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  1. Staff and family relationships in end-of-life nursing home care.Elisabeth Gjerberg, Reidun Førde & Arild Bjørndal - 2011 - Nursing Ethics 18 (1):42-53.
    This article examines the involvement of residents and their relatives in end-of-life decisions and care in Norwegian nursing homes. It also explores challenges in these staff—family relationships. The article is based on a nationwide survey examining Norwegian nursing homes’ end-of-life care at ward level. Only a minority of the participant Norwegian nursing home wards ‘usually’ explore residents’ preferences for care and treatment at the end of their life, and few have written procedures on the involvement of family caregivers when their (...)
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  • Nurses' Perceptions of Ethical Issues in the Care of Older People.Jenny Rees, Lindy King & Karl Schmitz - 2009 - Nursing Ethics 16 (4):436-452.
    The aim of this thematic literature review is to explore nurses' perceptions of ethical issues in the care of older people. Electronic databases were searched from September 1997 to September 2007 using specific key words with tight inclusion criteria, which revealed 17 primary research reports. The data analysis involved repeated reading of the findings and sorting of those findings into four themes. These themes are: sources of ethical issues for nurses; differences in perceptions between nurses and patients/relatives; nurses' personal responses (...)
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  • Ethical Problems in End-of-Life Decisions for Elderly Norwegians.Marjorie A. Schaffer - 2007 - Nursing Ethics 14 (2):242-257.
    Norwegian health professionals, elderly people and family members experience ethical problems involving end-of-life decision making for elders in the context of the values of Norwegian society. This study used ethical inquiry and qualitative methodology to conduct and analyze interviews carried out with 25 health professionals, six elderly people and five family members about the ethical problems they encountered in end-of-life decision making in Norway. All three participant groups experienced ethical problems involving the adequacy of health care for elderly Norwegians. Older (...)
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  • Research on ethics in nursing care for older people: A literature review.Riitta Suhonen, Minna Stolt, Veikko Launis & Helena Leino-Kilpi - 2010 - Nursing Ethics 17 (3):337-352.
    The aim of this review was to analyse the empirical studies that focus on ethics in nursing care for older people, scoping the need and areas for further study. A search of the MEDLINE and CINAHL databases (earliest to August 2009) was conducted using the the keywords: ethic* and nursing or care or caring and elderly or aged or older. After a four-stage process, 71 empirical articles were included in the review, with informants ranging from elderly people to relatives, caregivers, (...)
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  • Life-prolonging treatment in nursing homes: how do physicians and nurses describe and justify their own practice?A. Dreyer, R. Forde & P. Nortvedt - 2010 - Journal of Medical Ethics 36 (7):396-400.
    Background Making the right decisions, while simultaneously showing respect for patient autonomy, represents a great challenge to nursing home staff in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation to dying patents in end-of-life. Objectives To study how physicians and nurses protect nursing home patients' autonomy in end-of-life decisions, and how they justify their practice. Design A qualitative descriptive design with analysis of the content of transcribed in-depth interviews with physicians and nurses. Participants Nine physicians and ten nurses in (...)
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  • Morality and moral conflicts in hospice care: results of a qualitative interview study.S. Salloch & C. Breitsameter - 2010 - Journal of Medical Ethics 36 (10):588-592.
    Hospices consider themselves places that practise a holistic form of terminal care, encompassing physical and psychological symptoms, and also the social and spiritual support for a dying patient. So far, the underlying ethical principles have been treated predominantly in terms of a normative theoretical discussion. The interview study discussed in this paper is a qualitative investigation into general and hospice-related conceptions of morality among full-time and voluntary workers in German inpatient hospices. It examines moral conflicts and efforts leading to their (...)
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  • Clinical ethics: Autonomy at the end of life: life-prolonging treatment in nursing homes—relatives’ role in the decision-making process.A. Dreyer, R. Forde & P. Nortvedt - 2009 - Journal of Medical Ethics 35 (11):672-677.
    Background: The increasing number of elderly people in nursing homes with failing competence to give consent represents a great challenge to healthcare staff’s protection of patient autonomy in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation. The lack of national guidelines and internal routines can threaten the protection of patient autonomy. Objectives: To place focus on protecting patient autonomy in the decision-making process by studying how relatives experience their role as substitute decision-makers. Design: A qualitative descriptive design with analysis (...)
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  • Long-Term Nursing Care of Elderly People: Identifying ethically problematic experiences among patients, relatives and nurses in Finland.Sari Teeri, Helena Leino-Kilpi & Maritta Välimäki - 2006 - Nursing Ethics 13 (2):116-129.
    The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n=10) were interviewed, while the relatives (n=17) (...)
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  • Can We Improve Treatment Decision-Making for Incapacitated Patients?Annette Rid & David Wendler - 2010 - Hastings Center Report 40 (5):36-45.
    When patients cannot make their own treatment decisions, surrogates typically step in to do it for them. Surrogate decision‐making is far from ideal, of course, as the surrogate may not know what the patient prefers or what best promotes her interests. One way to improve it would be to arm surrogates with information about what patients in similar circumstances tend to prefer, allowing them to make empirically grounded predictions about what their patient would want.
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  • Prevention of Unethical Actions in Nursing Homes.Eva Merethe Solum, Åshild Slettebø & Solveig Hauge - 2008 - Nursing Ethics 15 (4):536-548.
    Ethical problems regularly arise during daily care in nursing homes. These include violation of patients' right to autonomy and to be treated with respect. The aim of this study was to investigate how caregivers emphasize daily dialogue and mutual reflection to reach moral alternatives in daily care. The data were collected by participant observation and interviews with seven caregivers in a Norwegian nursing home. A number of ethical problems linked to 10 patients were disclosed. Moral problems were revealed as the (...)
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