IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i5-6p1063-1072.html
   My bibliography  Save this article

Barriers to ethical nursing practice for older adults in long‐term care facilities

Author

Listed:
  • Kwisoon Choe
  • Hyunwook Kang
  • Aekyung Lee

Abstract

Aims and objectives To explore barriers to ethical nursing practice for older adults in long‐term care facilities from the perspectives of nurses in South Korea. Background The number of older adults admitted to long‐term care facilities is increasing rapidly in South Korea. To provide this population with quality care, a solid moral foundation should be emphasised to ensure the provision of ethical nursing practices. Barriers to implementing an ethical nursing practice for older adults in long‐term care facilities have not been fully explored in previous literature. Design A qualitative, descriptive design was used to explore barriers to ethical nursing practice as perceived by registered nurses in long‐term care facilities in South Korea. Methods Individual interviews were conducted with 17 registered nurses recruited using purposive (snowball) sampling who care for older adults in long‐term care facilities in South Korea. Data were analysed using qualitative content analysis. Results Five main themes emerged from the data analysis concerning barriers to the ethical nursing practice of long‐term care facilities: emotional distress, treatments restricting freedom of physical activities, difficulty coping with emergencies, difficulty communicating with the older adult patients and friction between nurses and nursing assistants. Conclusions This study has identified methods that could be used to improve ethical nursing practices for older adults in long‐term care facilities. Because it is difficult to improve the quality of care through education and staffing alone, other factors may also require attention. Relevance for clinical practice Support programmes and educational opportunities are needed for nurses who experience emotional distress and lack of competency to strengthen their resilience towards some of the negative aspects of care and being a nurse that were identified in this study.

Suggested Citation

  • Kwisoon Choe & Hyunwook Kang & Aekyung Lee, 2018. "Barriers to ethical nursing practice for older adults in long‐term care facilities," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1063-1072, March.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:1063-1072
    DOI: 10.1111/jocn.14128
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14128
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14128?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hsiu‐Hsin Tsai & Yun‐Fang Tsai & Hsiu‐Li Huang, 2016. "Nursing home nurses’ experiences of resident transfers to the emergency department: no empathy for our work environment difficulties," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(5-6), pages 610-618, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Moonok Kim & Younjae Oh & Byunghye Kong, 2020. "Ethical Conflicts Experienced by Nurses in Geriatric Hospitals in South Korea: “If You Can’t Stand the Heat, Get Out of the Kitchen”," IJERPH, MDPI, vol. 17(12), pages 1-13, June.
    2. Mojtaba Vaismoradi & Flores Vizcaya-Moreno & Sue Jordan & Ingjerd Gåre Kymre & Mari Kangasniemi, 2020. "Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review," Sustainability, MDPI, vol. 12(7), pages 1-14, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Torunn Kitty Vatnøy & Tor‐Ivar Karlsen & Bjørg Dale, 2019. "Exploring nursing competence to care for older patients in municipal in‐patient acute care: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3339-3352, September.
    2. Hsiu‐Hsin Tsai & Yun‐Fang Tsai, 2018. "Development, validation and testing of a nursing home to emergency room transfer checklist," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 115-122, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:1063-1072. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.