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  1.  21
    Ethics education to support ethical competence learning in healthcare: an integrative systematic review.Anders Bremer, Mats Holmberg, Andreas Rantala, Catharina Frank, Anders Svensson & Henrik Andersson - 2022 - BMC Medical Ethics 23 (1):1-26.
    BackgroundEthical problems in everyday healthcare work emerge for many reasons and constitute threats to ethical values. If these threats are not managed appropriately, there is a risk that the patient may be inflicted with moral harm or injury, while healthcare professionals are at risk of feeling moral distress. Therefore, it is essential to support the learning and development of ethical competencies among healthcare professionals and students. The aim of this study was to explore the available literature regarding ethics education that (...)
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  2.  16
    Ethical conflicts in patient relationships: Experiences of ambulance nursing students.Anders Bremer & Mats Holmberg - forthcoming - Nursing Ethics:096973302091107.
    Background: Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim: To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design: An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants: The 69 participants attended a 1-year educational (...)
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  3.  15
    Older patients’ autonomy when cared for at emergency departments.Catharina Frank, Mats Holmberg, Elin Ekestubbe Jernby, Annika Sevandersson Hansen & Anders Bremer - 2022 - Nursing Ethics 29 (5):1266-1279.
    Background Older patients in emergency care often have complex needs and may have limited ability to make their voices heard. Hence, there are ethical challenges for healthcare professionals in establishing a trustful relationship to determine the patient’s preferences and then decide and act based on these preferences. With this comes further challenges regarding how the patient’s autonomy can be protected and promoted. Aim To describe nurses’ experiences of dealing with older patients’ autonomy when cared for in emergency departments (EDs). Research (...)
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  4.  12
    Ambulance clinicians’ understanding of older patients’ self-determination: A vignette study.Anna Bennesved, Anders Bremer, Anders Svensson, Andreas Rantala & Mats Holmberg - 2024 - Nursing Ethics 31 (2-3):342-354.
    Background Older patients are often vulnerable and highly dependent on healthcare professionals’ assessment in the event of acute illness. In the context of ambulance services, this poses challenges as the assessment is normally conducted with a focus on identifying life-threatening conditions. Such assessment is not fully satisfactory in a patient relationship that also aims to promote and protect patient autonomy. Aim To describe ambulance clinicians’ understanding of older patients’ self-determination when the patient’s decision-making ability is impaired. Research design A qualitative (...)
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  5.  28
    Ambulance nurses’ experiences of patient relationships in urgent and emergency situations: A qualitative exploration.Cecilia Svensson, Anders Bremer & Mats Holmberg - 2019 - Clinical Ethics 14 (2):70-79.
    Background The ambulance service provides emergency care to meet the patient’s medical and nursing needs. Based on professional nursing values, this should be done within a caring relationship with a holistic approach as the opposite would risk suffering related to disengagement from the patient’s emotional and existential needs. However, knowledge is sparse on how ambulance personnel can meet caring needs and avoid suffering, particularly in conjunction with urgent and emergency situations. Aim The aim of the study was to explore ambulance (...)
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  6.  6
    Ambulance clinicians’ responsibility when encountering patients in a suicidal process.Staffan Hammarbäck, Mats Holmberg, Lena Wiklund Gustin & Anders Bremer - 2023 - Nursing Ethics 30 (6):857-870.
    Background Even though the traditional focus in emergency care is on life-threatening medical crisis, ambulance clinicians frequently encounter patients with mental illness, including suicidal ideation. A suicide is preceded by a complex process where most of the suicidal ideation is invisible to others. However, as most patients seek healthcare in the year before suicide, ambulance clinicians could have an important part to play in preventing suicide, as they encounter patients in different phases of the suicidal process. Aim The aim of (...)
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