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Managers’ experienc...
Managers’ experiences of ethical problems in municipal elderly care : a qualitative study of written reflections as part of leadership training
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- Jonasson, Lise-Lotte, 1956- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Äldreforskning,Univ Boras, Sweden
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- Sandman, Lars, 1965- (författare)
- Linköpings universitet,Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Avdelningen för hälso- och sjukvårdsanalys,Medicinska fakulteten,Univ Boras, Sweden
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- Bremer, Anders, Docent, 1957- (författare)
- Högskolan i Borås,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),University of Borås, Sweden,iCARE,Borås University, Sweden; Linnaeus University, Sweden,Akademin för vård, arbetsliv och välfärd,Univ Boras, Sweden; Linnaeus Univ, Sweden
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(creator_code:org_t)
- Dove Medical Press, 2019
- 2019
- Engelska.
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Ingår i: Journal of Healthcare Leadership. - : Dove Medical Press. - 1179-3201. ; 11:63-74
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Abstract
Ämnesord
Stäng
- Background: Managers in elderly care have a complex ethical responsibility to address the needs and preferences of older persons while balancing the conflicting interests and requirements of relatives’ demands and nursing staff’s work environment. In addition, managers must consider laws, guidelines, and organizational conditions that can cause ethical problems and dilemmas that need to be resolved. However, few studies have focused on the role of health care managers in the context of how they relate to and deal with ethical conflicts. Therefore, the aim of this study was to describe ethical problems experienced by managers in elderly care. Methods: We used a descriptive, interpretative design to analyze textual data from two examinations in leadership courses for managers in elderly care. A simple random selection of 100 out of 345 written exams was made to obtain a manageable amount of data. The data consisted of approximately 300 pages of single-spaced written text. Thematic analysis was used to evaluate the data. Results: The results show that managers perceive the central ethical conflicts relate to the older persons’ autonomy and values versus their needs and the values of the staff. Additionally, ethical dilemmas arise in relation to the relatives’ perspective of their loved one’s needs and preferences. Legislations, guidelines, and a lack of resources create difficulties when managers perceive these factors as conflicting with the care needs of older persons. Conclusion: Managers in elderly care experience ethical conflicts that arise as unavoidable and perennial values conflicts, poorly substantiated values, and problematic organizational conditions. Structured approaches for identifying, reflecting on, and assessing ethical problems in the organization should therefore be implemented.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Medicinsk etik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Medical Ethics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences (hsv//eng)
Nyckelord
- manager
- ethical responsibility
- municipal
- older person
- thematic analysis
- Vårdvetenskap
- Caring Science
- Människan i vården
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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