ArticleSAGE open nursing
Norwegian Nurses' Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis.
Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Digital ethical reflection in home nursing care: Nurse leaders' and nurses' experiences.Nursing ethics · 2025Article
- A Qualitative Study of Norwegian Care Institutions Health Care Workers' Experiences of Ad Hoc Ethical Reflection During the Workday.Journal of multidisciplinary healthcare · 2025Article
- Digital ethical reflection in long-term care: Leaders' expectations.Nursing ethics · 2024Article
- Developing and Testing Digital Ethical Reflection in Long-Term Care: Nurses' Experiences.SAGE open nursingArticle
- Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInternationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges and insufficient nursing care. Therefore, quality in daily care for older people also depends upon the nurses' ability to make complex, ethical decisions in their practice.
objectivesTo explore ethical challenges experienced by nurses caring for older people in clinical practice, and to provide examples of management for the challenges.
methodsThe data collected were written reflection notes by Norwegian continuous education students in advanced gerontology. Forty two of 83 notes were included and a thematic analysis in six steps was utilized.
findingsThere are three main themes: (1) meeting vulnerability, discomfort, and suffering, (2) collaboration with relatives, and (3) struggling to perform professional care.
conclusionNurses strive to "do what is in the patients' best interest", and this is fostered through collaboration, professionalism, care, and presence. Nurses' ethical competencies may develop when reflecting upon their own care performance. Building ethical competencies should be a priority in both nursing education and clinical practice. However, to improve care quality, nurses also need professional knowledge about older people care and ethical awareness should be supported by the workplace.
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