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Elements of assisted bodily care: Ethical aspects
Bodil Holmberg1, Ingrid Hellström2, Jane Österlind1
17643Ersta Sköndal Bräcke University College, Sweden.
Nursing Ethics
|May 8, 2020
Summary
Assistant nurses in Swedish nursing homes strive to balance efficient care with older persons' dignity and autonomy. Understanding older persons' lifeworlds is key to providing person-centered assisted bodily care, even with time constraints.
Area of Science:
- Gerontology
- Nursing Care
- Palliative Care
Background:
- Frail older persons in nursing homes require assisted bodily care, impacting their autonomy and dignity.
- A discrepancy exists between assistant nurses' reported support and older persons' experiences of adapting to routines.
Purpose of the Study:
- To describe the elements of assisted bodily care as performed in a Swedish nursing home setting.
Main Methods:
- Qualitative content analysis of 39 observations of assisted bodily care.
- Involved 17 older persons and 22 assistant nurses in a Swedish nursing home.
Main Results:
- Assisted bodily care is characterized by high-tempo practical work by assistant nurses.
- Despite time pressures, assistant nurses adapt care to older persons' self-determination wishes and health status.
- Elements of consideration and affection are present within assisted bodily care.
Conclusions:
- Assistant nurses aim to uphold older persons' dignity but may be hindered by time limitations.
- Knowledge of older persons' lifeworlds enables adaptation of care, supporting self-determination.
- A person-centered palliative care approach, emphasizing relationships and shared decision-making, could enhance assisted bodily care practices and outcomes.
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