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Making the mundane remarkable: an ethnography of the ‘dignity encounter’ in community district nursing

Stevens, Emma; Price, Elizabeth; Walker, Elizabeth


Emma Stevens


The concept of dignity is core to community district nursing practice, yet it is profoundly complex with multiple meanings and interpretations. Dignity does not exist absolutely, but, rather, becomes socially (de)constructed through and within social interactions between nurses and older adult patients in relational aspects of care. It is a concept, however, which has, to date, received little attention in the context of the community nursing care of older adults. Previous research into dignity in health care has often focused on care within institutional environments, very little, however, explores the variety of ways in which dignity is operationalised in community settings where district nursing care is conducted ‘behind closed doors’, largely free from the external gaze. This means dignity (or the lack of it) may go unobserved in community settings. Drawing on observational and interview data, this paper highlights the significance of dignity for older adults receiving nursing care in their own homes. We will demonstrate, in particular, how dignity manifests within the relational aspects of district nursing care delivery and how tasks involving bodywork can be critical to the ways in which dignity is both promoted and undermined. We will further highlight how micro-articulations in caring relationships fundamentally shape the ‘dignity encounter’ through a consideration of the routine and, arguably, mundane aspects of community district nursing care in the home.


Stevens, E., Price, E., & Walker, E. (in press). Making the mundane remarkable: an ethnography of the ‘dignity encounter’ in community district nursing. Ageing and Society,

Journal Article Type Article
Acceptance Date Apr 30, 2021
Online Publication Date Jul 8, 2021
Deposit Date Apr 5, 2022
Publicly Available Date Apr 6, 2022
Journal Ageing and Society
Print ISSN 0144-686X
Electronic ISSN 1469-1779
Publisher Cambridge University Press
Peer Reviewed Peer Reviewed
Keywords Older adults; Gerontology; Ageing; Dignity; Community nursing; District nursing; Ethnography; Relational care
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