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  1.  27
    Relational autonomy in the care of the vulnerable: health care professionals’ reasoning in Moral Case Deliberation.Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt & Mia Svantesson - 2018 - Medicine, Health Care and Philosophy 21 (4):467-477.
    In Moral Case Deliberation, healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals’ moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis. The (...)
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  2.  20
    Futile cardiopulmonary resuscitation for the benefit of others: An ethical analysis.Anders Bremer & Lars Sandman - 2011 - Nursing Ethics 18 (4):495-504.
    It has been reported as an ethical problem within prehospital emergency care that ambulance professionals administer physiologically futile cardiopulmonary resuscitation (CPR) to patients having suffered cardiac arrest to benefit significant others. At the same time it is argued that, under certain circumstances, this is an acceptable moral practice by signalling that everything possible has been done, and enabling the grief of significant others to be properly addressed. Even more general moral reasons have been used to morally legitimize the use of (...)
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  3.  3
    Ethics education to support ethical competence learning in healthcare: an integrative systematic review.Anders Bremer, Mats Holmberg, Andreas Rantala, Catharina Frank, Anders Svensson & Henrik Andersson - 2022 - BMC Medical Ethics 23 (1):1-26.
    BackgroundEthical problems in everyday healthcare work emerge for many reasons and constitute threats to ethical values. If these threats are not managed appropriately, there is a risk that the patient may be inflicted with moral harm or injury, while healthcare professionals are at risk of feeling moral distress. Therefore, it is essential to support the learning and development of ethical competencies among healthcare professionals and students. The aim of this study was to explore the available literature regarding ethics education that (...)
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  4.  4
    Ethical conflicts in patient relationships: Experiences of ambulance nursing students.Anders Bremer & Mats Holmberg - forthcoming - Nursing Ethics:096973302091107.
    Background: Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim: To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design: An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants: The 69 participants attended a 1-year educational (...)
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  5.  13
    Ambulance nurses’ experiences of patient relationships in urgent and emergency situations: A qualitative exploration.Cecilia Svensson, Anders Bremer & Mats Holmberg - 2019 - Clinical Ethics 14 (2):70-79.
    Background The ambulance service provides emergency care to meet the patient’s medical and nursing needs. Based on professional nursing values, this should be done within a caring relationship with a holistic approach as the opposite would risk suffering related to disengagement from the patient’s emotional and existential needs. However, knowledge is sparse on how ambulance personnel can meet caring needs and avoid suffering, particularly in conjunction with urgent and emergency situations. Aim The aim of the study was to explore ambulance (...)
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  6.  4
    Usage of do-not-attempt-to-resuscitate orders in a Swedish community hospital – patient involvement, documentation and compliance.Emilie Bertilsson, Birgitta Semark, Kristina Schildmeijer, Anders Bremer & Jörg Carlsson - 2020 - BMC Medical Ethics 21 (1):1-6.
    Background To characterize patients dying in a community hospital with or without attempting cardiopulmonary resuscitation and to describe patient involvement in, documentation of, and compliance with decisions on resuscitation. Methods All patients who died in Kalmar County Hospital during January 1, 2016 until December 31, 2016 were included. All information from the patients’ electronic chart was analysed. Results Of 660 patients female), 30 were pronounced dead in the emergency department after out-of-hospital CPR. Of the remaining 630 patients a DNAR order (...)
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  7.  14
    Ethical values in emergency medical services.Anders Bremer, María Jiménez Herrera, Christer Axelsson, Dolors Burjalés Martí, Lars Sandman & Gian Luca Casali - 2015 - Nursing Ethics 22 (8):928-942.
    Background:Ambulance professionals often address conflicts between ethical values. As individuals’ values represent basic convictions of what is right or good and motivate behaviour, research is needed to understand their value profiles.Objectives:To translate and adapt the Managerial Values Profile to Spanish and Swedish, and measure the presence of utilitarianism, moral rights and/or social justice in ambulance professionals’ value profiles in Spain and Sweden.Methods:The instrument was translated and culturally adapted. A content validity index was calculated. Pilot tests were carried out with 46 (...)
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  8.  22
    Ethical controversies in the process of formulating new national guidelines on cardiopulmonary resuscitation in Sweden.Anders Ågård, Anders Bremer, Karl Sallin & Ingemar Engström - 2017 - Clinical Ethics 12 (4):174-179.
    The Delegation for Medical Ethics within the Swedish Society of Medicine has taken the initiative to create national ethical guidelines on cardiopulmonary resuscitation. The reasons behind this initiative were indications of differences in the way decisions about cardiopulmonary resuscitation were made and documented and requests expressed by health-care professionals for new national ethical guidelines. During the process of creating the guidelines, a number of workshops were held with representatives from the delegation and clinical experts from various branches of medicine. Several (...)
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  9.  2
    Older patients’ autonomy when cared for at emergency departments.Catharina Frank, Mats Holmberg, Elin Ekestubbe Jernby, Annika Sevandersson Hansen & Anders Bremer - 2022 - Nursing Ethics 29 (5):1266-1279.
    Background Older patients in emergency care often have complex needs and may have limited ability to make their voices heard. Hence, there are ethical challenges for healthcare professionals in establishing a trustful relationship to determine the patient’s preferences and then decide and act based on these preferences. With this comes further challenges regarding how the patient’s autonomy can be protected and promoted. Aim To describe nurses’ experiences of dealing with older patients’ autonomy when cared for in emergency departments (EDs). Research (...)
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  10.  3
    Do-not-attempt-resuscitation orders: attitudes, perceptions and practices of Swedish physicians and nurses.Samuel Sandboge, Jörg Carlsson, Ewa Rosengren, Kristofer Årestedt & Anders Bremer - 2021 - BMC Medical Ethics 22 (1):1-10.
    BackgroundThe values and attitudes of healthcare professionals influence their handling of ‘do-not-attempt-resuscitation’ orders. The aim of this study was a) to describe attitudes, perceptions and practices among Swedish physicians and nurses towards discussing cardiopulmonary resuscitation and DNAR orders with patients and their relatives, and b) to investigate if the physicians and nurses were familiar with the national ethical guidelines for cardiopulmonary resuscitation.MethodsThis was a retrospective observational study based on a questionnaire and was conducted at 19 wards in two regional hospitals (...)
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  11. Exploring what is reasonable: uncovering moral reasoning of vascular surgeons in daily practice.Anders Bremer, Marit Karlsson, Mia Svantesson & Kaja Heidenreich - 2023 - BMC Medical Ethics 24 (1):1-10.
    BackgroundVascular surgery offers a range of treatments to relieve pain and ulcerations, and to prevent sudden death by rupture of blood vessels. The surgical procedures involve risk of injury and harm, which increases with age and frailty leading to complex decision-making processes that raise ethical questions. However, how vascular surgeons negotiate these questions is scarcely studied. The aim was therefore to explore vascular surgeons’ moral reasoning of what ought to be done for the patient.MethodsQualitative, semi-structured interviews were conducted with 19 (...)
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