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Sökning: L773:0969 7330 > Engelska > Linköpings universitet

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  • 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.
  • Brüggemann, Jelmer (författare)
  • Exploring patient strategies in response to untoward healthcare encounters
  • 2017
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 24:2, s. 190-197
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Increasing attention to patients’ rights and their ability to choose their healthcare provider have changed the way patients can respond to untoward, disempowering and abusive healthcare encounters. These responses are often seen as crucial for quality improvement, yet they are little explored and conceptualized.Objective: To explore patients’ potential responses to untoward healthcare encounters and looking at their possible consequences for care quality improvement as well as for the individual patient.Research design: The article is structured looking at two primary strategies: patient exit (leaving a healthcare provider) and patient voice (expressing grievances), derived from Hirschman (1970). These strategies were explored by the use of theoretical and empirical literature and applied to an individual patient case. The case functions as a pedagogical tool to illustrate and problematize what exit and voice strategies can mean for a single patient.Ethical considerations: The patient case is my version of a generalized scenario that is described elsewhere. It does not represent an individual patient’s story, but aims to be realistic and recognizable.Findings and conclusion: Based on the existing literature, it is hypothesized that, in their current form, exit and voice strategies have a limited effect on care quality and can come at a price for patients. However, both strategies may be of value to patients and providers. Therefore, the healthcare system could empower patients to engage in action and could further develop ways for providers to effectively use patients’ responses to improve practice and find ways to prevent patients from untoward experiences in healthcare.
  • 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.
  • Dwyer, Lise-Lotte, et al. (författare)
  • Three nursing home residents speak about meaning at the end of life
  • 2008
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 15:1, s. 97-109
  • Tidskriftsartikel (refereegranskat)abstract
    • This article provides a deeper understanding of how meaning can be created in everyday life at a nursing home. It is based on a primary study concerning dignity involving 12 older people living in two nursing homes in Sweden. A secondary analysis was carried out on data obtained from three of the primary participants interviewed over a period of time (18-24 months), with a total of 12 interviews carried out using an inductive hermeneutic approach. The study reveals that sources of meaning were created by having a sense of: physical capability, cognitive capability, being needed, and belonging. Meaning was created through inner dialogue, communication and relationships with others. A second finding is that the experience of meaning can sometimes be hard to realize. © 2008 SAGE Publications.
  • Eldh, Ann Catrine, et al. (författare)
  • Conditions for patient participation and non-participation in health care
  • 2006
  • Ingår i: Nursing Ethics. - 0969-7330. ; 13:5, s. 503-514
  • Tidskriftsartikel (refereegranskat)abstract
    • This study explored patients' experiences of participation and non-participation in their health care. A questionnaire-based survey method was used. Content analysis showed that conditions for patient participation occurred when information was provided not by using standard procedures but based on individual needs and accompanied by explanations, when the patient was regarded as an individual, when the patient's knowledge was recognized by staff, and when the patient made decisions based on knowledge and needs, or performed self-care. Thus, to provide conditions for true patient participation, professionals need to recognize each patient's unique knowledge and respect the individual's description of his or her situation rather than just inviting the person to participate in decision making.
  • Erichsén, Eva, 1959-, et al. (författare)
  • A phenomenological study of nurse´s understanding of honesty in palliative care
  • 2010
  • Ingår i: Nursing Ethics. - UK : sagepublications. - 0969-7330. ; 17:1, s. 39-50
  • Tidskriftsartikel (övrigt vetenskapligt)abstract
    • Honesty is essential for the care of seriously ill and dying patients. The current study aimed to describe hownurses experience honesty in their work with patients receiving palliative care at home. The interviews inthis phenomenological study were conducted with 16 nurses working with children and adults in palliativehome-based care. Three categories emerged from analyses of the interviews: the meaning of honesty, thereason for being honest and, finally, moral conflict when dealing with honesty. The essence of thesedescriptions was that honesty is seen as a virtue, a good quality that a nurse should have. The nurses’ ethicalstandpoint was shown in the moral character they show in their work and in their intention to do good. Thisstudy could help nurses to identify different ways of looking at honesty to promote more consciousness andopenness in ethical discussions between colleagues and other staff members.
  • Franklin, Lise-Lotte, et al. (författare)
  • Views on dignity of elderly nursing home residents
  • 2006
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 13:2, s. 130-146
  • Tidskriftsartikel (refereegranskat)abstract
    • Discussion about a dignified death has almost exclusively been applied to palliative care and people dying of cancer. As populations are getting older in the western world and living with chronic illnesses affecting their everyday lives, it is relevant to broaden the definition of palliative care to include other groups of people. The aim of the study was to explore the views on dignity at the end of life of 12 elderly people living in two nursing homes in Sweden. A hermeneutic approach was used to interpret the material, which was gathered during semi-structured interviews. A total of 39 interviews were transcribed. The analysis revealed three themes: (1) the unrecognizable body, (2) fragility and dependency, and (3) inner strength and a sense of coherence. © 2006 Edward Arnold (Publishers) Ltd.
  • Hamrin, Elisabeth, et al. (författare)
  • Ethical values in health care : an Indian-Swedish co-operation
  • 2002
  • Ingår i: Nursing Ethics. - 0969-7330. ; 9:4, s. 439-444
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this report is to present an example of a multidisciplinary Indian-Swedish co-operation on ethics in health care. It is based on a conference held in Asia Plateau, Panchgani, Maharasthra, India in 1998. The emphasis is on ethical values that are important for consumers of health care and professionals, and also for different cultures in developed and developing countries. The importance of human dignity is stressed. Sixteen recommendations are given in an appendix.
  • Hellström, Ingrid, et al. (författare)
  • Ethical and methodological issues in interviewing persons with dementia
  • 2007
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 14:5, s. 608-619
  • Tidskriftsartikel (refereegranskat)abstract
    • People with dementia have previously not been active participants in research, with ethical difficulties often being cited as the reason for this. A wider inclusion of people with dementia in research raises several ethical and methodological challenges. This article adds to the emerging debate by reflecting on the ethical and methodological issues raised during an interview study involving people with dementia and their spouses. The study sought to explore the impact of living with dementia. We argue that there is support for the inclusion of people with dementia in research and that the benefits of participation usually far outweigh the risks, particularly when a ;safe context' has been created. The role of gatekeepers as potentially responsible for excluding people with dementia needs further consideration, with particular reference to the appropriateness of viewing consent as a primarily cognitive, universalistic and exclusionary event as opposed to a more particularistic, inclusive and context relevant process.
  • Jonasson, Lise-Lotte, 1956-, et al. (författare)
  • Empirical and normative ethics a synthesis relating to the care of older patients
  • 2011
  • Ingår i: Nursing Ethics. - Sage Publications. - 0969-7330. ; 18:6, s. 814-824
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. International Council of nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes; interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical perspective of the nurse’s interaction with the older patient, and the normative perspective, i.e. that found in ICN code and SFS law. Empirical ethics and normative ethics are intertwined according to the findings of this study. Normative ethics are supporting documents for nurses as professionals and by extension also beneficial for older patients.
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