Teeri Sari, Leino-Kilpi Helena, Välimäki Maritta
University of Turku, Turku and Satakunta Polytechnic, Pori, Finland.
Nurs Ethics. 2006 Mar;13(2):116-29. doi: 10.1191/0969733006ne830oa.
The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n = 10) were interviewed, while the relatives, (n = 17) and nurses (n = 9) wrote an essay. Interpretation of the data was based on qualitative content analysis. Problematic experiences were divided into three categories concerning patients' psychological, physical and social integrity. In the case of psychological integrity, the problems were seen as being related to treatment, self-determination and obtaining information; for physical integrity, they were related to physical abuse and lack of individualized care; and for social integrity, to loneliness and social isolation. This study provided no information on the prevalence of ethical problems. However, it is clear from the results that patient integrity warrants more attention in the nursing care of elderly patients.
本研究的目的是探讨老年人长期护理中存在的伦理问题。研究假设，提高对老年人护理中伦理问题的认识有助于确保护理工作达到较高的伦理标准。为了全面了解当前情况，本研究的数据收集于芬兰一家长期护理机构的老年患者、他们的亲属和护士之中。对10名患者进行了访谈，而17名亲属和9名护士撰写了短文。数据的解释基于定性内容分析。有问题的经历分为三类，涉及患者的心理、身体和社会完整性。在心理完整性方面，问题被认为与治疗、自主决定权和信息获取有关；在身体完整性方面，问题与身体虐待和缺乏个性化护理有关；在社会完整性方面，问题与孤独和社会隔离有关。本研究没有提供伦理问题发生率的信息。然而，从结果中可以清楚地看出，在老年患者的护理中，患者的完整性值得更多关注。
