Everyday ethical problems in dementia care: a teleological model.
(2006) In Nursing Ethics 13(4). p.340-359- Abstract
- In this article, a teleological model for analysis of everyday ethical situations in dementia care is used to analyse and clarify perennial ethical problems in nursing home care for persons with dementia. This is done with the aim of describing how such a model could be useful in a concrete care context. The model was developed by Sandman and is based on four aspects: the goal; ethical side-constraints to what can be done to realize such a goal; structural constraints; and nurses’ ethical competency. The model contains the following main steps: identifying and describing the normative situation; identifying and describing the different possible alternatives; assessing and evaluating the different alternatives; and deciding on, implementing... (More)
- In this article, a teleological model for analysis of everyday ethical situations in dementia care is used to analyse and clarify perennial ethical problems in nursing home care for persons with dementia. This is done with the aim of describing how such a model could be useful in a concrete care context. The model was developed by Sandman and is based on four aspects: the goal; ethical side-constraints to what can be done to realize such a goal; structural constraints; and nurses’ ethical competency. The model contains the following main steps: identifying and describing the normative situation; identifying and describing the different possible alternatives; assessing and evaluating the different alternatives; and deciding on, implementing and evaluating the chosen alternative. Three ethically difficult situations from dementia care were used for the application of the model. The model proved useful for the analysis of nurses’ everyday ethical dilemmas and will be further explored to evaluate how well it can serve as a tool to identify and handle problems that arise in nursing care. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/159005
- author
- Bolmsjö, Ingrid ; Edberg, Anna-Karin LU and Sandman, Lars
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Patient-Centered Care: ethics, Principle-Based Ethics, Problem Solving: ethics, Quality of Life: psychology, Aged: psychology, Attitude of Health Personnel, Clinical Competence: standards, Conflict (Psychology), Decision Making: ethics, Decision Support Techniques, Nursing, Nursing Assessment: ethics, Nursing Evaluation Research, Nursing Homes: ethics, Nursing Staff:education, Nursing Staff: ethics, Nursing Staff: psychology, Patient Advocacy: ethics, Patient Advocacy: psychology, Dementia: nursing, Dementia: psychology, Ethical Analysis: methods, Ethical Theory, Geriatric Nursing: ethics, Geriatric Nursing: organization & administration, Goals, Humans, Models
- in
- Nursing Ethics
- volume
- 13
- issue
- 4
- pages
- 340 - 359
- publisher
- SAGE Publications
- external identifiers
-
- wos:000238440000003
- pmid:16838567
- scopus:33745761245
- ISSN
- 1477-0989
- DOI
- 10.1191/0969733006ne890oa
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Gerontology and Caring Sciences (Closed 2012) (013220200), Caring Sciences (Closed 2012) (016514020)
- id
- a75ec19f-8d90-4bc5-9f59-17ef6fee3c53 (old id 159005)
- date added to LUP
- 2016-04-01 12:01:41
- date last changed
- 2022-04-13 04:59:31
@article{a75ec19f-8d90-4bc5-9f59-17ef6fee3c53,
abstract = {{In this article, a teleological model for analysis of everyday ethical situations in dementia care is used to analyse and clarify perennial ethical problems in nursing home care for persons with dementia. This is done with the aim of describing how such a model could be useful in a concrete care context. The model was developed by Sandman and is based on four aspects: the goal; ethical side-constraints to what can be done to realize such a goal; structural constraints; and nurses’ ethical competency. The model contains the following main steps: identifying and describing the normative situation; identifying and describing the different possible alternatives; assessing and evaluating the different alternatives; and deciding on, implementing and evaluating the chosen alternative. Three ethically difficult situations from dementia care were used for the application of the model. The model proved useful for the analysis of nurses’ everyday ethical dilemmas and will be further explored to evaluate how well it can serve as a tool to identify and handle problems that arise in nursing care.}},
author = {{Bolmsjö, Ingrid and Edberg, Anna-Karin and Sandman, Lars}},
issn = {{1477-0989}},
keywords = {{Patient-Centered Care: ethics; Principle-Based Ethics; Problem Solving: ethics; Quality of Life: psychology; Aged: psychology; Attitude of Health Personnel; Clinical Competence: standards; Conflict (Psychology); Decision Making: ethics; Decision Support Techniques; Nursing; Nursing Assessment: ethics; Nursing Evaluation Research; Nursing Homes: ethics; Nursing Staff:education; Nursing Staff: ethics; Nursing Staff: psychology; Patient Advocacy: ethics; Patient Advocacy: psychology; Dementia: nursing; Dementia: psychology; Ethical Analysis: methods; Ethical Theory; Geriatric Nursing: ethics; Geriatric Nursing: organization & administration; Goals; Humans; Models}},
language = {{eng}},
number = {{4}},
pages = {{340--359}},
publisher = {{SAGE Publications}},
series = {{Nursing Ethics}},
title = {{Everyday ethical problems in dementia care: a teleological model.}},
url = {{http://dx.doi.org/10.1191/0969733006ne890oa}},
doi = {{10.1191/0969733006ne890oa}},
volume = {{13}},
year = {{2006}},
}