Ethical and cultural striving

Egede-Nissen, Veslemøy; Sellevold, Gerd Sylvi; Jakobsen, Rita; Sørlie, Venke

doi:10.1177/0969733015624489

Cited by 18 publications

(3 citation statements)

References 21 publications

(54 reference statements)

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“…Hence, our focus is not on the particular challenges facing immigrant workers in Norwegian nursing homes. However, these have been described in previous studies (see for example, Lavik et al, 2020;Egede-Nissen et al, 2017;Tingvold & Fagertun, 2020).…”

Section: Study Context Recruitment and Participantsmentioning

confidence: 81%

Who thinks about death? A psychoanalytically informed interpretive study of communication about death among nursing home staff

Ramvi

Lavik

Gripsrud

2021

Journal of Social Work Practice

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The purpose of the present study was to gain insight into how death is a theme of communication and reflection among staff at a multicultural nursing home. Sixteen interviews with healthcare providers from five nursing homes in Norway were conducted and interpreted through a depth-hermeneutic approach. Our analysis across the dataset yielded an emergent finding related to a prominent lack of communication about death between the healthcare personnel and the patients, as well as among the staff community. We present a psychoanalytically informed interpretation of the absence of talk about death in the nursing homes. Our results indicate the operation of a social defence that helps health care providers maintain distance from anxiety associated with death. Reflection that foregrounds healthcare personnel's own experiences, feelings and thoughts related to death is needed to encourage staff to open up to, and digest, the various impressions death can generate.

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Section: Study Context Recruitment and Participantsmentioning

confidence: 81%

Who thinks about death? A psychoanalytically informed interpretive study of communication about death among nursing home staff

Ramvi

Lavik

Gripsrud

2021

Journal of Social Work Practice

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“…In addition to navigating between the religious and the secularized, our participants traverse the private and the institutionalized arenas in their care for the dying as all of them come from countries where this care is family-based (cf. Ådland et al 2020;Egede-Nissen et al, 2017). How death is understood in the nursing home in Norway is informed by parallel developments surrounding death in the Nordic societies at large (cf.…”

Section: Secularization and Multireligiosity In The Face Of Deathmentioning

confidence: 99%

How Do Migrant Nursing Home Staff Relate to Religion in Their Work with Patients Who are Approaching Death

2021

J Holist Nurs

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To investigate how migrant nursing home staff relate to religion in their care for patients who are approaching death. Method and Theory: Individual in-depth interviews were conducted with 16 migrant health care workers from five nursing homes in Norway. The overall analytic approach was hermeneutical. The parts and the whole were interpreted in light of each other to gain a "thick description" of the data material in order to show the ways in which experiential meaning-making draws on cultural webs of significance. Findings: Religion held various meanings for the migrant health care workers interviewed. Religious and cultural competence and knowledge of migrant nursing home staff was neither asked for by the management nor discussed in the staff group. The way our participants related to religion at work was therefore based on individual preferences and internalized practices. Conclusion and Implication for Practice: Organized reflection groups among staff are needed in order to integrate and develop religious literacy in the multicultural nursing home setting. Such reflection groups can help the individual staff member to perform holistic nursing, that is, to be attentive of the interconnectedness of biological, social, psychosocial, and spiritual aspects in a human being.

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“…While this persuasion to comply is often done with benevolent intentions, the repercussions for the well-being of the older adult can be significant. “Kind coercion,” 11 as it is sometimes called in the literature, can impact older adults’ mental health, increase responsive behaviors of dementia, and decrease overall perceptions of quality of life 8 …”

Section: Introductionmentioning

confidence: 99%

Nurses’ provisions for self-determination when caring for clients with cognitive impairment who live in a residential aged care facility: a scoping review protocol

Morris

Keeping‐Burke

Manley

2020

JBI Evidence Synthesis

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Objective:The objective of this scoping review is to examine and map knowledge of nursing provisions for self-determination while providing care to clients with cognitive impairment in residential aged care facilities.Introduction:Maintaining the ability to have choices and to make decisions about daily activities is important for older adults. In residential aged care facilities, nurses’ can be challenged to preserve clients’ self-determination in favor of ritualistic care routines and a perceived duty to care. Moreover, nurses may perceive that their professional responsibilities to protect clients requires them to guard against decisions that are considered unwise or pose a risk to clients’ health or safety. Insight into how nurses negotiate choice with clients with cognitive impairment who are living in a residential care facility will provide an in-depth understanding of the role self-determination plays in clients’ lives.Inclusion criteria:The scoping review will consider research and narrative reports on nursing provisions for self-determination in clients with cognitive impairment who are living in a residential aged care facility. The concepts of interest are self-determination and nursing provisions. Self-determination is defined as client choice and nursing provisions are the intentional reactions to clients’ expressed choices.Methods:This scoping review will aim to locate published and unpublished literature employing a three-step search strategy. Only papers published in English from 1995 onward will be included. Data extracted from included papers will outline details on the participants, context, strategy, activity, and outcomes. Extracted data will be reported in a tabular form and presented narratively to address the review objective.

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Ethical and cultural striving

Abstract: To care for persons with dementia in an unfamiliar context may be understood as a striving for acting ethically, when at the same time striving to adapt and acculturate to new cultural norms, in order to practice good dementia care.

Cited by 18 publications

References 21 publications

Who thinks about death? A psychoanalytically informed interpretive study of communication about death among nursing home staff

Who thinks about death? A psychoanalytically informed interpretive study of communication about death among nursing home staff

How Do Migrant Nursing Home Staff Relate to Religion in Their Work with Patients Who are Approaching Death

Nurses’ provisions for self-determination when caring for clients with cognitive impairment who live in a residential aged care facility: a scoping review protocol

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