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dc.contributor.authorBollig, Georg
dc.contributor.authorRosland, Jan H.
dc.contributor.authorGjengedal, Eva
dc.contributor.authorSchmidt, Gerda
dc.contributor.authorMay, Arnd T.
dc.contributor.authorHeller, Andreas
dc.date.accessioned2020-01-29T09:21:38Z
dc.date.available2020-01-29T09:21:38Z
dc.date.issued2017
dc.identifier.citationBollig, G. et al. (2017): A European multicenter study on systematic ethics work in nursing homes, Scandinavian Journal of Caring Sciences 31(3), 587–601.nb_NO
dc.identifier.urihttp://hdl.handle.net/11250/2638483
dc.description.abstractBackground 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. Methods Data from five institutions in Austria, Germany and Norway were collected, and a mixed‐methods two‐tiered 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. 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. 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' in ethics discussions should be encouraged to strengthen their autonomy and dignity.nb_NO
dc.publisherScandinavian Journal of Caring Sciencesnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectethicsnb_NO
dc.subjectelder carenb_NO
dc.subjectnursing home carenb_NO
dc.subjectpalliative carenb_NO
dc.subjectdecision‐makingnb_NO
dc.subjectautonomynb_NO
dc.titleA European multicenter study on systematic ethics work in nursing homesnb_NO
dc.typeJournal articlenb_NO
dc.source.pagenumber587-601nb_NO
dc.source.volume31nb_NO
dc.source.journalScandinavian Journal of Caring Sciencesnb_NO
dc.source.issue3nb_NO
dc.identifier.doihttps://doi.org/10.1111/scs.12373


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal