Ethical Problems in End-of-Life Decision-Making for Norwegian Healthcare Professionals, Elders, and Family Members

2.50
Hdl Handle:
http://hdl.handle.net/10755/156254
Type:
Presentation
Title:
Ethical Problems in End-of-Life Decision-Making for Norwegian Healthcare Professionals, Elders, and Family Members
Abstract:
Ethical Problems in End-of-Life Decision-Making for Norwegian Healthcare Professionals, Elders, and Family Members
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Schaffer, Marjorie A., PhD, RN
P.I. Institution Name:Bethel University
In the context of a society?s laws and ethical standards, end-of-life decisions are influenced by the goals and values of individuals, their family members, health professionals, and health care organizations.  Interview questions were designed to explore these contributing perspectives to end-of-life decisions for elders in Norway.  This qualitative study identified ethical problems, resolutions, and rationale experienced in end-of-life decision-making by heath care professionals, elders, and family members in Norway.  In addition, Norwegian laws, policies, and standards relevant to health care at the end of life were analyzed to determine the societal context for end-of-life ethical decision-making.  Health care professionals (n = 25), who were nurses, physicians, ministers, and a social worker from nursing homes, hospitals, home care, or hospices, identified 94 ethical problems in eight categories.  The highest frequency of ethical problems occurred in interactions with family members and concerns about the quality and adequacy of health care services.  Six elders, all living independently, identified 21 ethical problems in four categories concerning end-of-life decision-making. Elders were primarily concerned about treatment that was given at the end of life and making decisions for themselves or others.  Five family members named 13 ethical problems in three categories. Their greatest concern was about dissatisfaction with health care services provided to an elderly parent who had recently died.  Family members described ethical conflict about how to talk to a parent about end-of-life decisions.  All three participant groups experienced ethical problems regarding quality of health care services and interactions with family members.  Analyses of resolutions and rationale for the responses to the ethical problems suggest implications for enhancing conversations between professionals, family members, and elders as well as strategies for improving health care organizational approaches to end-of-life care for elders and their family members.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEthical Problems in End-of-Life Decision-Making for Norwegian Healthcare Professionals, Elders, and Family Membersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156254-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Ethical Problems in End-of-Life Decision-Making for Norwegian Healthcare Professionals, Elders, and Family Members</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schaffer, Marjorie A., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Bethel University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">m-schaffer@bethel.edu</td></tr><tr><td colspan="2" class="item-abstract">In the context of a society?s laws and ethical standards, end-of-life decisions are influenced by the goals and values of individuals, their family members, health professionals, and health care organizations. &nbsp;Interview questions were designed to explore these contributing perspectives to end-of-life decisions for elders in Norway.&nbsp; This qualitative study identified ethical problems, resolutions, and rationale experienced in end-of-life decision-making by heath care professionals, elders, and family members in Norway.&nbsp; In addition, Norwegian laws, policies, and standards relevant to health care at the end of life were analyzed to determine the societal context for end-of-life ethical decision-making.&nbsp; Health care professionals (n = 25), who were nurses, physicians, ministers, and a social worker from nursing homes, hospitals, home care,&nbsp;or hospices, identified 94 ethical problems in eight categories.&nbsp; The highest frequency of ethical problems occurred in interactions with family members and concerns about the quality and adequacy of health care services.&nbsp; Six elders, all living independently, identified 21 ethical problems in four categories concerning end-of-life decision-making. Elders were primarily concerned about treatment that was given at the end of life and making decisions for themselves or others.&nbsp; Five family members named 13 ethical problems in three categories. Their greatest concern was about dissatisfaction with health care services provided to an elderly parent who had recently died.&nbsp; Family members described ethical conflict about how to talk to a parent about end-of-life decisions.&nbsp; All three participant groups experienced ethical problems regarding quality of health care services and interactions with family members.&nbsp; Analyses of resolutions and rationale for the responses to the ethical problems suggest implications for enhancing conversations between professionals, family members, and elders as well as strategies for improving health care organizational approaches to end-of-life care for elders and their family members.</td></tr></table>en_GB
dc.date.available2011-10-26T14:36:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:36:15Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.