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Solving ethically difficult care situations in nursing homes.

Authors
Type
Published Article
Journal
Nursing ethics
Publication Date
Volume
11
Issue
6
Pages
543–552
Identifiers
PMID: 15597935
Source
Medline
Keywords
License
Unknown

Abstract

Patients in nursing homes sometimes give accounts of episodes in which they feel their autonomy and/or self-respect are violated as a result of the care they receive from nursing staff. In these ethically difficult care situations nurses use strategies such as negotiation, explanation and, in some cases, restraint. This study investigates how nurses apply these strategies to resolve ethical dilemmas in such a way that patients experience respect rather than violation. Critical issues that will be discussed include the definition of ethically difficult care situations in nursing homes and the identification of strategies for resolving such situations. Examples of the use of three strategies are presented. The use of negotiation, restraint and explanation are discussed in order to ensure respect for patients' autonomy and thus to optimize health care outcomes.

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