Nurses' Perceptions of Ethical Issues in the Care of Older People

Rees, Jenny; King, Lindy; Schmitz, Karl

doi:10.1177/0969733009104608

Cited by 76 publications

(109 citation statements)

References 20 publications

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“…The findings of the study were consistent with other studies, showing that nurses face ethical issues at work routinely, which contribute to their distress [6,12].…”

Section: Discussionsupporting

confidence: 91%

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

Hamid¹

2016

Divers Equal Health Care

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Health professionals face ethical challenges in their daily practice, especially the nurses, the largest workforce in health. They are required to provide autonomous and collaborative care to individuals of all ages, while adhering to the ethical principles. The situation becomes particularly complex for nurses who work under severe resource constraints. Ethical issues in the nursing practice attract little attention, resulting in the creation of moral distress, poor professional care, unproductivity and conflict.This study has described ethical issues encountered by Pakistani nurses of one district under three themes: compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society. Nurses despite being well aware of the ethical codes, were not able to practice it fully because of constraints. The findings showed that nurses were not the decision makers in many situations; they were subordinates in their working environment. The inadequate equipment and instruments, shortage of staff, stereotypes of the nursing profession, poor management and poor support to address the issues resulted in distress, poor professional care, stress, conflict, compromised nursing care and violation of the PNC code. AbstractDifferent Ethical issues encountered in daily nursing practice draw little consideration but can produce a stressful working environment for the nurses. This qualitative study was designed to explore the ethical issues confronted by nurses in their practice and to identify gaps using the Pakistan Nursing Council's (PNC) Ethical code framework. The study was conducted in six government hospitals of district Layyah, Pakistan. In all six focal group discussions (FGDs) with 6-8 participants in each were conducted. Content analysis identified three themes, namely; compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society. Nurses reported that they were unable to act on the PNC code fully because of many constraints in clinical practice. The reasons identified by the respondents were conflict in hospital admission procedures of patients, non-availability of medicines, conflict in informed and voluntary consent, false accusations by patients, care imbalance, compromised nursing care, and deficiency in amenities, patient's expectations and cultural barriers. In addition, poor teamwork, inequitable workload, and poor value of nursing profession added to the challenges at the workplace.To our knowledge, this is the first study that has specifically addressed ethical issues in the nursing practice of graduate nurses in District Layyah. Nurses were aware about their ethical ABSTRACTDifferent Ethical issues encountered in daily nursing practice draw little consideration but can produce a stressful working environment for the nurses. This qualitative study was designed to explore the ethical issues confronted by nurses in their practice and to identify gaps using the Pakistan Nursing Council's (PNC) Ethical...

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“…The findings of the study were consistent with other studies, showing that nurses face ethical issues at work routinely, which contribute to their distress [6,12].…”

Section: Discussionsupporting

confidence: 91%

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

Hamid¹

2016

Divers Equal Health Care

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“…They also sometimes felt inferior as a human being by being a burden to nurses who did not see them as human beings and met them with attitudes of ageism (32). Ageism is one of the major sources of the ethical issues that arise for nurses caring for elderly people (33). Nurses can threaten the patient's dignity through the misuse of power, such as not attempting to respect the patient, not providing enough privacy, and taking control of the patient's life (34).…”

Section: Discussionmentioning

confidence: 99%

The meaning of receiving help from home nursing care

Moe

Enmarker

2013

Nurs Ethics

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The aim of this study was to illuminate the meaning of receiving help from home nursing care for the chronically ill, elderly persons living in their homes. The study was carried out in Norway.Data were collected by narrative interviews, analysed by phenomenological hermeneutic interpretations. Receiving help from home nursing care sometimes meant, "Being ill and dependent on help". Other times it meant "Being at the mercy of help". It could also mean, "Feeling inferior as a human being". Sometimes help was given by nurses who were respectful and proficient at caring for an elderly person, while at other times nurses seemed to be incompetent and worked with a paternalistic attitude without respect for privacy. Receiving help also meant the elderly wanted to be regarded and approached as equal human beings, supported in the courage to meet challenges in life.

