'Because we see them naked' – nurses' experiences in caring for hospitalized patients with dementia: Considering artificial nutrition or hydration (anh)
Bioethics 26 (6):285-295 (2011)
|Abstract||The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described as encompassing the various stages of the care process: the nurses' initial meeting with the vulnerable patient; the intense decision-making process, during which the nurses experienced several intense emotions influenced by supporting or hindering contextual factors; and the final coping process, a time when nurses came to terms with this challenging experience. From our examination of this care process, it is obvious that nurses' involvement in ANH decision-making processes that concern patients with dementia is a difficult and ethically sensitive experience. On the one hand, the feeling of ‘being touched’ can imply strength, as it demonstrates that nurses are willing to provide good care. On the other hand, the feeling of ‘being touched’ can also imply weakness, as it makes nurses vulnerable to moral distress stemming from contextual influences. Therefore, nurses have to be supported as they carry out this ethically sensitive assignment. Practical implications are given|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
Catherine Constable (2012). Withdrawal of Artificial Nutrition and Hydration for Patients in a Permanent Vegetative State: Changing Tack. Bioethics 26 (3):157-163.
E. Bryon, B. D. de Casterle & C. Gastmans (2008). Nurses' Attitudes Towards Artificial Food or Fluid Administration in Patients with Dementia and in Terminally Ill Patients: A Review of the Literature. [REVIEW] Journal of Medical Ethics 34 (6):431-436.
Helga Kuhse (1997). Caring: Nurses, Women, and Ethics. Blackwell Publishers.
Kirsten Schou, Herdis Alvsvåg, Gunnhild Blåka & Eva Gjengedal (2008). The (Dis)Appearance of the Dying Patient in Generalist Hospital and Care Home Nurses' Talk About the Patient. Nursing Philosophy 9 (4):233-247.
Kate Jones (2006). Strengthening Professional Practice. Chisholm Health Ethics Bulletin 12 (1):4.
Sara T. Fry (2008). Ethics in Nursing Practice: A Guide to Ethical Decision Making. Wiley-Blackwell.
James L. Muyskens (1982). Nurses' Collective Responsibility and the Strike Weapon. Journal of Medicine and Philosophy 7 (1):101-112.
Satish P. Deshpande & Jacob Joseph (2009). Impact of Emotional Intelligence, Ethical Climate, and Behavior of Peers on Ethical Behavior of Nurses. Journal of Business Ethics 85 (3):403 - 410.
Helge Skirbekk & Per Nortvedt (forthcoming). Inadequate Treatment for Elderly Patients: Professional Norms and Tight Budgets Could Cause “Ageism” in Hospitals. Health Care Analysis.
Sami Alsolamy (forthcoming). Islamic Views on Artificial Nutrition and Hydration in Terminally Ill Patients. Bioethics.
Bernadette Dierckx de Casterlé, Mieke Grypdonck, Nancy Cannaerts & Els Steeman (2004). Empirical Ethics in Action: Lessons From Two Empirical Studies in Nursing Ethics. Medicine, Health Care and Philosophy 7 (1):31-39.
Fiona Randall (1996). Palliative Care Ethics: A Good Companion. Oxford University Press.
Joyce Beebe Thompson (1985/1992). Bioethical Decision Making for Nurses. University Press of America.
Added to index2011-02-15
Total downloads6 ( #145,615 of 549,087 )
Recent downloads (6 months)1 ( #63,317 of 549,087 )
How can I increase my downloads?