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Rejnö Å, Danielson E, Berg L. Strategies for handling ethical problems in sudden and unexpected death. Nurs Ethics 2013; 20:708-22. [DOI: 10.1177/0969733012473770] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
How ethical praxis is shaped by different contexts and situations has not been widely studied. We performed a follow-up study on stroke team members’ experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. A number of ways for handling ethical problems emerged, which we have now explored further. Data were collected through a three-part form used as base for individual interviews with 15 stroke team members and analyzed using both quantitative and qualitative content analysis. In the analysis, the approaches in the form were condensed into strategies, and the two different ways those strategies were preferred and used by the team members were shown. Hindrances perceived by the team members to impede them from working the preferred way were also revealed and grouped into eight categories.
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Affiliation(s)
- Åsa Rejnö
- University of Gothenburg, Sweden; Skaraborg Hospital, Sweden
| | - Ella Danielson
- University of Gothenburg, Sweden; Mid Sweden University, Sweden
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Wiese M, Stancliffe RJ, Balandin S, Howarth G, Dew A. End-of-Life Care and Dying: Issues Raised by Staff Supporting Older People with Intellectual Disability in Community Living Services. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2012; 25:571-83. [DOI: 10.1111/jar.12000] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2012] [Indexed: 11/28/2022]
Affiliation(s)
- Michele Wiese
- Faculty of Health Sciences; University of Sydney; Lidcombe NSW Australia
| | | | - Susan Balandin
- Faculty of Health Sciences; University of Sydney; Lidcombe NSW Australia
| | - Glennys Howarth
- Faculty of Health; Education and Society; Plymouth University; Truro Cornwall, UK
| | - Angela Dew
- Faculty of Health Sciences; University of Sydney; Lidcombe NSW Australia
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Rejnö Å, Berg L, Danielson E. Ethical problems: In the face of sudden and unexpected death. Nurs Ethics 2011; 19:642-53. [DOI: 10.1177/0969733011412099] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
When people die suddenly and unexpectedly ethical issues often come to the fore. The aim of the study was to describe experiences of members of stroke teams in stroke units of ethical problems and how the teams manage the situation when caring for patients faced with sudden and unexpected death from stroke. Data were collected through four focus group interviews with 19 team members in stroke-unit teams, and analysed using interpretive content analysis. Three themes emerged from the analysis characterized by information, decisions about care and support for the next-of-kin in the changing and uncertain situation, with mutual trust as the core. Mutual trust, both within the stroke team and with next-of-kin was seen by the stroke-team members as a way of handling ethical problems by administering care with the patient’s best interest at heart.
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Affiliation(s)
- Åsa Rejnö
- Gothenburg University, Sweden; Skaraborg Hospital, Sweden
| | | | - Ella Danielson
- Gothenburg University, Sweden; Mid Sweden University, Sweden
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Challenges in Understanding Functional Decline, Prognosis, and Transitions in Advanced Illness. TOPICS IN GERIATRIC REHABILITATION 2011. [DOI: 10.1097/tgr.0b013e3181ff6a89] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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