Nursing Ethics 21 (4):0969733013500806 (2014)
AbstractDue to their understanding of self-management, healthcare team members responsible for depressed older persons can experience an ethical dilemma. Each team member contributes important knowledge and experience pertaining to the management of depression, which should be reflected in the management plan. The aim of this study was to explore healthcare team members’ reflections on the ethical dilemmas involved in promoting self-management among depressed older persons. A qualitative design was used and data were collected by means of focus group interviews. The results revealed one main theme: ‘Lack of trust in the community health care system’s commitment to bringing about effectiveness and change, based on three themes; ‘Struggling to ensure the reliable transfer of information about depressed older persons to professionals and family members’, ‘Balancing autonomy, care and dignity’ and ‘Differences in the understanding of responsibility’. Lack of engagement on the part of and trust between the various professional categories who work in the community are extremely counterproductive and have serious implications for patient dignity as well as safety. In conclusion, ethical dilemmas occur when staff members are unable to act in accordance with their professional ethical stance and deliver an appropriate standard of care
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References found in this work
Nurses’ Ethical Conflicts: What is Really Known About Them?Barabara Redman & Sara Fry - 2000 - Nursing Ethics 7 (4):360-366.
Ethical Decision Making in Nurses.Marcia L. Raines - 2000 - Jona's Healthcare Law, Ethics, and Regulation 2 (1):29-41.
Citations of this work
Nurses Experiences of Ethical Dilemmas: A Review.Anita Haahr, Annelise Norlyk, Bente Martinsen & Pia Dreyer - forthcoming - Nursing Ethics:096973301983294.
Patient Autonomy in Home Care: Nurses’ Relational Practices of Responsibility.Gaby Jacobs - 2019 - Nursing Ethics 26 (6):1638-1653.
Social Dignity for Marginalized People in Public Healthcare: An Interpretive Review and Building Blocks for a Non-Ideal Theory.Jante Schmidt, Margo Trappenburg & Evelien Tonkens - 2021 - Medicine, Health Care and Philosophy 24 (1):85-97.
Ethical Dilemmas and Care Actions in Nurses Providing Palliative Sedation.Sinyoung Kwon, Miyoung Kim & Sujin Choi - 2022 - Nursing Ethics 29 (5):1220-1230.
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