To improve systematic ethical work, most employees suggested ethics education (86%) and time to discuss ethics (82%). With knowledge of the legal and ethical framework and an understanding of some of the common and complicated problems that arise, doctors should be better equipped to provide optimal care to nursing home residents. The organization of the ethics consultation must be clarified before its implementation in the nursing home. Nursing homes provide long-term nursing, personal, or custodial care to people who require those services because of illness, physical illness, or old age.
Objectives With greater reliance on nursing homes to provide care for the aging population, ethical problems are also likely to increase. An ethics advisor or a team of ethics specialists is rarely used to advise or help with immediate consultations in a ward, in nursing homes. To implement systematic ethical work in nursing homes, it is essential to sensitize and educate all nursing home staff (including those who work in the administration, technical staff and others who do not work at bedside), but probably also residents, family members and the public, about importance of ethical issues in caring for the elderly. In addition, while home health care may have been seen as a way to keep health care costs low, it's not clear that money will be saved in a more community setting, such as a nursing home.
For nursing managers, ethical decision-making is based on the American Nurses Association's Code of Ethics, which was developed as a guide to nursing responsibilities “in a manner consistent with the quality of nursing care and the ethical obligations of the profession. A three-step approach to ethical decision-making in nursing homes has been proposed and suggestions are offered for the implementation process. Students from each of the Duquesne University MSNs track adult gerontology intensive care nurse practitioners, family nurse practitioners (lifelong individual), psychiatry and mental health nurse practitioner, executive nurse leadership and health care management, forensic nursing and education and teachers Learn how ethics and problem-solving play distinct roles in nursing. Nursing managers can intervene in situations where patients or nurses cross ethical and professional boundaries.
Nursing managers can cultivate educational environments, in which they regularly discuss ethical issues with the nurses in their units. Systematic ethical work and ethical discussions can help professionals manage the many ethical challenges and dilemmas that have been described in the scientific literature related to nursing homes. In general, nursing home ethics committees perform the same tasks as hospital ethics committees, although they are often composed differently and are known to be less linked to hospital-specific ethics committees. Therefore, one of the main challenges for the future will be to include both family members and residents in ethical discussions and ethical decision-making in homes.
An assisted living facility could allow tenants to exercise a greater level of control over their daily activities than they would in others. environments, such as a nursing home.