Häggström Elisabeth, Kihlgren Annica
University of Gävle, Gävle, Sweden.
Nurs Ethics. 2007 Sep;14(5):691-701. doi: 10.1177/0969733007077890.
The aim of the present study was, by means of discussion highlighting ethical questions and moral reasonings, to increase understanding of the situations of caregivers and relatives of older persons living in a public nursing home in Sweden. The findings show that these circumstances can be better understood by considering two different perspectives: an individual perspective, which focuses on the direct contact that occurs among older people, caregivers and relatives; and a societal perspective, which focuses on the norms, values, rules and laws that govern a society. Relatives and caregivers thought that the politicians were sending out mixed messages: they were praising caregivers and relatives for their efforts, but at the same time the public health care sector was subjected to significant cutbacks in resources. Both caregivers and relatives were dissatisfied and frustrated with the present situation regarding the care of older persons in public nursing homes.
本研究的目的是通过突出伦理问题和道德推理的讨论,增进对瑞典一家公立养老院中老年人的护理人员和亲属情况的理解。研究结果表明,通过考虑两种不同的视角可以更好地理解这些情况:个体视角,关注老年人、护理人员和亲属之间的直接接触;社会视角,关注支配社会的规范、价值观、规则和法律。亲属和护理人员认为,政治家们传递出的信息相互矛盾:他们赞扬护理人员和亲属的努力,但与此同时,公共卫生保健部门的资源却大幅削减。护理人员和亲属对公立养老院中老年人护理的现状都感到不满和沮丧。