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  • 1.
    Mattiasson, Anne-Cathrine
    et al.
    Sophiahemmet Högskola.
    Andersson, L
    Moral reasoning among professional caregivers in nursing homes1995Inngår i: Western Journal of Nursing Research, ISSN 0193-9459, E-ISSN 1552-8456, Vol. 17, nr 3, 277-91 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article examines the responses from a sample of Swedish nursing home staff workers to a hypothetical ethical conflict highlighting the issue of restraint. The responses were analyzed in two ways: first, Piaget's theory of moral development was used to differentiate between "autonomous" and "heteronomous" awareness, and second, the responses were analyzed from the perspective of ethical principles, that is, autonomy, beneficence, nonmaleficence, and justice. The findings indicate that autonomous ethical awareness took precedence over heteronomous ethical awareness. The dominant moral values were the principle of beneficence, followed by the principle of autonomy.

  • 2.
    Mattiasson, Anne-Cathrine
    et al.
    Sophiahemmet Högskola.
    Andersson, L
    Nursing home staff attitudes to ethical conflicts with respect to patient autonomy and paternalism1995Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 2, nr 2, 115-30 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Six case studies on nursing home staff attitudes to patient autonomy have been analysed. The case studies are based on six polarities within autonomy, as developed by Collopy. In total, 189 professional caregivers, comprising the staff of 13 nursing homes in the county of Stockholm, Sweden, responded to questions based on the case studies. Results show that the attitudes within each professional category had a high level of internal correspondence. Nurses consistently supported patient preferences to the highest degree, followed by assistant nurses and auxiliary staff. Nurses' aides ranked lowest in supporting patient preferences. In only one of the cases were background variables of significance.

  • 3.
    Mattiasson, Anne-Cathrine
    et al.
    Sophiahemmet Högskola.
    Andersson, L
    Organizational environment and the support of patient autonomy in nursing home care1995Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 22, nr 6, 1149-57 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study examined how patient autonomy is associated with the organizational environment in nursing homes, particularly the organizational climate, organization of work and selected staff characteristics, such as age and experience of health care. Staff from 13 nursing homes in the county of Stockholm, Sweden, were included. The organizational climate was described by staff from two of the nursing homes that, on the basis of staff judgement, were rated as creative, and from two of the nursing homes that were rated as lacking innovation. Regarding organization of work, which included the number of patients who required to be fed, together with the incidence of pressure sores and indwelling urinary catheters, there appeared to be no difference in care from both types of nursing home. The statistical analyses showed that nursing homes characterized as significantly creative supported patient autonomy to a high degree, and that the staff's experience with health care was associated with the organizational climate.

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