Long-term nursing care of elderly people: Identifying ethically problematic experiences among patients, relatives and nurses in Finland

Nursing Ethics

Volumn 13, Issue 2, 2006, Pages 116-129

  Teeri, Sari ^a,b,c   Leino Kilpi, Helena ^d   Välimäki, Maritta ^b  

^a University of Turku ^*  (Finland)

^b UNIVERSITY OF TURKU   (Finland)

^c SATAKUNTA UNIVERSITY OF APPLIED SCIENCES   (Finland)

^d TURKU UNIVERSITY HOSPITAL   (Finland)

Author keywords

Elderly people; Ethics; Integrity; Long term care

Indexed keywords

ADULT; AGED; ARTICLE; ATTITUDE TO HEALTH; CRIME; EMPIRICAL APPROACH; ETHICS; FAMILY; FEMALE; FINLAND; GERIATRIC NURSING; HEALTH CARE AND PUBLIC HEALTH; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICE; HOSPITALIZATION; HUMAN; LONG TERM CARE; MALE; MIDDLE AGED; NURSE PATIENT RELATIONSHIP; NURSING METHODOLOGY RESEARCH; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PATIENT ADVOCACY; PATIENT EDUCATION; PROFESSIONAL PATIENT RELATIONSHIP; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE;

EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH; PROFESSIONAL PATIENT RELATIONSHIP;

ADULT; AGED; AGED, 80 AND OVER; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; ELDER ABUSE; FAMILY; FEMALE; FINLAND; GERIATRIC NURSING; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALIZATION; HUMANS; LONG-TERM CARE; MALE; MIDDLE AGED; NURSE-PATIENT RELATIONS; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; PATIENT ADVOCACY; PATIENT EDUCATION; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; QUESTIONNAIRES;

EID: 33644543051     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1191/0969733006ne830oa     Document Type: Article

References (37)

