A Comparison of Nursing Ethical Dilemmas in Geriatric Palliative Care Between Japan and Finland
Myller, Misa (2020)
2020
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2020091120381
https://urn.fi/URN:NBN:fi:amk-2020091120381
Tiivistelmä
A purpose of the thesis was to describe the differences and similarities in ethical challenges encountered by nurses in geriatric palliative care between Finland and Japan. The study aimed to deepen the knowledge of ethical challenges in palliative care and improve expertise in the care between the two different cultures, and to provide nurses more opportunities to tackle the problems. A research question was what differences and similarities are in nurses’ ethical challenges in a practice of geriatric palliative care between the two countries.
Although there are growing number of literatures concerning the topic, there is no comparative studies of Finnish and Japanese nurses. The thesis was conducted by a literature review with 14 articles, and an inductive content analysis method was applied.
Four categories were detected; “Truth-telling”, “responsibility and uncertainty”, “environment”, and “interactions”.
Japanese nurses emphasised on a sense of guilt as a reason for ethical dilemmas, whereas Finnish nurses experienced the distress as infringing on patients’ rights. The findings indicated that those differences had a great impact on palliative care and ethical issues to both nurses and patients’ way of behaviour and thoughts. Further research is required to explore the ethical issues regarding geriatric palliative patients with dementia, and can be done by an empirical methodology to understand the further implication of the findings.
Although there are growing number of literatures concerning the topic, there is no comparative studies of Finnish and Japanese nurses. The thesis was conducted by a literature review with 14 articles, and an inductive content analysis method was applied.
Four categories were detected; “Truth-telling”, “responsibility and uncertainty”, “environment”, and “interactions”.
Japanese nurses emphasised on a sense of guilt as a reason for ethical dilemmas, whereas Finnish nurses experienced the distress as infringing on patients’ rights. The findings indicated that those differences had a great impact on palliative care and ethical issues to both nurses and patients’ way of behaviour and thoughts. Further research is required to explore the ethical issues regarding geriatric palliative patients with dementia, and can be done by an empirical methodology to understand the further implication of the findings.