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"There should be something gained": Carers’ ethical reasoning about using a common staff approach in psychiatric in-care
Engelsk titel: "There should be something gained": Carers’ ethical reasoning about using a common staff approach in psychiatric in-care Läs online Författare: Enarsson, Per ; Hellzen, Ove ; Sandman, Per-Olof Språk: Eng Antal referenser: 38 Dokumenttyp: Artikel UI-nummer: 18010144

Tidskrift

Nordic Journal of Nursing Research 2017;37(4)217-25 ISSN 2057-1585 E-ISSN 2057-1593 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Thirteen carers were interviewed about their ethical reasoning when using a common staff approach to restricting smoking for a psychiatric in-patient. A constructed case structure and a vignette method were used in the interviews, and manifest content analysis of the texts exposed five ethical positions adopted by the carers: ‘best for the person’, ‘best for the patient’, ‘best for others involved with the person/patient’, ‘best for me as a carer’, and ‘best according to rules and regulations’. A second manifest content analysis of language showed terms that expressed value judgments in regard to the carers’ personal experiences. Some carers argued at first from one ethical position, but when the question was changed, they argued from an opposite ethical position. Results may be understood in light of dialog philosophy; ethical reasoning during use of a common staff approach tends to focus either on relations with others or with oneself.