1. Visco I. The fiscal implications of aging populations in OECD countries. Oxford Centre on Population Ageing. Pensions Symposium. 7 June 2001. Retrieved 4 January, 2005, from: http:/www.oecd.org/dataoecd/20/46/2431794.pdf
2. Ketola T, Kunz J. Population ageing and its consequences in Finland - a review of current trends and debates. (Research Reports Series B, no. 21.) University of Tampere: 2005.
3. Brodsky J, Halib J, Hirschfeld M eds. Key policy issues in long-term care. The Cross-Clester initiative on long-term care. World Health Organization and the WHO Collaborating Centre for Research on Health of the Elderly JDC-Brookdale Institute, 2003.
4. Vaarama M, Kainulainen S, Perälä M-L, Sinervo T. Vanhusten laitoshoidon tila. Voimavarat, henkilöstön hyvinvointi ja hoidon laatu. (Current state of institutional care for the aged. Resources, staff well-being and quality of care.) Sosiaali-ja terveysalan tutkimus-ja kehittämiskeskus Stakes, 1999 (in Finnish).
5. Bourret EM, Bernick LG, Cott CA, Kontos PC. The meaning of mobility for residents and staff in long-term care facilities. J Adv Nurs 2002; 37: 338-45.
6. Hansebo G, Kihlgren M. Patient life stories and current situation as told by carers in nursing home wards. Clin Nurs Res 2001; 9: 260-80.
7. High DM, Rowles GD. Nursing home residents, families, and decision making: toward an understanding of progressive surrogacy. J Aging Stud 1995; 9: 101-17.
8. Laki potilaan asemasta ja oikeuksista 17.8.1992/785. (Act on the Status and Rights of Patients (785/92).) Suomen Säädöskokoelma, 1992 (in Finnish; English translation).
9. Ministry of Social Affairs and Health. National framework for high-quality care and services for older people. (Handbooks 2001:6.) Ministry of Social Affairs and Health, 2001.
10. Mattiasson A-C, Andersson L. Nursing home staff attitudes to ethical conflicts with respect to patient autonomy and paternalism. Nurs Ethics 1995; 2: 115-30.
11. Whitler JM. Ethics of assisted autonomy in the nursing home: types of assisting among long-term care nurses. Nurs Ethics 1996; 3: 225-35.
12. van Thiel GJMW, van Delden JJM. The principle of respect for autonomy in the care of nursing home residents. Nurs Ethics 2001; 8: 419-31.
13. Scott PA, Välimäki M, Leino-Kilpi H et al. Perceptions of autonomy in the care of elderly people in five European countries. Nurs Ethics 2003; 10: 28-38.
14. Mattiasson A-C, Hemberg M. Intimacy - meeting needs and respecting privacy in the care of elderly people: what is a good moral attitude on the part of the nurse/carer? Nurs Ethics 1998; 5: 527-34.
15. Schopp A, Leino-Kilpi H, Välimäki M et al. Perceptions of privacy in the care of elderly people in five European countries. Nurs Ethics 2003; 10: 39-47.
16. Kihlgren M, Thorsen H. Violation of the patient's integrity, seen by staff in long-term care. Scand J Caring Sci 1996; 10: 103-107.
17. Randers I, Mattiasson A-C. The experiences of elderly people in geriatric care with special reference to integrity. Nurs Ethics 2000; 7: 503-19.
18. Collopy B. Autonomy in long-term care: some crucial distinctions. Gerontologist 1988; 28(3): 10-17.
19. Pearson A, Mott S, Riggs A. Quality care in nursing homes: from residents' perspective. J Adv Nurs 1993; 18: 20-24
20. Elander G, Drechsler K, Persson KW. Ethical dilemmas in long-term care settings; interviews with nurses in Sweden and England. Int J Nurs Stud. 1993; 30: 91-97.
21. Sasson S. Beneficence versus respect for autonomy: an ethical dilemma in social work practice. J Gerontol Soc Work 2000; 33: 5-16.
22. Palviainen P, Hietala M, Routasalo P, Suominen T, Hupli M. Do nurses exercise power in basic care situations? Nurs Ethics 2003; 10: 269-80.
23. Gallinagh R, Nevin R, Campbell L et al. Relatives' perceptions of side use on the older person in hospital. Br J Nurs 2001; 10: 391-99.
24. Koch T, Webb C, Williams A. Listening to the voices of older patients: an existential-phenomenological approach to quality assurance. J Clin Nurs 1995; 4: 185-93.
25. Routasalo P. Touch in the nursing care of elderly patients [Dissertation]. Annales Universitasis Turkuensis D 258. University of Turku, 1997.
26. Glen S, Jownally S. Privacy: a key nursing concept. Br J Nurs 1995; 4: 69-72.
27. National Research and Development Centre for Welfare and Health (2003). Care and services for older people 2002. (Official statistics of Finland (SVT) Social Security 2003: 1.) Stakes, 2003.
28. Kayser-Jones J, Koenig BA. Ethical issues. Gubrium JF, Sankar A eds. Qualitative methods in aging research. SAGE, 1994: 15-32.
29. Ministry of Social Affairs and Health. Health care in Finland. (Brochures 2004: 11.) Ministry of Social Affairs and Health, 2004.
30. Miles MB, Huberman AM. Qualitative data analysis. An expander sourcebook, second edition. SAGE, 1994.
31. Andersson M. Integritet som begrepp och princip. En studie av ett vårdetiskt ideal i utveckling. (Integrity as a concept and as a principle in health care ethics.) Åbo Akademis förlag, 1994.
32. Jacelon CS. Managing personal integrity: the process of hospitalization for elders. J Adv Nurs 2004; 46: 549-57.
33. Pillemar K, Moore DW. Abuse of patients in nursing homes: findings from a survey of staff. Gerontologist 1989; 29: 314-20.
34. The National Advisory Board on Health Care Ethics. Shared values in health care: common goals and principles. 2002. Retrieved 10 February 2004, from: http://www.etene.org
35. Wilmot S, Legg L, Barratt J. Ethical issues in the feeding of patients suffering from dementia: a focus group study of hospital staff responses to conflicting principles. Nurs Ethics 2002; 9: 599-611.
36. Isola A, Voutilainen P, Rautsiala T, Muurinen S, Backman K, Paasivaara L. Vanhusten pitkäaikaishoidon ulkopuolinen tarkistus. Toinen vaihe. (The quality of long-term care of older people. Second phase.) Research Report 12. Helsinki City Health Department, 2001.
37. Herzberg A, Ekman SL. How the relatives of elderly patients in institutional care perceive staff. Scand J Caring Sci 1996; 10: 205-11.