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Moral Challenges and Responsibilities in Caring for Relatives of Older Nursing Home Residents During the COVID-19 Pandemic in Sweden
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-4429-2853
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences.
Jönköping University, Jönköping, Sweden.
Trinity College Dublin, Dublin, Ireland; Jönköping University, Jönköping, Sweden.
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2025 (English)In: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394Article in journal (Refereed) Epub ahead of print
Abstract [en]

Caring for relatives of older nursing home residents during COVID-19 was sometimes morally challenging for nursing home nurses. We identified four moral challenges: (1) providing versus withholding information, (2) respecting relatives’ wishes versus acting in accordance with professional standards, (3) acting in accordance with versus contrary to advance care plans, and (4) heeding versus ignoring visiting prohibitions. Care ethicist Margaret Urban Walker’s framework of moral responsibility together with values listed in the ICN code of ethics for nurses were used as points of departure for reflection on these moral challenges. Each challenge was described, and moral responsibilities were charted and discussed in terms of moral relationships between nursing home nurses and the relatives of older residents, nurses’ moral identity as a nurse, and nursing’s moral values as listed in the ICN code of ethics for nurses. Nursing home nurses’ moral responsibilities could be connected to many moral values of the nursing profession, such as empathy, responsiveness, caring, advocacy, equality, inclusivity, and compassion. However, these values have a limited effect on direct moral action, as different values can be addressed for opposite action alternatives.

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Springer Nature, 2025.
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Ethics
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URN: urn:nbn:se:liu:diva-219686DOI: 10.1007/s10728-025-00551-0PubMedID: 41307835OAI: oai:DiVA.org:liu-219686DiVA, id: diva2:2017101
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Linköpings universitetAvailable from: 2025-11-27 Created: 2025-11-27 Last updated: 2025-12-01

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Gelhaus, Petra

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3536373839404138 of 77
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