A Survey of Ethical Issues Experienced by Nurses Caring for Terminally Ill                 Elderly People

Enes, S Patricia D; Vries, Kay de

doi:10.1191/0969733004ne680oa

Cited by 38 publications

(65 citation statements)

References 26 publications

(41 reference statements)

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“…(KMO 0.88, Bartlett's test of sphericity 1090.562, P = 0.001). Factor 1, "age discrimination", consisted of eight items (17,20,19,18,14,15,16,13); the minimum item/factor correlation was 0.601. Factor 2 "not to respect to elderly patients' autonomy and privacy", consisted of five items (12,8,11,9,10); the minimum item/factor correlation was 0.541.…”

Section: Resultsmentioning

confidence: 99%

Ethical problems in geriatrics: Views of Turkish primary healthcare professionals

Kadıoğlu

Can

Nazik

et al. 2012

Geriatrics Gerontology Int

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Overall, the results show that the nurses and physicians in primary healthcare frequently encounter geriatric ethical problems related to the decision-making process, which is a common issue for Turkey as a paternalistic society. The findings show that primary healthcare professionals are sensitive to geriatric ethical issues; however, this sensitivity does not prevent the emergence of these issues.

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Section: Resultsmentioning

confidence: 99%

Ethical problems in geriatrics: Views of Turkish primary healthcare professionals

Kadıoğlu

Can

Nazik

et al. 2012

Geriatrics Gerontology Int

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“…Two of the nurses had more than one speciality. The median years of work as Registered Nurses were 14 (1–33); and the median years of work in the nursing homes were 9 (1–25).…”

Section: Design and Methodsmentioning

confidence: 99%

Being a nurse in nursing home for patients on the edge of life

Hov¹,

Athlin

Hedelin

2009

Scandinavian Caring Sciences

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Nurses in nursing homes care for patients with complex health problems that need to be followed up by medical treatment. Most patients benefit from the treatment, but for some the treatment seems only to lengthen their death process. Sometimes questions are raised as to whether life-sustaining treatment should be withheld/withdrawn. Decisions related to such questions are difficult to make as some patients are 'on the edge of life', which is understood as a transition between living and dying with an unpredictable outcome, whether the illness will lead to recovery or dying. The aim of this study was to acquire a deeper understanding of what it is to be a nurse in a nursing home for patients on the edge of life. The research design was qualitative, based on hermeneutic phenomenology. Fourteen nurses at two nursing homes were interviewed twice. The result shows that when facing a patient on the edge of life, the nurses were challenged as professionals and as human beings. Two main themes were identified, which included two sub-themes each. The first main theme: 'striving to do right and good for everyone' included the sub-themes 'feeling certain, but accompanied by uncertainty' and 'being caught between too much responsibility and too little formal power'. The second main theme: 'being a vulnerable helper--the prize and the price', contained the sub-themes 'needing emotional protection in professional commitment' and 'feeling undervalued in spite of professional pride'. The essence was: 'being a lonely and enduring struggler between opposite poles'. The findings revealed paradoxes in nurses' work which might threaten nurses' professional identity and put heavy demands on their professional performance. There is a need for formal involvement in end-of-life decisions from nurses, further education and support to nurses related to patients on the edge of life.

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“…36 Indeed, nurses need to strongly emphasize their advocacy role for terminally ill elderly patients and if necessary challenge decisions they believe are detrimental to their holistic care approach. 38 Nurses have a crucial role in caring for patients at the end of life, especially in day-to-day symptom control, pain, and comfort management and this could contribute greatly to end-of-life decisions. 39 McCarthy and Deady 40 argue that in a health care world driven by efficiency and technological solutions, the testimony of those who are closest to the patient, namely the nurse, ought to be of profound importance.…”

Section: Recommendations For Prevention Of MDmentioning

confidence: 99%