994
Quality in Ageing and Older Adults, Jan 1, 2005
Win Tadd is a Senior Research Fellow in the Department of Geriatric Medicine, Wales College of Me... more Win Tadd is a Senior Research Fellow in the Department of Geriatric Medicine, Wales College of Medicine, Cardiff University. Win is co-ordinator and leader of the Dignity and Older Europeans Project. Her research interests include: ethical aspects of ageing and care of older ...
Nurse Education Today, Jan 1, 1989
Quality in Ageing: Policy, Practice and Research, Jan 1, 2005
Arthritis Care & …, Jan 1, 2002
Reviews in Clinical Gerontology, Jan 1, 2000
Editorial Whilst preparing this editorial, I was struck by the ambivalent attitudes displayed tow... more Editorial Whilst preparing this editorial, I was struck by the ambivalent attitudes displayed towards older peo-ple in Western society. In London, for example, the crowds thronging the Mall and cheering the Queen Mother for reaching her centenary belied the fact that society ...
Quality in Ageing and Older Adults, Jan 1, 2005
This paper describes the methods used within the Dignity and Older Europeans (DOE) Project and in... more This paper describes the methods used within the Dignity and Older Europeans (DOE) Project and in particular the approach involved in developing the bibliographical database, the philosophical methods used in creating the theoretical model of dignity, together with the empirical ...
Older age is one stage of the lifecourse where dignity maybe threatened due to the vulnerability ... more Older age is one stage of the lifecourse where dignity maybe threatened due to the vulnerability created by increased incapacity, frailty and cognitive decline in combination with a lack of social and economic resources. Evidence suggests that it is in contact with health and welfare services where dignity is most threatened. This study explored the experiences of older people in acute National Health Service (NHS) Trusts in relation to dignified care and the organisational, occupational and cultural factors that affect it. These objectives were examined through an ethnography of four acute hospital Trusts in England and Wales, which involved interviews with older people (65+) recently discharged from hospital, their relatives/carers, and Trust managers, practitioners and other staff, complemented by evidence from non-participant observation. The picture which emerged was of a lack of consistency in the provision of dignified care which appears to be explained by the dominance of priorities of the system and organisation tied together with the interests of ward staff and clinicians. The emphasis on clinical specialism meant that staff often lacked the knowledge and skills to care for older patients whose acute illness is often compounded by physical and mental co-morbidities. The physical environment of acute wards was often poorly designed, confusing and inaccessible, and might be seen as ‘not fit for purpose’ to treat their main users, those over 65 years, with dignity. Informants generally recognised this but concluded that it was the older person who was in the ‘wrong place’, and assumed that there must be a better place for ‘them’. Thus, the present system in acute hospitals points to an inbuilt discrimination against the provision of high-quality care for older people. There needs to be a change in the culture of acute medicine so that it is inclusive of older people who have chronic co-morbidities and confusion as well as acute clinical needs.
Age and ageing, Jan 1, 2004
An academic directory and search engine.
Nursing …, Jan 1, 2006
Nurses are responsible for the well-being and quality of life of many people, and therefore must ... more Nurses are responsible for the well-being and quality of life of many people, and therefore must meet high standards of technical and ethical competence. The most common form of ethical guidance is a code of ethics/professional practice; however, little research on how codes are viewed or used in practice has been undertaken. This study, carried out in six European countries, explored nurses' opinions of the content and function of codes and their use in nursing practice. A total of 49 focus groups involving 311 nurses were held. Purposive sampling ensured a mix of participants from a range of specialisms. Qualitative analysis enabled emerging themes to be identified on both national and comparative bases. Most participants had a poor understanding of their codes. They were unfamiliar with the content and believed they have little practical value because of extensive barriers to their effective use. In many countries nursing codes appear to be 'paper tigers' with little or no impact; changes are needed in the way they are developed and written, introduced in nurse education, and reinforced/implemented in clinical practice.
Patient education and …, Jan 1, 2006
Quality in Ageing and …, Jan 1, 2005
Professionals' views concerning the importance of dignity and how this can best be maint... more Professionals' views concerning the importance of dignity and how this can best be maintained is important for the planning and provision of appropriate services, especially for older people. Dignity was described as an integral part of being human and closely related to ...
Quality in Ageing and Older Adults, Jan 1, 2005
This paper reports the findings of 89 focus groups and 18 individual interviews (involving 391 ol... more This paper reports the findings of 89 focus groups and 18 individual interviews (involving 391 older people in 6 European countries) that were held to explore how older people view human dignity in their lives. Participants were all aged over 60 years and 25% were aged 80+ ...
Nursing ethics, Jan 1, 2000
Since 1964, the Declaration of Helsinki has been accepted internationally as the cornerstone for ... more Since 1964, the Declaration of Helsinki has been accepted internationally as the cornerstone for research ethics. As such it has been incorporated into a number of guidance documents for research undertaken on human subjects. In 1999, the American Medical Association put forward a proposal for wide-ranging revision of the document, which would significantly weaken the rights of research subjects and lower the standards for research on human subjects. This article discusses the probable effects of the most significant proposals for change and argues against them. It also urges nurses, especially those involved in research, to become involved in the international consultation currently being undertaken by the World Medical Association.
Encyclopedia of applied ethics, Jan 1, 1998
Reviews in Clinical …, Jan 1, 2002
Ethics and the professions. Aldershot: Avebury, Jan 1, 1994
Quality in Ageing and Older Adults, Jan 1, 2005
Win Tadd is a Senior Research Fellow in the Department of Geriatric Medicine, Wales College of Me... more Win Tadd is a Senior Research Fellow in the Department of Geriatric Medicine, Wales College of Medicine, Cardiff University. Win is co-ordinator and leader of the Dignity and Older Europeans Project. Her research interests include: ethical aspects of ageing and care of older ...
Nurse Education Today, Jan 1, 1989
Quality in Ageing: Policy, Practice and Research, Jan 1, 2005
Arthritis Care & …, Jan 1, 2002
Reviews in Clinical Gerontology, Jan 1, 2000
Editorial Whilst preparing this editorial, I was struck by the ambivalent attitudes displayed tow... more Editorial Whilst preparing this editorial, I was struck by the ambivalent attitudes displayed towards older peo-ple in Western society. In London, for example, the crowds thronging the Mall and cheering the Queen Mother for reaching her centenary belied the fact that society ...
Quality in Ageing and Older Adults, Jan 1, 2005
This paper describes the methods used within the Dignity and Older Europeans (DOE) Project and in... more This paper describes the methods used within the Dignity and Older Europeans (DOE) Project and in particular the approach involved in developing the bibliographical database, the philosophical methods used in creating the theoretical model of dignity, together with the empirical ...