The meaning of vulnerability to nurses caring for older people

Stenbock-Hult, Bettina; Sarvimäki, Anneli

doi:10.1177/0969733010385533

Cited by 50 publications

(47 citation statements)

References 21 publications

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“…This idea of vulnerability as universal, or as a quality associated with human corporeality, again is not purely theoretical or abstract. Recent empirical research suggests that this alternative conceptualisation of vulnerability in fact has some practical weight -that in relation to older people, vulnerability is characterised by those tasked with caring for older people as simply 'being human', and furthermore is not only experienced by the older person as previous constructions of vulnerability would indicate, but is also experienced by caregivers for older adults (Steinbock-Hult & Sarvimäki, 2011;Sarvimäki & Steinbock-Hult, 2014). …”

Section: The Historical Backgroundmentioning

confidence: 99%

The good, the bad, and the ‘vulnerable older adult’

Pritchard‐Jones

2016

Journal of Social Welfare and Family Law

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Recent declarations by the Court of Appeal indicate that the inherent jurisdiction has survived the implementation of the Mental Capacity Act 2005 for adults considered 'vulnerable' and whose decision-making is threatened by reasons other than mental impairment -such occasions may include instances of elder abuse. In this paper I argue, however, that the post-Mental Capacity Act courts have adopted a confused and outmoded concept of the vulnerable older adult, in particular where decision-making is threatened by abusive interpersonal relationships experienced by an older individual. This has particular implications in terms of the types of remedies imposed by the courts on older adults in such circumstances. In this article I suggest that by being more cognisant of recent more nuanced understandings of vulnerability, the courts may be better suited to identifying, and responding to perceived sources of vulnerability in a way that is more empowering for the older adult.

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Section: The Historical Backgroundmentioning

confidence: 99%

The good, the bad, and the ‘vulnerable older adult’

Pritchard‐Jones

2016

Journal of Social Welfare and Family Law

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“…Professional care is informed by the patients’ appeal for help as it is expressed in the meeting. Professional care is demanded when nurses encounter vulnerable and suffering patients who deliver themselves into the trust of nurses and this influences the nurse’s professional ethics, bringing the nurses in a vulnerable and suffering position (13).…”

Section: Introductionmentioning

confidence: 99%

Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care

Thorup

Rundqvist

Roberts

et al. 2011

Scandinavian Caring Sciences

113

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Scand J Caring Sci; 2012; 26; 427-435 Care as a matter of courage: vulnerability, suffering and ethical formation in nursing careThe aim of the study was to explore nurses' experience of how their own vulnerability and suffering influence their ethical formation and their capacity to provide professional care when they are confronted with the patient's vulnerability and suffering. Care is shaped in the meeting between human beings. Professional care is informed by the patient's appeal for help as it is expressed in the meeting. Ethical formation is understood as a personal ethical and existential process, resulting in the capacity to provide professional care. A nurse must have the sense of being a complete human being with own personal attributes and sensitivity in order to be able to relate to other people. The study is based on qualitative interviews with 23 experienced nurses from Sweden, Finland and Denmark. The analyses and interpretation were carried out in line with Steinar Kvale's three levels of interpretation. The study clarifies that ethical formation is a union of the nurse's personal attributes and professional qualifications and that ethical formation is developed over time. Moreover, it also demonstrates that the nurse's personal and professional life experiences of vulnerability and suffering influence ethical formation. Vulnerability and suffering have proven to be sensitive issues for nurses, like a sore point that either serve as an eye-opener or cause the development of blind spots. Furthermore, vulnerability, suffering and the sore points are seen to shape the nurse's courage in relation to care. Courage appears to be a significant unifying phenomenon that manifests itself as the courage to help patients face their own vulnerability and suffering, to bear witness to patients' vulnerability and suffering and to have faith in oneself in arguing for and providing professional care. Courage thus seems to play a significant role in nurses' ability to engage in care. Nurses' own vulnerability, suffering and sore points seem to shape their courage.