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“…Dylematy etyczne w opiece geriatrycznej często pojawiają się także na skutek konfliktu między zobowiązaniami wypływającymi z roli zawodowej profesjonalisty i związanymi z nią obowiązkami prawnymi i etycznymi a autonomią i prawem do samostanowienia pacjenta [5][6][7]. Ponadto problemy etyczne wynikające z opieki nad populacją geriatryczną związane są z brakiem dostatecznej znajomości istoty procesu starzenia i towarzyszach mu zaburzeń (zwłaszcza otępiennych), a także uwarunkowaniami systemowymi (ograniczeniami w dostępie do świad-czonej opieki adekwatnej do potrzeb) [8] i postawami społecznymi (ageizm) [9,10].…”

Section: Wstępunclassified

“…Szczegółowe zagadnienia etyczne w opiece geriatrycznej obejmują głównie problemy związane z dostępem i organizacją opieki, autonomią i kompetencją, informowaniem i prawdomównością, prawem do zachowania prywatności i intymności, zapewnieniem bezpieczeństwa i minimalizowania ryzyka i opieką paliatywną. Istotne są także kwestie związane z zaburzeniami zachowania, sztucznym odżywianiem i nawadnianiem, zachowaniami związa-nymi z seksualnością, a także zagadnienia dobrowolnego i bezpiecznego udziału w badaniach naukowych [9,10,17,[21][22][23][24][25][26].…”

Section: Wybrane Zagadnienia Etyczne W Opiece Geriatrycznejunclassified

“…Problem stanowi także obszar współpracy z lekarzami i innymi członkami zespołu terapeutycznego, obejmujący świadczenie niewłaś-ciwej zdaniem pielęgniarek opieki i skupianie się nadmiernie na stanie somatycznym przy jednoczesnej marginalizacji pozostałych potrzeb pacjenta, oraz odmienne opinie co do postępowania podtrzymują-cego życie i prowadzenia uporczywej terapii. Postawy społeczne, postrzeganie osób starszych jako pełno-prawnych członków społeczeństwa oraz organizacja opieki nad osobami starszymi to kolejne potencjalne źródła dylematów etycznych w opiece geriatrycznej [5,9,15,16,19].…”

Section: Wybrane Zagadnienia Etyczne W Opiece Geriatrycznejunclassified

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Dylematy etyczne w pielęgniarstwie geriatrycznym — wybrane zagadnienia

Zurzycka¹,

Radzik²

2016

Problemy Pielęgniarstwa

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Jagielloński, Kraków ylematy etyczne w pielęgniarstwie geriatrycznym -wybrane zagadnienia Ethical dilemmas in geriatric nursing -selected issues ABSTRACT W związku ze starzeniem się społeczeństwa opieka nad osobami starszymi odgrywa coraz istotniejszą rolę w ochronie zdrowia. Świadczenie tej opieki, opartej na wiedzy medycznej, wymaga także odniesienia się do zasad etyki. Specyfika schorzeń podeszłego wieku oraz organizacja udzielanych seniorom świadczeń powoduje powstawanie typowych dylematów etycznych, ale także specyficznych problemów uwarunkowanych potrzebami i problemami osób starszych. Istotnym elementem praktyki pielęgniarskiej jest umiejętność rozpoznawania i rozwiązywania dylematów etycznych pojawiających się w codziennej pracy. Rozstrzyganie powstałych dylematów oparte powinno być na założonym modelu rozwiązywania problemów uwarunkowanym poszanowaniem praw pacjenta oraz działaniu w zakresie obowiązków i powinności zawodowych w granicach zasad obowiązującego prawa i etyki. Celem pracy było ukazanie najczęstszych dylematów etycznych rodzących się w związku z opieką nad osobami starszymi oraz przedstawienie możliwego modelu ich rozwiązania.Problemy Pielęgniarstwa 2015; 23 (3): 423-427 Słowa kluczowe: opieka pielęgniarska; podeszły wiek; etyka STRESZCZENIEDue to the aging of modern societies, the care of the elderly is playing increasingly a more important role in health care. The provision of this care based upon medical knowledge entails also making reference to ethics. The specificity of old age diseases and the organization of benefits provided to senior citizens cause not only typical ethical dilemmas, but also specific problems determined by the needs and problems of elderly people. An essential issue in the nursing practice is the ability to recognize and to solve ethical dilemmas arising in their daily work. The settlement of emerging dilemmas should be based upon the established model of solving problems conditioned by respecting the rights of the patient and the action in the scope of the responsibilities and professional obligations within the principles of the effective law and ethics. The paper is aimed at showing the most frequent ethical dilemmas which will appear in connection with the care of the elderly and at showing a possible model to solve them.Nursing Topics 2015; 23 (3): 423-427

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Nurses' Perceptions of Ethical Issues in the Care of Older People

Cited by 76 publications

References 20 publications

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

The meaning of receiving help from home nursing care

Dylematy etyczne w pielęgniarstwie geriatrycznym — wybrane zagadnienia

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