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Elements of assisted bodily care: Ethical aspects
Ersta Sköndal Bräcke University College, Sweden.ORCID iD: 0000-0002-8912-8101
Ersta Sköndal Bräcke University College, Sweden;Linköping University, Sweden.
Ersta Sköndal Bräcke University College, Sweden.
2020 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 27, no 6, p. 1377-1395Article in journal (Refereed) Published
Abstract [en]

Background: Many frail older persons who die in Swedish nursing homes need assisted bodily care. They must surrender their bodies to the authority of assistant nurses, which may affect their autonomy and dignity of identity. While assistant nurses claim to support older persons wishes, older persons claim they have to adapt to assistant nurses routines. The provider-receiver incongruence revealed here warrants investigation. Aim: To describe the elements of assisted bodily care, as performed in a nursing home. Research design: Data were collected through thirty-nine observations of assisted bodily care, analyzed with qualitative content analysis. Participants and research context: Seventeen older persons and twenty-two assistant nurses from a Swedish nursing home. Ethical considerations: The research was conducted in line with the Declaration of Helsinki, further approved by the regional ethics committee. Findings: Findings show that assisted bodily care consists of assistant nurses practical work, performed at a high tempo. Assistant nurses still attempt to adapt this work to the older persons wishes for self-determination, taking into account their day-to-day state of health. In spite of time pressure and occasional interruptions, there is room for consideration and affection in assisted bodily care. Discussion: Assistant nurses try to promote older persons dignity of identity, but sometimes fail, possibly due to lack of time. They nevertheless seem to know the older persons well enough to adapt the assisted bodily care according to their preferences and to support self-determination. This indicates that openness to older persons lifeworlds may be more important than the amount of time available. Conclusion: Nursing home contexts might benefit from adopting a person-centered palliative care perspective, highlighting the value of relationships and shared decision-making. If so, older persons and assisted nurses could agree on practices and goals in assisted bodily care beforehand. Such routines may be time-saving and beneficial to all.

Place, publisher, year, edition, pages
Sage Publications, 2020. Vol. 27, no 6, p. 1377-1395
Keywords [en]
Assistant nurses; bodily care; dignity; ethics; nursing home
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-115831DOI: 10.1177/0969733020914348ISI: 000532929900001PubMedID: 32378491Scopus ID: 2-s2.0-85084561142Local ID: 2020OAI: oai:DiVA.org:lnu-115831DiVA, id: diva2:1688628
Available from: 2022-08-19 Created: 2022-08-19 Last updated: 2022-11-01Bibliographically approved

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Holmberg, Bodil

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