Department of Nursing Science, School of Health Sciences, University of Jönköping, Sweden.
Int J Qual Stud Health Well-being. 2011;6(3). doi: 10.3402/qhw.v6i3.7291. Epub 2011 Sep 14.
The aim of the study was to identify nurses' ethical values, which become apparent through their behaviour in the interactions with older patients in caring encounters at a geriatric clinic.Descriptions of ethics in a caring practice are a problem since they are vague compared with the four principles of autonomy, beneficence, non-maleficence, and justice.A Grounded Theory methodology was used. In total, 65 observations and follow-up interviews with 20 nurses were conducted, and data were analysed by constant comparative analysis.THREE CATEGORIES WERE IDENTIFIED: showing consideration, connecting, and caring for. These categories formed the basis of the core category: "Corroborating." In corroborating, the focus is on the person in need of integrity and self-determination; that is, the autonomy principle. A similar concept was earlier described in regard to confirming. Corroborating deals more with support and interaction. It is not enough to be kind and show consideration (i.e., to benefit someone); nurses must also connect and care for the older person (i.e., demonstrate non-maleficence) in order to corroborate that person.The findings of this study can improve the ethics of nursing care. There is a need for research on development of a high standard of nursing care to corroborate the older patients in order to maintain their autonomy, beneficence, and non-maleficence. The principal of justice was not specifically identified as a visible nursing action. However, all older patients received treatment, care, and reception in an equivalent manner.
这项研究的目的是确定护士的伦理价值观，这些价值观通过他们在老年诊所的护理互动中与老年患者的互动行为表现出来。在护理实践中描述伦理是一个问题，因为与自主性、善行、不伤害和正义这四项原则相比，它们是模糊的。本研究采用扎根理论方法。总共对 20 名护士进行了 65 次观察和随访访谈，数据采用恒定性比较分析进行分析。确定了三个类别：表示关怀、联系和关心。这些类别构成了核心类别“证实”的基础。在证实中，重点是需要完整性和自我决定的人，即自主性原则。之前在确认方面也描述了类似的概念。证实更多地涉及支持和互动。仅仅善良和表示关怀（即对某人有益）是不够的；护士还必须与老年人联系并关心他们（即表现出不伤害），以证实他们。这项研究的发现可以改善护理伦理。需要研究如何提高护理标准以证实老年患者的自主性、善行和不伤害，以维护他们的自主性、善行和不伤害。正义原则并没有被明确确定为可见的护理行为。然而，所有老年患者都以同等的方式接受治疗、护理和接待。
