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Care of the old—A matter of ethics, organization and relationships

By Ingegerd Fagerberg and Gabriella Engström


The world stands on the threshold of a demographic revolution called global ageing. According to the World Health Organization (WHO), the population aged 60 and over is expected to increase from today's 650 million to an estimated 2 billion by 2050. Alongside demographic changes, dramatic changes can also be observed in older people's services. The shift has resulted in reduced government spending on caring for ill and frail older people in health care. Today, many governments have developed strategies to keep older people living well in their private home for as long as possible and have replaced long-term care institutions with residential homes. The aim of this study was to illuminate the meaning of caring for older people as experienced by health care students and professionals working in this field. Interviews were carried out with 17 women and one man, aged 21–65 years; six were Registered Nurses (RN), six were Enrolled Nurses (EN) and six were nursing students. The interviews were analyzed with a phenomenological hermeneutical approach and provided three themes and eight sub-themes: Ethical moral self with sub-themes “meeting the needs of the old”, “pliability towards the old”, and “difficulties in meeting aggressiveness”; Organizational and co-workers ethical moral actions with sub-themes, “co-workers who are offensive”, and “supportive and non-supportive leaders”: The relation with the old persons and their relatives with sub-themes “fellowship and closeness in the relation”, “uncertainty and fear in the relation”, and, “demands from the older persons’ close relatives”

Topics: Empirical Study
Publisher: Co-Action Publishing
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Provided by: PubMed Central

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  3. (2000). Basic Ethical Principles in European Bioethics and Biolaw: Vol I. Copenhagen: Centre for Ethics and Law.
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  5. (1996). Caring and uncaring encounters in nursing and health care: Developing a theory (Doctoral dissertation,
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  11. (2007). Courage as a virtue necessary to good nursing practice.
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  13. (2010). Current status of the social situation, wellbeing, participation in development and rights of older persons world wide. publications/current-status-older-persons.pdf World Health Organization.
  14. (2009). Dignity as experienced by nursing home staff.
  15. (2008). Engstro ¨m (page number not for citation purpose) Citation: Int J Qualitative Stud Health Well-being 2012; 7: 9684
  16. (2010). Era delar a ¨r min helhet’’. En studie om att vara a ¨ldre och multisjuk.[ You see parts but I am whole. A study of older persons’ experience of multimorbidity]. Va ¨xjo ¨: Linnaeus University Press Nr 11. (In Swedish).
  17. (2001). Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care.
  18. (2009). Health, autonomy and quality of life. In L. Nordenfeldt (Ed.), Dignity in care for older people (pp. 3 25).
  19. (1976). Interpretation theory: Discourse and the surplus of meaning. Forth Worth:
  20. (1993). Moral boundaries. A political argument for an ethic of care.
  21. (2011). Moral distress: A growing problem in the health professions? Hastings Center Report,
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  23. (2003). Moral stress: Synthesis of a concept.
  24. (2009). Municipal night nurses’ experiences of the meaning of caring.
  25. (1984). Nursing practice: The ethical issues.
  26. (2011). Organizational ethics: A literature review.
  27. (2006). Paths to nursing leadership.
  28. (2005). Praktisk klokhet. Om dialogens och dygdens betydelse fo ¨r yrkesskicklighet och socialpolitik.[ Practical wisdom. Concerning the importance of dialogue and virtue for professional skill and social politics]. Lund: FoU Ska ˚ne 2005; 5. (In Swedish).
  29. Qualitative findings from an e-cohort sub-study.
  30. (2008). Reflective lifeworld research.
  31. (2012). Retrieved from http:// Care of the old Citation: Int J Qualitative Stud Health Well-being 2012; 7: 9684 - 9 (page number not for citation purpose)
  32. (2008). Staff document accompanying document to the White Paper Together for health: A strategic approach for the EU
  33. (2010). The practice of nurses working with older people in long term care: an Australian perspective.
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