Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis

Introduction Internationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges...

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Autores principales:	Linda Rykkje PhD, RN, MNSc, Anne Lise Holm PhD, RPN, MPSc, Marit Helene Hem PhD, RPN, MHSc
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/2cd9410df26f40c38c6b68f6d3a097c5
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spelling	oai:doaj.org-article:2cd9410df26f40c38c6b68f6d3a097c52021-11-30T23:35:03ZNorwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis2377-960810.1177/23779608211057938https://doaj.org/article/2cd9410df26f40c38c6b68f6d3a097c52021-11-01T00:00:00Zhttps://doi.org/10.1177/23779608211057938https://doaj.org/toc/2377-9608Introduction Internationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges and insufficient nursing care. Therefore, quality in daily care for older people also depends upon the nurses’ ability to make complex, ethical decisions in their practice. Objectives To explore ethical challenges experienced by nurses caring for older people in clinical practice, and to provide examples of management for the challenges. Methods The data collected were written reflection notes by Norwegian continuous education students in advanced gerontology. Forty two of 83 notes were included and a thematic analysis in six steps was utilized. Findings There are three main themes: (1) meeting vulnerability, discomfort, and suffering, (2) collaboration with relatives, and (3) struggling to perform professional care. Conclusion Nurses strive to “do what is in the patients’ best interest”, and this is fostered through collaboration, professionalism, care, and presence. Nurses’ ethical competencies may develop when reflecting upon their own care performance. Building ethical competencies should be a priority in both nursing education and clinical practice. However, to improve care quality, nurses also need professional knowledge about older people care and ethical awareness should be supported by the workplace.Linda Rykkje PhD, RN, MNScAnne Lise Holm PhD, RPN, MPScMarit Helene Hem PhD, RPN, MHScSAGE PublishingarticleNursingRT1-120ENSAGE Open Nursing, Vol 7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Linda Rykkje PhD, RN, MNSc Anne Lise Holm PhD, RPN, MPSc Marit Helene Hem PhD, RPN, MHSc Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
description	Introduction Internationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges and insufficient nursing care. Therefore, quality in daily care for older people also depends upon the nurses’ ability to make complex, ethical decisions in their practice. Objectives To explore ethical challenges experienced by nurses caring for older people in clinical practice, and to provide examples of management for the challenges. Methods The data collected were written reflection notes by Norwegian continuous education students in advanced gerontology. Forty two of 83 notes were included and a thematic analysis in six steps was utilized. Findings There are three main themes: (1) meeting vulnerability, discomfort, and suffering, (2) collaboration with relatives, and (3) struggling to perform professional care. Conclusion Nurses strive to “do what is in the patients’ best interest”, and this is fostered through collaboration, professionalism, care, and presence. Nurses’ ethical competencies may develop when reflecting upon their own care performance. Building ethical competencies should be a priority in both nursing education and clinical practice. However, to improve care quality, nurses also need professional knowledge about older people care and ethical awareness should be supported by the workplace.
format	article
author	Linda Rykkje PhD, RN, MNSc Anne Lise Holm PhD, RPN, MPSc Marit Helene Hem PhD, RPN, MHSc
author_facet	Linda Rykkje PhD, RN, MNSc Anne Lise Holm PhD, RPN, MPSc Marit Helene Hem PhD, RPN, MHSc
author_sort	Linda Rykkje PhD, RN, MNSc
title	Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
title_short	Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
title_full	Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
title_fullStr	Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
title_full_unstemmed	Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis
title_sort	norwegian nurses’ reflections upon experiences of ethical challenges in older people care: a qualitative thematic analysis
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/2cd9410df26f40c38c6b68f6d3a097c5
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Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis

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