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Everyday ethical problems in dementia care: a teleological model.

Bolmsjö, Ingrid ; Edberg, Anna-Karin LU and Sandman, Lars (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)
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author
organization
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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 Inc.
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
2019-12-04 02:21:47
@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},
  language     = {eng},
  number       = {4},
  pages        = {340--359},
  publisher    = {SAGE Publications Inc.},
  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},
}