ArticleNursing ethics
Ethical issues in long-term care settings: Care workers' lived experiences.
Article in Nursing ethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 15 citations in OpenAlex.
- Clinical Blindness to Eating Disorders in Older Adults: A Qualitative Study of Primary Care Nurses' Perspectives.Healthcare (Basel, Switzerland) · 2026Article
- Development and pilot validation of a European ethical framework for decision-making in dementia care.BMC medical ethics · 2026Article
- Nurses' Ethical Competence, Perceived Ethical Climate and Stereotypes of Older Adults: A Cross Sectional Survey.International journal of older people nursing · 2026Article
- Nursing home staff's experiences and reflections regarding disordered eating among older adults: a focus group and vignette-based study.Journal of eating disorders · 2026Article
- Relational Agency and Ethical Professionalism Among Long-Term Care Workers: Evidence from Taiwan.Healthcare (Basel, Switzerland) · 2026Article
- Health-oriented participatory leadership in European nursing homes: a qualitative cross-country study of support for employees and teams.BMC health services research · 2026Article
- A phenomenological study on the experiences of nursing home nurses.BMC nursing · 2025Article
- Identifying Emerging Drivers and Interventions to Reduce Vaccine Hesitancy Among Long-Term Care Facility Nursing Staff.The Gerontologist · 2025Article
- Ethical Issues Encountered by Nurse Managers Working With Older Adults in Long-Term Care Settings: A Qualitative Interview Study.Journal of nursing management · 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
- Understanding mealtime behavioral problems in nursing home residents living with dementia: a group concept mapping approach.BMC geriatrics · 2024Article
- Ethical self-efficacy among healthcare professionals caring for people with dementia: a brief pre- and post-report on the CARE intervention.BMC medical ethics · 2024Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProfessional care workers face ethical issues in long-term care settings (LTCS) for older adults. They need to be independent and responsible, despite limited resources, a shortage of skilled professionals, global and societal changes, and the negative reputation of LTCS work. RESEARCH
aimOur aim was to describe the care workers' lived experiences of ethical issues. The findings can be used to gain new perspectives and to guide decision-making to improve the quality of care, occupational well-being and nursing education. RESEARCH
designFocus group interviews were analyzed using a hermeneutic-phenomenological method. The analysis comprised three steps: naïve reading, structural analysis, and comprehensive understanding. PARTICIPANTS AND RESEARCH CONTEXT: We randomly sampled LTCS service providers in Finland and 53 care workers with different educational backgrounds from seven organizations participated in focus group interviews in 2021. ETHICAL CONSIDERATIONS: This was a sensitive study, which was connected to the participants' individual views of the world, professional ethics and social and health care legislation. The participants' provided informed consent and their anonymity was guaranteed.
findingsCare workers spoke about their lived experiences of ethical issues in an emotional way, using practical examples. They talked about how they were experts at caring and advocating for residents, balanced the responsibilities of their different roles, and defended their work to the wider society. The care workers said that ethical aspects of their work were too difficult to solve on their own. There were elements of their working environment and practices that caused unnecessary strain and they needed the commitment of managers, organizations, and society to solve ethical issues in LTCS.
conclusionsEthical issues were related to the well-being of both residents and care workers and reflected both internal and external pressures. Some issues could not be resolved by individuals and needed input from managers, organizations, and society.
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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.