41 found
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  1.  18
    Organisational and Individual Support for Nurses’ Ethical Competence: A Cross-Sectional Survey.Tarja Poikkeus, Riitta Suhonen, Jouko Katajisto & Helena Leino-Kilpi - 2018 - Nursing Ethics 25 (3):376-392.
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  2.  40
    Moral Courage in Nursing: A Concept Analysis.Olivia Numminen, Hanna Repo & Helena Leino-Kilpi - 2017 - Nursing Ethics 24 (8):878-891.
    Background:Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous.Objective:This article is an analysis of the concept (...)
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  3.  42
    The Value of Nurses' Codes: European Nurses' Views.Win Tadd, Angela Clarke, Llynos Lloyd, Helena Leino-Kilpi, Camilla Strandell, Chryssoula Lemonidou, Konstantinos Petsios, Roberta Sala, Gaia Barazzetti, Stefania Radaelli, Zbigniew Zalewski, Anna Bialecka, Arie van der Arend & Regien Heymans - 2006 - Nursing Ethics 13 (4):376-393.
    Nurses are responsible for the well-being and quality of life of many people, and therefore must meet high standards of technical and ethical competence. The most common form of ethical guidance is a code of ethics/professional practice; however, little research on how codes are viewed or used in practice has been undertaken. This study, carried out in six European countries, explored nurses’ opinions of the content and function of codes and their use in nursing practice. A total of 49 focus (...)
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  4.  41
    Ethical Problems in Nursing Management: The Role of Codes of Ethics.Elina Aitamaa, Helena Leino-Kilpi, Pauli Puukka & Riitta Suhonen - 2010 - Nursing Ethics 17 (4):469-482.
    The aim of this study was to identify the ethical problems that nurse managers encounter in their work and the role of codes of ethics in the solutions to these difficulties. The data were collected using a structured questionnaire and analysed statistically. The target sample included all nurse managers in 21 specialized health care or primary health care organizations in two hospital districts in Finland (N = 501; response rate 41%). The most common ethical problems concerned resource allocation as well (...)
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  5.  17
    Ethics Interventions for Healthcare Professionals and Students: A Systematic Review.Minna Stolt, Helena Leino-Kilpi, Minka Ruokonen, Hanna Repo & Riitta Suhonen - 2018 - Nursing Ethics 25 (2):133-152.
    Background:The ethics and value bases in healthcare are widely acknowledged. There is a need to improve and raise awareness of ethics in complex systems and in line with competing needs, different stakeholders and patients’ rights. Evidence-based strategies and interventions for the development of procedures and practice have been used to improve care and services. However, it is not known whether and to what extent ethics can be developed using interventions.Objectives:To examine ethics interventions conducted on healthcare professionals and healthcare students to (...)
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  6.  47
    Organizational Ethics: A Literature Review.Riitta Suhonen, Minna Stolt, Heli Virtanen & Helena Leino-Kilpi - 2011 - Nursing Ethics 18 (3):285-303.
    The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations’ ethics and management or leadership issues. Electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles were included in the review. No large research programs were identified. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, dilemmas (...)
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  7.  13
    Development and Validation of Nurses’ Moral Courage Scale.Olivia Numminen, Jouko Katajisto & Helena Leino-Kilpi - 2019 - Nursing Ethics 26 (7-8):2438-2455.
    Background: Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses’ moral courage. Objectives: The objective of this study is to develop a scale to measure nurses’ self-assessed moral courage, to evaluate the scale’s psychometric properties, and to briefly describe the current level of nurses’ self-assessed moral courage and associated socio-demographic factors. Research design: In this methodological study, non-experimental, cross-sectional exploratory design was applied. The data were collected using Nurses’ (...)
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  8.  33
    Research on Ethics in Nursing Care for Older People: A Literature Review.Riitta Suhonen, Minna Stolt, Veikko Launis & Helena Leino-Kilpi - 2010 - Nursing Ethics 17 (3):337-352.
    The aim of this review was to analyse the empirical studies that focus on ethics in nursing care for older people, scoping the need and areas for further study. A search of the MEDLINE and CINAHL databases (earliest to August 2009) was conducted using the the keywords: ethic* and nursing or care or caring and elderly or aged or older. After a four-stage process, 71 empirical articles were included in the review, with informants ranging from elderly people to relatives, caregivers, (...)