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“…W przypadku osób korzystających z instytucjonalnej formy opieki (domy opieki, domy seniora, domy pomocy społecznej) dodatkowym pojawiają-cym się problemem jest jednoczesne odpowiadanie na potrzeby nie tylko jednostki, lecz grupy ludzi zamieszkujących daną placówkę [11,[13][14][15][16]31]. Zinstytucjonalizowana opieka geriatryczna wiąże się z ryzykiem uprzedmiotowienia pacjenta -ograniczeniem jego wpływu na rytm dnia codziennego, dobór współlokatorów, posiadanie przestrzeni osobistej, dostęp do mediów i oferty kulturalnej.…”

Section: Wybrane Zagadnienia Etyczne W Opiece Geriatrycznejunclassified

“…Konieczność rozstrzygania dylematów związanych z opieką może rodzić u pielęgniarek niepokój zwią-zany z podejmowanymi decyzjami lub wynikający z różnicy między postrzeganiem tego, co w danej sytuacji powinno być dokonane a rzeczywistymi moż-liwościami podjęcia działania [29,31,33,34].…”

Section: Rozwiązywanie Dylematów Etycznychunclassified

Dylematy etyczne w pielęgniarstwie geriatrycznym — wybrane zagadnienia

Zurzycka¹,

Radzik²

2016

Problemy Pielęgniarstwa

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Jagielloński, Kraków ylematy etyczne w pielęgniarstwie geriatrycznym -wybrane zagadnienia Ethical dilemmas in geriatric nursing -selected issues ABSTRACT W związku ze starzeniem się społeczeństwa opieka nad osobami starszymi odgrywa coraz istotniejszą rolę w ochronie zdrowia. Świadczenie tej opieki, opartej na wiedzy medycznej, wymaga także odniesienia się do zasad etyki. Specyfika schorzeń podeszłego wieku oraz organizacja udzielanych seniorom świadczeń powoduje powstawanie typowych dylematów etycznych, ale także specyficznych problemów uwarunkowanych potrzebami i problemami osób starszych. Istotnym elementem praktyki pielęgniarskiej jest umiejętność rozpoznawania i rozwiązywania dylematów etycznych pojawiających się w codziennej pracy. Rozstrzyganie powstałych dylematów oparte powinno być na założonym modelu rozwiązywania problemów uwarunkowanym poszanowaniem praw pacjenta oraz działaniu w zakresie obowiązków i powinności zawodowych w granicach zasad obowiązującego prawa i etyki. Celem pracy było ukazanie najczęstszych dylematów etycznych rodzących się w związku z opieką nad osobami starszymi oraz przedstawienie możliwego modelu ich rozwiązania.Problemy Pielęgniarstwa 2015; 23 (3): 423-427 Słowa kluczowe: opieka pielęgniarska; podeszły wiek; etyka STRESZCZENIEDue to the aging of modern societies, the care of the elderly is playing increasingly a more important role in health care. The provision of this care based upon medical knowledge entails also making reference to ethics. The specificity of old age diseases and the organization of benefits provided to senior citizens cause not only typical ethical dilemmas, but also specific problems determined by the needs and problems of elderly people. An essential issue in the nursing practice is the ability to recognize and to solve ethical dilemmas arising in their daily work. The settlement of emerging dilemmas should be based upon the established model of solving problems conditioned by respecting the rights of the patient and the action in the scope of the responsibilities and professional obligations within the principles of the effective law and ethics. The paper is aimed at showing the most frequent ethical dilemmas which will appear in connection with the care of the elderly and at showing a possible model to solve them.Nursing Topics 2015; 23 (3): 423-427

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The meaning of vulnerability to nurses caring for older people

Cited by 50 publications

References 21 publications

The good, the bad, and the ‘vulnerable older adult’

The good, the bad, and the ‘vulnerable older adult’

Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care

Dylematy etyczne w pielęgniarstwie geriatrycznym — wybrane zagadnienia

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