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Ethical issues experienced during palliative care provision in nursing homes
Deborah Hl Muldrew Née Preshaw1, Dorry McLaughlin, Kevin Brazil2
1Ulster University, UK.
Nursing Ethics
|June 28, 2018
Summary
Ethical issues in UK nursing home palliative care are frequent, particularly relational challenges with residents and families. Multidisciplinary education is recommended to improve ethical decision-making and address staff knowledge and service organization.
Area of Science:
- Gerontology
- Bioethics
- Nursing Research
Background:
- Palliative care is crucial for nursing home residents.
- Ethical issues in this setting are under-researched.
- Understanding these issues is vital for quality care.
Purpose of the Study:
- To explore ethical issues in UK nursing home palliative care.
- To identify the frequency and distress caused by these issues.
Main Methods:
- Mixed-methods design combining interviews and surveys.
- Semi-structured interviews with nurses and healthcare assistants (HCAs).
- Cross-sectional survey using the 'Ethical Issues in Palliative Care for Nursing Homes' instrument.
Main Results:
- Three key themes emerged: practice, relational, and organizational issues.
- Relational issues (with residents and families) were most frequent and distressing.
- No significant differences in ethical issue perception between nurses and HCAs.
Conclusions:
- The nursing home environment significantly impacts ethical issue experiences.
- Multidisciplinary education is essential for ethical decision-making in palliative care.
- Improving staff knowledge and service organization can mitigate ethical issues.
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