Everyday ethical problems in dementia care:: A teleological model

被引:55
作者
Bolmsjo, Ingrid Agren
Edberg, Anna-Karin
Sandman, Lars
机构
[1] Lund Univ, Dept Hlth Sci, SE-22100 Lund, Sweden
[2] Vardal Inst, Lund, Sweden
[3] Univ Coll Boras, Boras, Sweden
关键词
dementia care; ethics; model for ethical analysis; nursing;
D O I
10.1191/0969733006ne890oa
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
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.
引用
收藏
页码:340 / 359
页数:20
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