Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study

Burholt, Vanessa; Shoemark, Zoe; Maruthakutti, R.; Chaudhary, Aabha; Maddock, Carol

doi:10.1186/s12877-022-03272-4

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Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study

Vanessa Burholt

, Zoe Shoemark, R. Maruthakutti, Aabha Chaudhary, Carol Maddock

BMC Geriatrics, Volume: 22, Issue: 1

Swansea University Authors: Vanessa Burholt , Zoe Shoemark, Carol Maddock

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DOI (Published version): 10.1186/s12877-022-03272-4

Abstract

BackgroundIn 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has...

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Published in:	BMC Geriatrics
ISSN:	1471-2318
Published:	Springer Science and Business Media LLC 2022
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URI:	https://cronfa.swan.ac.uk/Record/cronfa60594
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The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within old age homes exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether old age homes uphold the dignity of residents.ObjectivesThe study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, “to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?”.MethodA cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities.ResultsThere was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents.ConclusionThe Government of India needs to strengthen old age home policies to protect residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. 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spelling	2022-10-26T14:51:23.1888823 v2 60594 2022-07-22 Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study cf7fe9863906cd54df5b0a99904d535e 0000-0002-6789-127X Vanessa Burholt Vanessa Burholt true false a1bcb39e38e95369cbe82d026d72b8e9 Zoe Shoemark Zoe Shoemark true false 018927565a5521af672be8edc1a2b08d Carol Maddock Carol Maddock true false 2022-07-22 PHAC BackgroundIn 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within old age homes exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether old age homes uphold the dignity of residents.ObjectivesThe study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, “to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?”.MethodA cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities.ResultsThere was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents.ConclusionThe Government of India needs to strengthen old age home policies to protect residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. Minimum Standards should include expectations for quality of care and dignity in care that meet the basic needs of residents and provide health care, personal support, and opportunities for leisure, and socializing. Standards should include staff-to-resident ratios and staff training requirements. Journal Article BMC Geriatrics 22 1 Springer Science and Business Media LLC 1471-2318 Residential care, Respect, Cross-sectional studies, Privacy, India, Long-term care, Leisure activities,Reference standards, Delivery of health care 14 7 2022 2022-07-14 10.1186/s12877-022-03272-4 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University Another institution paid the OA fee The cost of Open Access publication was supported by Health and Care Research Wales, Senior Research Leader fund. 2022-10-26T14:51:23.1888823 2022-07-22T00:59:48.5830764 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Vanessa Burholt 0000-0002-6789-127X 1 Zoe Shoemark 2 R. Maruthakutti 3 Aabha Chaudhary 4 Carol Maddock 5 60594__24704__9e36baa0ebf2438786acff4dddd2b5a9.pdf Dignity and the provision of care and support in older age home in Tamil Nadu (offprint).pdf 2022-07-22T01:02:28.9178792 Output 1151715 application/pdf Version of Record true © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License true eng http://creativecommons.org/licenses/by/4.0/
title	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
spellingShingle	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study Vanessa Burholt Zoe Shoemark Carol Maddock
title_short	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
title_full	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
title_fullStr	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
title_full_unstemmed	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
title_sort	Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study
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author_id_fullname_str_mv	cf7fe9863906cd54df5b0a99904d535e_*_Vanessa Burholt a1bcb39e38e95369cbe82d026d72b8e9__Zoe Shoemark 018927565a5521af672be8edc1a2b08d_**_Carol Maddock
author	Vanessa Burholt Zoe Shoemark Carol Maddock
author2	Vanessa Burholt Zoe Shoemark R. Maruthakutti Aabha Chaudhary Carol Maddock
format	Journal article
container_title	BMC Geriatrics
container_volume	22
container_issue	1
publishDate	2022
institution	Swansea University
issn	1471-2318
doi_str_mv	10.1186/s12877-022-03272-4
publisher	Springer Science and Business Media LLC
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description	BackgroundIn 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within old age homes exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether old age homes uphold the dignity of residents.ObjectivesThe study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, “to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?”.MethodA cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities.ResultsThere was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents.ConclusionThe Government of India needs to strengthen old age home policies to protect residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. Minimum Standards should include expectations for quality of care and dignity in care that meet the basic needs of residents and provide health care, personal support, and opportunities for leisure, and socializing. Standards should include staff-to-resident ratios and staff training requirements.
published_date	2022-07-14T04:18:50Z
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Dignity and the provision of care and support in ‘old age homes’ in Tamil Nadu, India: a qualitative study

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