26 research outputs found
Corroborating indicates nursesâ ethical values in a geriatric ward
The aim of the study was to identify nursesâ ethical values, which become apparent through their behaviour in the interactions with older patients in caring encounters at a geriatric clinic
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A qualitative study of family membersâ perspectives regarding decision-making for nursing home residentsâ care
Reporting method: This study adheres to EQUATOR guidelines for qualitative research using the SRQR Standards for Reporting Qualitative Research (OâBrien et al., Citation 2014).Supplementary material: Supplemental data for this article can be accessed online at https://doi.org/10.1080/17482631.2024.2370545 .Purpose:
We explored how family caregivers perceive decision-making regarding the care of nursing home residents.
Methods:
This qualitative study used Flemmingâs Gadamerian-based research method. In person semi-structured interviews about decision-making concerning residentsâ care were conducted with 13 family members (nine women, four men) of residents of three Norwegian nursing homes.
Findings:
The following themes emerged: Excessive focus on autonomy threatens resident wellbeing and safety. Resident wellbeing is the caregiverâs responsibility. Resident wellbeing serves as a guiding principle.
Conclusions:
The family members of residents and the nursing home caregivers disagreed about the significance of upholding resident autonomy to respect residentsâ dignity. The family members held that not all instances where residents refused care reflect autonomy situations as care refusal often does not reflect the resident's true values and standards but rather, stems from barriers that render necessary care actions difficult. In situations where residents refuse essential care or when the refusal does not align with the residents second-order values, the family members suggested that caregivers strive to understand the causes of refusal and seek non-coercive ways to navigate it. Hence, the family members seemed to endorse the use of soft paternalism in nursing homes to safeguard residentsâ wellbeing and dignity.This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors