Ethical decision-making in hospice care
Background:Hospicesarebasedonaholisticapproachwhichplacesthephysical,psychological,socialand spiritual welfare of their patients at the forefront of their work. Furthermore, they draw up their own mission statements which they are at pains to follow and seek to conduct their work in accordance with...
| Authors: | ; |
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| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
Sage
2014
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| In: |
Nursing ethics
Year: 2015, Volume: 22, Issue: 3, Pages: 321-330 |
| Online Access: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
| Summary: | Background:Hospicesarebasedonaholisticapproachwhichplacesthephysical,psychological,socialand spiritual welfare of their patients at the forefront of their work. Furthermore, they draw up their own mission statements which they are at pains to follow and seek to conduct their work in accordance with codes of ethics and standards of care. Research question and design: Our study researched what form the processes and degrees of latitude in decision-making take in practice when questions ofan ethical andethically relevantnature arise. We used a qualitative approach. Data collection and evaluation was based on the methods of grounded theory. Ethical considerations: The study was reported to the relevant Ethics Commission who had raised no objections following the submission of the study protocol. The study at the hospices was approved by the directors of the hospices and the nursing teams. The rights of the participants were protected by obtaining informed consent. Results: Medicationintheprefinalphaseandquestionsaffectingtheprovisionofsolidsandliquidsintheendof-life phase have an ethical dimension. In the context of these two fields, decisions are taken collectively. Anurse’sindividual(andethicallyrelevant)leewayindecision-makingprocessesisrestrictedtothenurse’sown styleofadministeringcare.Thenurse’sdecision-makingoftendependstoafargreaterdegreeonherabilityto adapt her concept of ideal care to fit the practical realities of her work than to any conceptual framework. Discussion:Anadaptiveprocessisnecessaryforthenursebecausesheisrequiredtoincorporatethefour pillars of hospice care – namely, physical, psychological, social and spiritual care – into the practice of her daily work. Conclusion: Ethically relevant decisions are often characterised by nurses adjusting their aspiration levels to the practical conditions with which they are confronted. |
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| Item Description: | Literaturangaben Gesehen am 11.11.2019 |
| ISSN: | 1477-0989 |
| Contains: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/0969733014534873 |