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Ethical values in caring encounters from elderly patients’ and next of kin´s perspective
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
2009 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The welfare of the elderly population is one of the most important goals of the public health services. At macro level the Swedish National Board of Health and Welfare state that the premier goal is for elderly people to have dignified and comfortable lives. They should have a life with a sense of value and feel confident. These ethical values which are expressed on macro level or as normative ethics are expected to prevail at micro level. In our study the micro level is the caring encounter between the elderly patient, next of kin and nurses. Ethical values and morals are important aspects that influence the quality of care, videlicet in empiric ethics.

The aim of study (I) was to identify and describe the ethical values experienced by the older person in the daily interaction with nurses in a ward for older people during caring encounters. In study (II) the aim was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Study (I) which was an empirical observational study included follow-up interviews. Twenty-two older people participated voluntarily. In study (II) interviews with fourteen next of kin were conducted. In both studies Constant comparative analysis, the core foundation of grounded theory was used.

Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the basis for the core category in study (I): Approaching. Approaching concerns the way people become closer to each other in a physical space .It also includes how people become closer to each other in a dialogue, which involves verbal or bodily communication. Approaching indicates the ethical values that guide nurses in their caring encounters with older people. This ethical value is noted by the older person and has an individual value, as well as leading to improved quality of their care. The older person will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.

Four categories were identified in study (II): Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: “Being amenable”, a concept identified in the next of kin’s description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and next of kin. Nurses who focus on elderly patients’ well-being as a final principle will affect next of kin and their experience of this fundamental situation.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press , 2009. , 45 p.
Series
Linköping Studies in Health Sciences. Thesis, ISSN 1100-6013 ; 107
Keyword [en]
Ethics, ethical values, geriatric wards, grounded theory, next of kin, nursing care, nursing ethics, qualitative methods
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-51739ISBN: 978-91-7393-495-4 (print)OAI: oai:DiVA.org:liu-51739DiVA: diva2:277244
Presentation
2009-12-17, Rönnen, Campus US, Linköpings Universitet, Linköping, 13:00 (English)
Supervisors
Available from: 2009-11-16 Created: 2009-11-16 Last updated: 2013-09-12Bibliographically approved
List of papers
1. Ethical values in caring encounters at a geriatric ward: An observational study
Open this publication in new window or tab >>Ethical values in caring encounters at a geriatric ward: An observational study
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Aims and Objectives: The aim of this study was to identify and describe the ethical values that are experienced by the older person in daily interaction with nurses in a ward for older people during caring encounters.

Background: Ethical values and morals are important aspects that influence the quality ofcare.Background: Ethical values and morals are important aspects that influence the quality of care.

Methods: Empirical observational study including follow-up interviews. Twenty-two older people participated voluntarily in this study. Constant comparative analysis, the core foundation of grounded theory was used.

Results: Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence were the basis for the core category: Approaching: Approaching is about how people get closer to each other in physical space. It also includes how people become closer to each other in a dialogue, which involves verbal or bodily communication.

Conclusions and Relevance to Clinical Practice: Approaching indicates the ethical values that guide nurses in their caring encounters with older persons. This ethical value is noted by the older person and has an individual value, as well as leading to improved quality of their care. The older person will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.

Keyword
Ethics, nursing care, older people, qualitative methods
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-51736 (URN)
Available from: 2009-11-16 Created: 2009-11-16 Last updated: 2013-09-12Bibliographically approved
2. Ethical values in caring encounters on a geriatric ward from the next of kin´s perspective: An interview study
Open this publication in new window or tab >>Ethical values in caring encounters on a geriatric ward from the next of kin´s perspective: An interview study
2010 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 16, no 1, 20-26 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Interviews with fourteen next of kin were conducted and data were analysed by Constant comparative analysis. Four categories were identified: Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: “Being amenable”, a concept identified in the next of kin’s description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and the next of kin. Nurses’ focusing on elderly patients’ well-being as a final criterion affects the next of kin and their experience of this fundamental condition for high quality care seems to be fulfilled.

Place, publisher, year, edition, pages
Wiley, 2010
Keyword
Ethical values, geriatric wards, grounded theory, nursing ethics, next of kin
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-51737 (URN)10.1111/j.1440-172X.2009.01805.x (DOI)000274177000004 ()
Note

On the day of the defence day the status of this article was: Manuscript. This is the author’s version of the following article: Lise-Lotte Jonasson, Per-Erik Liss, Björn Westerlind and Carina Berterö, Ethical values in caring encounters on a geriatric ward from the next of kin´s perspective: An interview study, 2010, International Journal of Nursing Practice, (16), 1, 20-26. which has been published in final form at: http://dx.doi.org/10.1111/j.1440-172X.2009.01805.x Copyright: Blackwell Publishing Ltd http://eu.wiley.com/WileyCDA/Brand/id-35.html

Available from: 2009-11-16 Created: 2009-11-16 Last updated: 2017-12-12Bibliographically approved

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