Ethical Dilemmas in Home Care Case Management

Gallagher, Elaine M.; Alcock, Denise Rn; Diem, Elizabeth; Angus, Douglas E; Medves, Jennifer

doi:10.1097/00115514-200203000-00005

Cited by 35 publications

(37 citation statements)

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“…Values in conflict were identified and reconciled if possible with the four principles of biomedical ethics. 9 Strategies reached by case managers dealing with those situations were described. We assessed if they were consensual or not.…”

Section: Introduction Design and Methodsmentioning

confidence: 99%

Ethical issues in the introduction of case management for elderly people

et al. 2012

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As case management is under development in France for elderly people, this study sets out to identify and analyse key situations responsible for ethical dilemmas for French case managers. We based our study on the analyses of individual interviews made with case managers and focus-group discussions, bringing together all case managers working in local organisations running for at least a year. We identified three situations giving rise to ethical dilemmas: in the order of importance, the refusals of care, the practicalities of collecting and sharing personal data and the allocation of resources. These three situations can lead to conflict between the principle of beneficence and those of respect for autonomy, non-maleficence and justice. We describe here how French case managers practically deal with these situations.

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Section: Introduction Design and Methodsmentioning

confidence: 99%

Ethical issues in the introduction of case management for elderly people

et al. 2012

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“…Among the important changes that have taken place in health care in recent years is the fact that nurses now have to deal with ethical dilemmas because of technical innovations and their close relationship to the patient and his/her family members (Huycke & All 2000, Gallagher et al. 2002, Rajput & Bekes 2002).…”

Section: Introductionmentioning

confidence: 99%

The significance of nurse supervisors' different ethical decision-making styles

Berggren

Severinsson

2006

J Nurs Manag

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The interpretation highlights the importance of the nurse supervisor's style for the outcome of clinical nursing supervision, as they are role models for the supervisees. There is a need for further research to explore the advantages and disadvantages of nurse supervisors' different ethical decision-making styles, especially in relation to the influence of clinical nursing supervision on the quality of care and various support systems.

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“…These competing goals, at times, create dilemmas for case managers and influence their resource allocation decisions. 1,5 Resource allocation decisions are complex and multifaceted, and they occur at micro, meso, and macro policy levels. Micro-level decisions are those made by individual providers directed solely to individual recipients.…”

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confidence: 99%

What Factors Influence Case Managers' Resource Allocation Decisions? A Systematic Review of the Literature

Fraser

Estabrooks

2008

Med Decis Making

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Currently, there are relatively few studies in the literature on the factors that influence, and how they are used in, case manager resource allocation decisions. Studies are often lacking in terms of conceptual clarity and theoretical framing. They are often not guided by theoretical frameworks and are not situated within the larger field of decision making or even within the clinical decision-making literature. These issues are impeding progress in this area.

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Ethical Dilemmas in Home Care Case Management

Cited by 35 publications

References 0 publications

Ethical issues in the introduction of case management for elderly people

Ethical issues in the introduction of case management for elderly people

The significance of nurse supervisors' different ethical decision-making styles

What Factors Influence Case Managers' Resource Allocation Decisions? A Systematic Review of the Literature

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