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  9.  77
    Long-Term Nursing Care of Elderly People: Identifying Ethically Problematic Experiences Among Patients, Relatives and Nurses in Finland.Sari Teeri, Helena Leino-Kilpi & Maritta Välimäki - 2006 - Nursing Ethics 13 (2):116-129.
    The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n=10) were interviewed, while the relatives (n=17) (...)
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  10.  39
    Ethical Problems and Moral Sensitivity in Physiotherapy.Kati Kulju, Riitta Suhonen & Helena Leino-Kilpi - 2013 - Nursing Ethics 20 (5):568-577.
    This study identified and described ethical problems encountered by physiotherapists in their practice and physiotherapists’ moral sensitivity in ethical situations. A questionnaire-based survey was constructed to identify ethical problems, and the Moral Sensitivity Questionnaire Revised version was used to measure moral sensitivity. Physiotherapists (n = 116) working in public health services responded to the questionnaire. Based on the results, most of the physiotherapists encounter ethical problems weekly. They concern mainly financial considerations, equality and justice, professionalism, unethical conduct of physiotherapists or (...)
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  11.  24
    Nurse Educators' and Nursing Students' Perspectives On Teaching Codes of Ethics.Olivia Numminen, Arie van der Arend & Helena Leino-Kilpi - 2009 - Nursing Ethics 16 (1):69-82.
    Professional codes of ethics are regarded as elements of nurses' ethical knowledge base and consequently part of their ethics education. However, research focusing on these codes from an educational viewpoint is scarce. This study explored the need and applicability of nursing codes of ethics in modern health care, their importance in the nursing ethics curriculum, and the need for development of their teaching. A total of 183 Finnish nurse educators and 212 nursing students answered three structured questions, with an opportunity (...)
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  12.  16
    Whistle-Blowing Process in Healthcare: From Suspicion to Action.Johanna Pohjanoksa, Minna Stolt, Riitta Suhonen, Eliisa Löyttyniemi & Helena Leino-Kilpi - 2019 - Nursing Ethics 26 (2):526-540.
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  13.  31
    Older People’s Experiences of Their Free Will in Nursing Homes.Leena Tuominen, Helena Leino-Kilpi & Riitta Suhonen - 2016 - Nursing Ethics 23 (1):22-35.
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  14.  37
    Organizational Ethics in Finnish Intensive Care Units: Staff Perceptions.Helena Leino-Kilpi, Tarja Suominen, Merja Mäkelä, Charlotte McDaniel & Pauli Puukka - 2002 - Nursing Ethics 9 (2):126-136.
  15.  23
    Perceptions of Autonomy, Privacy and Informed Consent in the Care of Elderly People in Five European Countries: Comparison and Implications for the Future.Helena Leino-Kilpi, Maritta Välimäki, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, P. Anne Scott, Anja Schopp, Marianne Arndt & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):58-66.
    This article discusses nurses’ and elderly patients’ perceptions of the realization of autonomy, privacy and informed consent in five European countries. Comparisons between the concepts and the countries indicated that both nurses and patients gave the highest ratings to privacy and the lowest to informed consent. There were differences between countries. According to the patient data, autonomy is best realized in Spain, privacy in the UK (Scotland), and informed consent in Finland. For the staff data, the best results tended to (...)
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  16.  20
    Perceptions of Autonomy in the Care of Elderly People in Five European Countries.P. Anne Scott, Maritta Välimäki, Helena Leino-Kilpi, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, Marianne Arndt, Anja Schopp, Riitta Suhonen & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):28-38.
    The focus of this article is perceptions of elderly patients and nurses regarding patients’ autonomy in nursing practice. Autonomy is empirically defined as having two components: information received/given as a prerequisite and decision making as the action. The results indicated differences between staff and patient perceptions of patient autonomy for both components in all five countries in which this survey was conducted. There were also differences between countries in the perceptions of patients and nurses regarding the frequency with which patients (...)
