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Sökning: L773:0969 7330

  • Resultat 1-10 av 90
  • [1]234567...9Nästa
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2.
  • Arman, M., et al. (författare)
  • The 'tittle extra' that alleviates suffering
  • 2007
  • Ingår i: Nursing Ethics. - 0969-7330. ; 14:3, s. 372-384
  • Tidskriftsartikel (refereegranskat)abstract
    • Nursing, or caring science, is mainly concerned with developing knowledge of what constitutes ideal, good health care for patients as whole persons, and how to achieve this. The aim of this study was to find clinical empirical indications of good ethical care and to investigate the substance of ideal nursing care in praxis. A hermeneutic method was employed in this clinical study, assuming the theoretical perspective of caritative caring and ethics of the understanding of life. The data consisted of two Socratic dialogues: one with nurses and one with nursing students, and interviews with two former patients. The empirical data are first described from a phenomenological approach. Observations of caregivers offering 'the little extra' were taken to confirm that patients were 'being seen', not from the perspective of an ideal nursing model, but from that of interaction as a fellow human being. The study provides clinical evidence that, as an ontological response to suffering, 'symbolic acts' such as giving the 'little extra' may work to bridge gaps in human interaction. The fact that 'little things' have the power to preserve dignity and make patients feel they are valued offers hope. Witnessing benevolent acts also paves the way for both patients and caregivers to increase their understanding of life. © 2007 SAGE Publications.
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3.
  • Berggren, Ingela, et al. (författare)
  • The influence of clinical supervision on nurses' moral decision making.
  • 2000
  • Ingår i: Nursing Ethics. - London : Edward Arnold. - 0969-7330. ; 7:2, s. 124--133
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to investigate the influence of clinical supervision on nurses´moral decision making. The sample consisted of 15 registered nurses who took part inclinical supervision sessions. Data were obtained from interviews and analysed by ahermeneutic transformative process. The hermeneutic interpretation revealed fourthemes: increased self-assurance, an increased ability to support the patient, an increasedability to be in a relationship with the patient, and an increased ability to take responsibility.In conclusion, it seems that clinical supervision enhances nurses´ ability to providecare on the basis of their decision making. However, the qualitative and structural aspectsof clinical supervision have to be investigated further in order to develop professionalinsight into the way that nurses think and react. 
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4.
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5.
  • Bolmsjö, Ingrid, et al. (författare)
  • Everyday ethical problems in dementia care: a teleological model.
  • 2006
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 13:4, s. 340-359
  • Tidskriftsartikel (refereegranskat)abstract
    • In this article, a teleological model for analysis of everyday ethical situations in dementia care is used to analyse and clarify perennial ethical problems in nursing home care for persons with dementia. This is done with the aim of describing how such a model could be useful in a concrete care context. The model was developed by Sandman and is based on four aspects: the goal; ethical side-constraints to what can be done to realize such a goal; structural constraints; and nurses’ ethical competency. The model contains the following main steps: identifying and describing the normative situation; identifying and describing the different possible alternatives; assessing and evaluating the different alternatives; and deciding on, implementing and evaluating the chosen alternative. Three ethically difficult situations from dementia care were used for the application of the model. The model proved useful for the analysis of nurses’ everyday ethical dilemmas and will be further explored to evaluate how well it can serve as a tool to identify and handle problems that arise in nursing care.
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6.
  • Bolmsjö, Ingrid, et al. (författare)
  • Everyday ethics in the care of elderly people
  • 2006
  • Ingår i: Nursing Ethics. - SAGE Publications. - 0969-7330. ; 13:3, s. 249-263
  • Tidskriftsartikel (refereegranskat)abstract
    • This article analyses the general ethical milieu in a nursing home for elderly residents and provides a decision-making model for analysing the ethical situations that arise. It considers what it means for the residents to live together and for the staff to be in ethically problematic situations when caring for residents. An interpretative phenomenological approach and Sandman’s ethical model proved useful for this purpose. Systematic observations were carried out and interpretation of the general ethical milieu was summarized as ‘being in the same world without meeting’. Two themes and four subthemes emerged from the analysis. Three different ethical problems were analysed. The outcome of using the decision-making model highlighted the discrepancy between the solutions used and well-founded solutions to these problems. An important conclusion that emerged from this study was the need for a structured tool for reflection.
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7.
  • Breitholtz, Agneta, et al. (författare)
  • Carers’ ambivalence in conflict situations with older persons
  • 2013
  • Ingår i: Nursing Ethics. - 0969-7330. ; 20:2, s. 226-237
  • Tidskriftsartikel (övrigt vetenskapligt)abstract
    • The aim of this study was to illuminate the meaning of professional carers’ experiences in caring situations when a conflict of interest arises with the older person receiving care. The findings reveal the complexity of the carers’ ambivalence when facing a conflict of interest, weighing between the older persons’ right to self-determination and external demands. The carers are alone in their ambivalence and the conclusion is that they need help and support to be more present in the encounter. The implication for this study is a person-centred practice, and to focus on people as interdependent on support carers to maintain older people’s right to self-determination in the relationship.
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8.
  • Bremer, Anders, 1957-, et al. (författare)
  • Futile cardiopulmonary resuscitation for the benefit of others : An ethical analysis
  • 2011
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 18:4, s. 495-504
  • Tidskriftsartikel (refereegranskat)abstract
    • AbstractIt has been reported as an ethical problem within prehospital emergency care that ambulance professionals administer physiologically futile cardiopulmonary resuscitation (CPR) to patients having suffered cardiac arrest to benefit significant others. At the same time it is argued that, under certain circumstances, this is an acceptable moral practice by signalling that everything possible has been done, and enabling the grief of significant others to be properly addressed. Even more general moral reasons have been used to morally legitimize the use of futile CPR: That significant others are a type of patient with medical or care needs that should be addressed, that the interest of significant others should be weighed into what to do and given an equal standing together with patient interests, and that significant others could be benefited by care professionals unless it goes against the explicit wants of the patient. In this article we explore these arguments and argue that the support for providing physiologically futile CPR in the prehospital context fails. Instead, the strategy of ambulance professionals in the case of a sudden death should be to focus on the relevant care needs of the significant others and provide support, arrange for a peaceful environment and administer acute grief counselling at the scene, which might call for a developed competency within this field.
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9.
  • Brüggemann, Jelmer, et al. (författare)
  • Patients’ silence following healthcare staff’s ethical transgressions
  • 2012
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 19:6, s. 750-763
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to examine to what extent patients remained silent to the health care system after they experienced abusive or wrongful incidents in health care. Female patients visiting a women’s clinic in Sweden (n = 530) answered the Transgressions of Ethical Principles in Health Care Questionnaire (TEP), which was constructed to measure patients’ abusive experiences in the form of staff’s transgressions of ethical principles in health care. Of all the patients, 63.6% had, at some point, experienced staff’s transgressions of ethical principles, and many perceived these events as abusive and wrongful. Of these patients, 70.3% had remained silent to the health care system about at least one transgression. This silence is a loss of essential feedback for the health care system and should not automatically be interpreted as though patients are satisfied.
10.
  • Clausson, Eva K., 1952-, et al. (författare)
  • Ethical challenges for school nurses in documenting schoolchildren's health
  • 2008
  • Ingår i: Nursing Ethics. - 0969-7330. ; 15:1, s. 40-51
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.
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