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dc.contributor.authorBollig, Georg
dc.contributor.authorRosland, Jan Henrik
dc.contributor.authorGjengedal, Eva
dc.contributor.authorSchmidt, Gerda
dc.contributor.authorMay, Arnd T.
dc.contributor.authorHeller, Andreas
dc.date.accessioned2017-03-16T13:25:44Z
dc.date.available2017-03-16T13:25:44Z
dc.date.issued2016
dc.identifier.urihttp://hdl.handle.net/1956/15597
dc.description.abstract<p>Background: There are many existing ethical challenges in nursing homes. Although different methods and approaches to discussing the ethical challenges have been established, systematic ethics work is not yet a standard in all nursing homes. The aim of the present study was to explore ethical challenges and approaches to implementing systematic ethics work in nursing homes.</p> <p>Methods: Data from five institutions in Austria, Germany and Norway were collected, and a mixed-methods twotiered study approach was chosen. Documentation of ethics discussions was combined with qualitative focus group interviews with staff members regarding the implementation of systematic ethics work in nursing homes.</p> <p>Results: One hundred and five ethics meetings were documented. The main topics were advance care planning, ethical challenges associated with artificial nutrition, hospitalisation and end-of-life decision-making. Of the meetings, 33% focused mainly on everyday ethical challenges. In 76% of prospective case discussions, agreements about a solution were reached; however, in 29% of these no residents or relatives participated. The advantages of systematic ethics work described by the staff were enhanced openness and dialogue, overall, and a greater ethical awareness. Many voiced a need for structure and support from the administration.</p> <p>Conclusions: Systematic ethics work is greatly appreciated by the staff and helps to reach a consensus in the majority of case discussions. It should be implemented in all nursing homes. Attention to everyday ethical challenges is important. The participation of relatives and physicians could be improved. The participation of the residents&rsquo; in ethics discussions should be encouraged to strengthen their autonomy and dignity.</p>eng
dc.language.isoengeng
dc.publisherWileyeng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/15598" target="_blank">Ethical challenges, decision-making and end-of-life care in nursing homes</a>
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/eng
dc.subjectethicseng
dc.subjectelder careeng
dc.subjectnursing home careeng
dc.subjectpalliative careeng
dc.subjectdecision-makingeng
dc.subjectautonomyeng
dc.titleA European multicenter study on systematic ethics work in nursing homeseng
dc.typeJournal articleeng
dc.rights.holderCopyright 2016 The Author(s)eng
dc.type.versionpublishedVersioneng
bora.peerreviewedPeer reviewedeng
bora.journalTitleScandinavian Journal of Caring Scienceseng
dc.identifier.doi10.1111/scs.12373eng
dc.source.issn1471-6712eng
bora.bpoaIDbpoa904
dcterms.isPartOfhttp://hdl.handle.net/1956/15598


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Except where otherwise noted, this item's license is described as Attribution CC BY