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  17.  28
    Individualized Care Scale – Nurse Version: A Finnish Validation Study.Riitta Suhonen, Marja-Liisa Gustafsson, Jouko Katajisto, Maritta Välimäki & Helena Leino-Kilpi - 2010 - Journal of Evaluation in Clinical Practice 16 (1):145-154.
  18.  1
    Measuring Nurses’ Moral Courage: An Explorative Study.Kasper Jean-Pierre Konings, Chris Gastmans, Olivia Hanneli Numminen, Roelant Claerhout, Glenn Aerts, Helena Leino-Kilpi & Bernadette Dierckx de Casterlé - 2022 - Nursing Ethics 29 (1):114-130.
    Background: The 21-item Nurses’ Moral Courage Scale was developed and validated in 2018 in Finland with the purpose of measuring moral courage among nurses. Objectives: The objective of this study was to make a Dutch translation of the Nurses’ Moral Courage Scale to describe the level of nurses’ self-assessed moral courage and associated socio-demographic factors in Flanders, Belgium. Research design: A forward–backward translation method was applied to translate the English Nurses’ Moral Courage Scale to Dutch, and a pilot study was (...)
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  19.  22
    Perceptions of Privacy in the Care of Elderly People in Five European Countries.Anja Schopp, Helena Leino-Kilpi, Maritta Välimäki, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, P. Anne Scott, Marianne Arndt & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):39-47.
    The focus of this article is on elderly patients’ and nursing staff perceptions of privacy in the care of elderly patients/residents in five European countries. Privacy includes physical, social and informational elements. The results show that perceptions of privacy were strongest in the UK (Scotland) and weakest in Greece. Country comparisons revealed statistically significant differences between the perceptions of elderly patients and also between those of nurses working in the same ward or long-term care facility. Perceptions of privacy by patients (...)
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  20.  21
    Perceptions of Informed Consent in the Care of Elderly People in Five European Countries.Anja Schopp, Maritta Välimäki, Helena Leino-Kilpi, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, P. Anne Scott, Marianne Arndt & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):48-57.
    The focus of this article is on elderly patients’ and nursing staff perceptions of informed consent in the care of elderly patients/residents in five European countries. The results suggest that patients and nurses differ in their views on how informed consent is implemented. Among elderly patients the highest frequency for securing informed consent was reported in Finland; the lowest was in Germany. In contrast, among nurses, the highest frequency was reported in the UK (Scotland) and the lowest in Finland. In (...)
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  21.  24
    Self-Determination in Clinical Practice: The Psychiatric Patient's Point of View.Maritta Välimäki, Helena Leino-Kilpi & Hans Helenius - 1996 - Nursing Ethics 3 (4):329-344.
    This article looks at the relevance of the concept of self-determination to psychiatric patients by studying the existence, importance and manifestations of self-determination. The data were collected by interviewing long-term patients (n = 72) in one mental health care organization, which included a psychiatric hospital and an outpatient department. Self-determination was defined in terms of the right to decision-making, the right to information, the right of consent, the right to refuse treatment, and the right to be heard and taken into (...)
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  22.  23
    Development and Psychometric Properties of the Individualized Care Scale.Riitta Suhonen, Helena Leino-Kilpi & Maritta Valimaki - 2005 - Journal of Evaluation in Clinical Practice 11 (1):7-20.
  23.  19
    Perceptions of Autonomy, Privacy and Informed Consent in the Care of Elderly People in Five European Countries: General Overview.Helena Leino-Kilpi, Maritta Välimäki, Theo Dassen, Maria Gasull, Chryssoula Lemonidou, Anja Schopp, P. Anne Scott, Marianne Arndt & Anne Kaljonen - 2003 - Nursing Ethics 10 (1):18-27.
    Ethical issues in the care of elderly people have been identified in many countries. We report the findings of a comparative research project funded by the European Commission, which took place between 1998 and 2001. The project explored the issues of autonomy (part I), privacy (part II) and informed consent (part III) in nursing practice. Data were collected from elderly residents/patients (n = 573) and nursing staff (n = 887) in five European countries: Finland, Spain, Greece, Germany and the UK (...)
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  24.  31
    Solving Work-Related Ethical Problems.Laura Laukkanen, Riitta Suhonen & Helena Leino-Kilpi - 2016 - Nursing Ethics 23 (8):838-850.
