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The ethics of coercive treatment of people with dementia
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Sophiahemmet University College. (Vårdvetenskap, Caring Sciences)
Sophiahemmet University College; Karolinska Inst, S-10401 Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. (Vårdvetenskap, Caring Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. (Vårdvetenskap, Caring Sciences)
2013 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, no 3, 248-262 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to describe how registered nurses in nursing homes ensure legal security, good and safe nursing care and uphold the dignity of nursing home residents with severe dementia without violating residents’ integrity. Semi-structured interviews were conducted with 10 charge nurses in a county in central Sweden. The transcribed interviews were examined using manifest and latent content analyses. The manifest analysis identified actual local routines involving coercive treatment and registered nurses’ descriptions of complications and alternative measures. The latent analysis resulted in three themes describing nursing strategies: one with coercive treatment, one with coercive treatment under specific circumstances and one to prevent coercive treatment. Interpretations of legal terms regarding coercive treatment and inadequate gerontological nursing training and understaffing seem to preserve the use of coercive treatment.

Place, publisher, year, edition, pages
2013. Vol. 20, no 3, 248-262 p.
Keyword [en]
Constraint, dementia, nursing home, older people, physical restraints
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-221275DOI: 10.1177/0969733012463721ISI: 000341633900002PubMedID: 23329782OAI: oai:DiVA.org:uu-221275DiVA: diva2:708301
Available from: 2014-03-27 Created: 2014-03-27 Last updated: 2017-12-05Bibliographically approved

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Pöder, UlrikaWadensten, Barbro

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