ArticleHealth expectations : an international journal of public participation in health care and health policy2011
A relational perspective on autonomy for older adults residing in nursing homes.
Article in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 154 citations in OpenAlex.
- A Narrative Review of Surgical Consent in Older Populations: Complexities and Potential Solutions.Journal of bioethical inquiry · 2026Review
- Medication refusal in residential aged care homes: A qualitative exploratory study.Nursing ethics · 2026Article
- Ethical challenges and action alternatives: Case reflections in ambulance care.Nursing ethics · 2026Article
- Ethical Considerations in Promoting Physical Activity for Nursing Home Residents With Cognitive Impairment: Implications for Policy and Practice.Journal of gerontological nursing · 2026Article
- Self-worth systems in aging societies: a narrative review and conceptual framework from self-esteem to healthy longevity.Frontiers in psychology · 2026Review
- Person-centred medicine in the care home setting: feasibility testing of a complex intervention.BMC primary care · 2025Article
- Reconsidering autonomy: Asian Americans' use of relational autonomy in organ donation decisions.BMC medical ethics · 2025Article
- Key professional stakeholders roles in promoting older people's autonomy in residential care.Nursing ethics · 2025Article
- Ethical Challenges in Information Disclosure and Decision-making in Prenatal Testing: A Focus Group Study of Chinese Health Professionals in Maternal and Child Health Services.Journal of bioethical inquiry · 2025Article
- How is autonomy supported for people with dementia living in a nursing home, to what extent and under what circumstances? A realist evaluation.BMC health services research · 2025Article
- Shared decision-making among older adults with multimorbidity in Kerala's primary care: a qualitative study using the socio-ecological model.Frontiers in public health · 2025Article
- Reconsidering Autonomy: Asian Americans' Use of Relational Autonomy in Organ Donation Decisions.Research square · 2024Article
- Ethical and Legal Challenges in Caring for Older Adults with Multimorbidities: Best Practices for Nurses.Healthcare (Basel, Switzerland) · 2024Article
- Different views on collaboration between older persons, informal caregivers and care professionals.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Person-centred medicine in the care home setting: development of a complex intervention.BMC primary care · 2024Article
- The RESPECT-brochure: Development of a tool to inform and empower residents and informal caregivers on the medicines' pathway in nursing homes.PEC innovation · 2023Article
- Developing the CARE intervention to enhance ethical self-efficacy in dementia care through the use of literary texts.BMC medical ethics · 2023Article
- Exergames in Older Adult Community Centers and Nursing Homes to Improve Balance and Minimize the Risk of Falls in Older Adults: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2023Review
- Article
- [Factors of endangering and violation of autonomy in residential nursing homes: results of a scoping review].HeilberufeSCIENCE · 2023Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo review critically the traditional concept of autonomy, propose an alternative relational interpretation of autonomy, and discuss how this would operate in identifying and addressing ethical issues that arise in the context of nursing home care for older adults.
backgroundRespect for patient autonomy has been the cornerstone of clinical bioethics for several decades. Important though this principle is, there is debate on how to interpret the core concept of autonomy. We review the appeal of the traditional approach to autonomy in health care and then identify some of the difficulties with this conception.
methodsWe use philosophical methods to explain and discuss the traditional and relational conceptions of autonomy and we illuminate our discussion with examples of various contextual applications.
conclusionWe support the relational conception of autonomy as offering a richer, more contextualized understanding of autonomy which attends to the social, political and economic conditions that serve as background to an agent's deliberations. To illuminate these ideas, we discuss the situation of frail older adults who frequently find their autonomy limited not only by their medical conditions but also by cultural prejudices against the aged and by the conditions commonly found within the nursing homes in which many reside. We propose ways of improving the relational autonomy of this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.