  25.  21
    Comparison of Nurse Educators' and Nursing Students' Descriptions of Teaching Codes of Ethics.Olivia Numminen, Helena Leino-Kilpi, Arie van der Arend & Jouko Katajisto - 2011 - Nursing Ethics 18 (5):710-724.
    This study analysed teaching of nurses’ codes of ethics in basic nursing education in Finland. A total of 183 educators and 214 students responded to a structured questionnaire. The data was analysed by SPSS. Teaching of nurses’ codes was rather extensive. The nurse-patient relationship was highlighted. Educators assessed their teaching statistically significantly more extensive than what students’ perceptions were. The use of teaching and evaluation methods was conventional, but differences between the groups concerning the use of these methods were statistically (...)
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  26.  32
    Patients' Rights in Hospital: An Empirical Investigation in Finland.Helena Leino-Kilpi & Kristiina Kurittu - 1995 - Nursing Ethics 2 (2):103-113.
    The purpose of this study was to examine patients' rights in Finnish hospitals from the patients' own points of view. In 1993, a new Act on the status and right of patients in health care came into force. In this Act patients' rights are divided into three categories: the right to good health care, the right to be informed, and the right to self-determination and participation. These same categories of rights were used in this empirical investigation during 1993, in which (...)
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  27.  23
    Maintenance of Patients' Integrity in Long-Term Institutional Care.Sari Teeri, Maritta Välimäki, Jouko Katajisto & Helena Leino-Kilpi - 2008 - Nursing Ethics 15 (4):523-535.
    This study aimed to describe and compare the views of nurses and older patients' relatives on factors restricting the maintenance of patient integrity in long-term care. The purposive sample comprised 222 nurses and 213 relatives of older patients in four Finnish long-term care institutions. The data were collected using a self-developed questionnaire addressing five sets of factors relating to patients, relatives, nurses, the organization and society. The maintenance of patient integrity was restricted by: (1) social factors, including lack of respect (...)
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  28.  26
    Understanding Privacy in Occupational Health Services.Anne Heikkinen, Gustav Wickström & Helena Leino-Kilpi - 2006 - Nursing Ethics 13 (5):515-530.
    The aim of this study was to gain a deeper understanding of privacy in occupational health services. Data were collected through in-depth theme interviews with occupational health professionals (n=15), employees (n=15) and employers (n=14). Our findings indicate that privacy, in this context, is a complex and multilayered concept, and that companies as well as individual employees have their own core secrets. Co-operation between the three groups proved challenging: occupational health professionals have to consider carefully in which situations and how much (...)
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  29.  9
    Self-Evaluated Ethical Competence of a Practicing Physiotherapist: A National Study in Finland.Helena Leino-Kilpi, Anna Tolvanen, Pauli Puukka, Riitta Suhonen & Kati Kulju - 2020 - BMC Medical Ethics 21 (1):1-11.
    BackgroundPatients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which has been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical awareness, moral judgment skills in decision-making, and willingness to do good. The purpose of this study was to analyze the ethical competence of practicing physiotherapists.MethodA self-evaluation instrument based on an analysis of a concept (...)
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  30.  31
    Privacy and Equality in Diagnostic Genetic Testing.Tarja Nyrhinen, Marja Hietala, Pauli Puukka & Helena Leino-Kilpi - 2007 - Nursing Ethics 14 (3):295-308.
    This study aimed to determine the extent to which the principles of privacy and equality were observed during diagnostic genetic testing according to views held by patients or child patients' parents (n = 106) and by staff (n = 162) from three Finnish university hospitals. The data were collected through a structured questionnaire and analysed using the SAS 8.1 statistical software. In general, the two principles were observed relatively satisfactorily in clinical practice. According to patients/parents, equality in the post-analytic phase (...)
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  31. International Centre for Nursing Ethics (ICNE).Helena Leino-Kilpi, Ann Gallagher, Anne Davis, Sara Fry, Winifred Ellenchild Pinch, Amy Hadad & Ann Hamric - 2010 - Nursing Ethics 17 (4):529-530.
