Moralische Probleme in der ambulanten Pflege – Eine deskriptive pflegeethische Untersuchung

Lauxen, Oliver

doi:10.1024/1012-5302.22.6.421

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…However, moral distress has been mentioned in other contexts in several German publications, mainly in the realm of ethics. In these studies, the authors translated the term as ''Moralischer Stress'' [17][18][19] while others translate it as ''Moralischer Distress.'' 20,21 For the purposes of our study, we decided to translate moral distress into German as ''Moralischer Stress.''…”

Section: Introductionmentioning

confidence: 99%

Moral distress in nurses at an acute care hospital in Switzerland

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Moral distress in nurses at an acute care hospital in Switzerland

et al. 2014

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“… Lauxen (2009) performed a qualitative ethnographic study to explore moral problems in the daily practice of nurses at home health care in Germany. There were four types of moral problems: “beneficence vs. autonomy”, “beneficence vs. justice”, “beneficence vs. loyalty” and “The good cannot be determined”.…”

Section: Discussion the Study Resultsmentioning

confidence: 99%

Home Health Care (HHC) Managers Perceptions About Challenges and Obstacles that Hinder HHC Services in Jordan

Ajlouni¹,

Dawani²,

Diab³

2015

GJHS

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Home care aims at supporting people with various degrees of dependency to remain at home rather than use residential, long-term, or institutional-based nursing care. Demographic, epidemiological, social, and cultural trends in Jordan as in other countries are changing the traditional patterns of care with growing emphasis on home care. The purpose of this study is to highlight the most common challenges related to home health care (HHC) services in Jordan as perceived by the managers of HHC agencies. Methods: a descriptive qualitative design that depends on focus group discussions has been used to collect data from a sample of 18 managers who met the selection criteria and who are willing to participate, the study found that, the main challenges of HHC services as perceived by managers were: shortage of female staff, lack of governance and regulation, poor management, unethical practices, lack of referral systems, and low accessibility of the poor and less privileged as HHC services are not included in health insurance schemes, it concludes also that the home health care industry in Jordan is facing many challenges and problems that may have negative effects on the effectiveness, efficiency, equity and quality of services and should be addressed by health policy makers.

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“…Colon et al observed that confusion with clinical practice guidelines, checklists, and regulations was common in nurses working in nursing homes, and that checklists could replace clinical judgment and conflict with facility policies [ 10 ]. Ethical problems may arise when the principle of beneficence conflicts with autonomy, justice or loyalty [ 11 ]. Withholding intensive care can still be seen as malpractice despite the fact that in an end-of-life crisis supportive treatment is more adequate.…”

Section: Resultsmentioning

confidence: 99%

The Palliative Treatment Plan as a Bone of Contention between Attending Physicians and Nurses

et al. 2015

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Acute vital crisis in end-of-life situations may result in hospitalization and intensive care without recognizable benefit in many cases. Advance directives regarding indications for resuscitation, hospitalization, and symptomatic treatment help ensure that acute complications can be managed quickly and satisfactorily in the patient’s customary surroundings. A plan was designed and implemented in Austrian nursing homes to provide emergency physicians with rapidly obtainable information on the patient’s current situation, and whether resuscitation attempts and hospitalization are advised or not. This palliative treatment plan is arranged by a physician together with caregivers, close relatives, and the patient or his court-appointed health care guardian or holder of power of attorney. Four years after implementation of the plan, a user satisfaction survey was carried out. The majority of participating nurses, emergency physicians and family doctors judged application and design of the palliative treatment plan positively. However, the low response rate of family doctors indicates nonconformity. In particular, the delegation of symptomatic treatment to nurses proved to be controversial. There is still a need to provide up-to-date information and training for health professionals in order for them to understand advance directives as extended autonomy for patients who have lost their ability to make their own decisions.

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Moralische Probleme in der ambulanten Pflege – Eine deskriptive pflegeethische Untersuchung

Cited by 6 publications

References 13 publications

Moral distress in nurses at an acute care hospital in Switzerland

Moral distress in nurses at an acute care hospital in Switzerland

Home Health Care (HHC) Managers Perceptions About Challenges and Obstacles that Hinder HHC Services in Jordan

The Palliative Treatment Plan as a Bone of Contention between Attending Physicians and Nurses

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