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Solving ethically difficult care situations in nursing homes
Ashild Slettebø1, Eli Haugen Bunch
1Oslo University College, Faculty of Nursing, Box 4, St Olavs plass, N-0130 Oslo, Norway. Aashild.Slettebo@su.hio.no
Nursing Ethics
|December 16, 2004
Summary
Nursing staff navigate ethical dilemmas in care homes by using strategies like negotiation and explanation. This approach aims to uphold patient autonomy and self-respect, ensuring better healthcare outcomes.
Area of Science:
- Gerontology
- Nursing Ethics
- Patient Autonomy
Background:
- Nursing home patients report care situations that compromise their autonomy and self-respect.
- Ethically challenging care scenarios arise from patient-staff interactions.
Purpose of the Study:
- To investigate how nurses apply strategies to resolve ethical dilemmas in nursing homes.
- To ensure patient autonomy and self-respect are maintained during care.
Main Methods:
- Qualitative analysis of ethically difficult care situations.
- Identification and examination of nursing strategies: negotiation, explanation, and restraint.
Main Results:
- Nurses employ negotiation, explanation, and restraint to manage ethical conflicts.
- The application of these strategies impacts patient perceptions of respect versus violation.
Conclusions:
- Effective use of strategies like negotiation and explanation can preserve patient dignity.
- Optimizing healthcare outcomes in nursing homes requires prioritizing patient autonomy and respect.