     
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  32.  26
    The Patient Satisfaction Scale – an Empirical Investigation Into the Finnish Adaptation.Riitta Suhonen, Helena Leino-Kilpi, Maritta Välimäki & Hesook Suzie Kim - 2007 - Journal of Evaluation in Clinical Practice 13 (1):31-38.
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  33.  1
    Whistle-Blowers – Morally Courageous Actors in Health Care?Johanna Wiisak, Riitta Suhonen & Helena Leino-Kilpi - forthcoming - Nursing Ethics:096973302210923.
    Background Moral courage means courage to act according to individual’s own ethical values and principles despite the risk of negative consequences for them. Research about the moral courage of whistle-blowers in health care is scarce, although whistleblowing involves a significant risk for the whistle-blower. Objective To analyse the moral courage of potential whistle-blowers and its association with their background variables in health care. Research design Was a descriptive-correlational study using a questionnaire, containing Nurses Moral Courage Scale©, a video vignette of (...)
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  34.  11
    Dignity Realization of Patients with Stroke in Hospital Care: A Grounded Theory.Sunna Rannikko, Minna Stolt, Riitta Suhonen & Helena Leino-Kilpi - 2019 - Nursing Ethics 26 (2):378-389.
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  35.  14
    Editorial Comment.Helena Leino-Kilpi - 2005 - Nursing Ethics 12 (1):3-4.
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  36.  18
    Privacy and Dual Loyalties in Occupational Health Practice.Anne M. Heikkinen, Gustav J. Wickström, Helena Leino-Kilpi & Jouko Katajisto - 2007 - Nursing Ethics 14 (5):675-690.
    This survey set out to explore occupational health professionals' courses of action with respect to privacy in a situation of dual loyalty between employees and employers. A postal questionnaire was sent to randomly selected potential respondents. The overall response rate was 64%: 140 nurses and 94 physicians returned the questionnaire. Eight imaginary cases involving an ethical dilemma of privacy were presented to the respondents. Six different courses of action were constructed within the set alternatives proposed. The study indicated that privacy (...)
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  37.  10
    Planning Focus Group Interviews with Asylum Seekers: Factors Related to the Researcher, Interpreter and Asylum Seekers.Niina Eklöf, Maija Hupli & Helena Leino-Kilpi - 2017 - Nursing Inquiry 24 (4):e12192.
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  38.  6
    Developing and Psychometric Testing of the Anaesthesia Nursing Competence Scale.Yunsuk Jeon, Riitta Meretoja, Tero Vahlberg & Helena Leino-Kilpi - 2020 - Journal of Evaluation in Clinical Practice 26 (3):866-878.
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  39.  28
    Breast Cancer Patients' Perceived Participation in Health Care: How Do Patients Themselves and Nurses Assess This Participation?Tarja Suominen, Helena Leino-Kilpi & Pekka Laippala - 1994 - Nursing Ethics 1 (2):96-109.
    The purpose of this study was to compare breast cancer patients' perceived partici pation in their own care with nurses' perceptions of such participation. Both groups reported that patients are able and willing to take part in their own care more actively than allowed under the present health care system. Nurses also reported that they do provide patients with opportunities for participation.
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  40.  26
    Informed Consent for Short-Stay Surgery.Anne-Maria Kanerva, Tarja Suominen & Helena Leino-Kilpi - 1999 - Nursing Ethics 6 (6):483-493.
    This study in the context of short-stay surgery is based on a definition according to which informed consent consists of five elements: consent, voluntariness, disclosure of information, understanding and competence. The data were collected in four district hospitals in southern Finland by using a structured questionnaire. The population consisted of short-stay and one-day surgery patients (n = 107). Data analysis was based on statistical methods. The results indicated some problems in the realization of informed consent. Most commonly, consent was expressed (...)
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  41.  18
    Respect in the Care of Older Patients in Acute Hospitals.Jaana Koskenniemi, Helena Leino-Kilpi & Riitta Suhonen - 2013 - Nursing Ethics 20 (1):5-17.
    The aim of this study was to describe the experiences of older patients and their next of kin with regards to respect in the care given in an acute hospital. The data were collected using tape-recorded interviews and analysed via inductive content analysis. Based on the analysis, the concept of respect can be defined by the actions taken by nurses and next of kin and by factors related to the environment. The information will be used to develop an instrument for (...)
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