In this article, the meaning and implications of dignity, integrity, and autonomy as core concepts in eldercare are illuminated and discussed. Elderly people who receive nursing care are vulnerable and dependent which appeal to care ethics and emphasise the importance of these concepts. However, dignity, integrity, and autonomy are complex concepts that are difficult to work with because on the one hand, they are used frequently in everyday language, and on the other hand, they are hard to define in a caring practice. Based on theoretical and empirical studies within the context of eldercare, the aim of this article is, from a caring perspective, to explore and describe the meaning of these concepts and illustrate their impact for a dignified care. Three key ethical challenges and five principles for eldercare are elucidated and discussed. The ethical issue is basically a concern for the vulnerability of the elderly and respecting the elderly person as an individual human being.
Background: Patients with severe acquired brain injuries are in nutritional risk primarily due to trauma related stress-metabolism. Aim: To describe the nutritional status for patients with severe acquired brain injury admitted to sub-acute neurorehabilitation for a period of eight weeks. Furthermore, to study possible risk factors for weight loss. Methods: Nutritional needs of 46 patients were calculated after the National Board of Health’s (NBH) recommendations. Patients’ calorie and protein intake and weight was registered weekly as well as the presence of tracheotomy and Glasgow Coma Scale score (GCS). Result: Although that patients’ oral intake was in accordance with the recommendations, half of patients lost weight. Association was found between low GCS and weight loss. Conclusion: The recommendations from the NBH might not be sufficient for patients with severe acquired brain injury. Indirect calorimetric may be considered as a more precise method for calculating the patient’s needs. Special attention should be paid on patients with low levels of consciousness.
Working in psychiatric settings can be very stressful, and clinical supervision is a widespread stress-reducing intervention for nursing staff members. Purpose: The aim of this study was to examine factors affecting psychiatric nurses’ participation in supervision and their experienced outcome of clinical supervision. In the paper, we discuss the benefits of working with mixed methods designs. Methods: The study was a sequential mixed methods study. A questionnaire survey included a sample of 136 nurses working in psychiatric hospitals and in community mental health centres. An interview study included 22 of the nurses employed at the psychiatric hospital. Results: The study indicated that clinical supervision was most beneficial for nurses who already had the necessary time, trust, and energy to participate in supervision sessions. Conclusion: Clinical supervision must therefore be organised in ways that facilitate nurses’ opportunities for regular participation in supervision sessions, whereby trusting relationships between participants will grow.
Politically enforced closing down and relocations of nursing homes are common in many municipalities. Through the construction of a specific nursing home relocation and interviews with the staff, residents, and relatives, this article describes how the relocation has occurred and has been handled as seen from the perspectives of both the elderly, their relatives, and the staff, as well as the impact, this relocation has had on these groups of people. Hermeneutically inspired analyses are unfolded within the categories “The political decision to relocate the nursing home”, “Information to and the involvement of the participants in the relocation process”, “The actual practical relocation”, and “The new life – deprivations and benefits”. The article shows that a relocation of a nursing home and its residents and employees is a municipal, economically based decision with implications for both the residents and their everyday lives, for the relatives of the residents because of their concerns and guilty consciences regarding causing disturbance of the everyday lives of their relatives, and for the staff and their working lives. The common fate for the staff, the residents, and their relatives appears to be both a consolation and a drive to make a success out of something which is inevitable and necessary.
In Denmark little is known about elderly with ethnic minority backgrounds, at nursing homes or in own homes, and their relative experience of everyday life near death. The purpose of the article is to illustrate the conceptions and needs of death in everyday life near to death. The method is based on qualitative interviews with 13 elderly and nine relatives from different continents. The study has an anthropological and everyday life theoretical approach. A ‘good death’ is regarded as a quick, unexpected death. A ‘bad death’ is prolonged, conscious and with dependency. Some elderly/ relatives who express conceptions about apocalyptic notions problematise the process of dying. Others with a lifecycle perspective talk more harmoniously about death. The elderly mainly wish to have their nearest family around them when they die. Most elderly/relatives have little knowledge about palliative care. The results indicate a need for a health political and professional effort in this area.
This article is based on a study of the communication between the patient and the nurse during their conversation at the admission to hospital. The purpose of the study was to capture the patient perspective in current clinical practice. Data consisted of video recordings of the conversations as well as the subsequent interviews with both patients and nurses. The present article is based primarily on these interviews investigating the experiences and intentions of nurses and patients concerning their conversations at the admission to hospital; the experiences and intentions are put into perspective with findings from the video analyses. The conclusion is that there seemed to be a divergence between the intentions of the nurse and the experiences and reflections of the patients in the light of what took place in the video recordings.