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Published Online:https://doi.org/10.12968/bjon.2014.23.2.81

Abstract

Ethical nursing practice is an important component of quality dementia care. To be ethically competent, and to acquire the language, knowledge and skills required to explore and resolve ethical dilemmas in practice, the nurse needs an understanding of ethics and of the theory behind ethical decision-making. Traditional theories of ethics and ethical principles are commonly used to explore the dilemmas faced in dementia care practice. While these theories remain influential in healthcare practice, more contemporary ethical theories are equally relevant to the examination of the ordinary and extraordinary ethical dilemmas that present in conditions such as dementia. In this article, the ethical considerations central to effective dementia care nursing will be examined.

References

  • Baldwin C (2008) Toward a person-centred ethic in dementia care: doing right or being good? In: Downs MBowers B, eds. Excellence in Dementia Care. Research Into Practice. McGraw Hill, Maidenhead Google Scholar
  • Batsch NL, Mittleman MS (2012) World Alzheimer's Report 2012. Overcoming the Stigma of Dementia. Alzheimer's Disease International, London Google Scholar
  • Beauchamp TL, Childress JF (2009) Principles of Biomedical Ethics. 6th edn. Oxford University Press, Oxford Google Scholar
  • Bolmsjö IA, Edberg A, Sandman L (2006) Everyday ethical problems in dementia care: a teleological model. Nurs Ethics 13(4): 340–59 Crossref, MedlineGoogle Scholar
  • Brannelly T (2008) Developing an ethical basis for relationship-centred and inclusive approaches towards dementia care nursing. In: Adams T, ed. Dementia Care Nursing, Promoting Well-being in People with Dementia and their Families. Palgrave Macmillan, Basingstoke Google Scholar
  • Bryon E, Dierckx De Casterle B, Gastmans C (2012) ‘Because we see them naked’ – nurses’ experiences in caring for hospitalised patients with dementia: considering artificial nutrition and hydration (ANH). Bioethics 26(6): 285–95 Crossref, MedlineGoogle Scholar
  • Butts J, Rich K (2013) Nursing Ethics Across the Curriculum and Into Practice. 3rd edn. Jones and Bartlett Learning, Burlington MA Google Scholar
  • Chaloner C (2007) An introduction to ethics in nursing. Nurs Stand 21(32): 42–6 CrossrefGoogle Scholar
  • Department of Health (DH) (2009) Living Well with Dementia: A National Dementia Strategy. DH, London Google Scholar
  • Dooley D, McCarthy J (2012) Nursing Ethics. Irish Cases and Concerns. 2nd edn. Gill and Macmillan, Dublin Google Scholar
  • Fetherstonhaugh D, Tarzia L, Nay R (2013) ‘Being central to decision making means that I am still here!’: the essence of decision making for people with dementia. J Aging Studies 27(2): 143–50 Crossref, MedlineGoogle Scholar
  • Fry ST, Johnstone M-J (2008) Ethics in Nursing Practice. A Guide to Ethical Decision Making. 3rd edn. Blackwell Publishing, Chichester Google Scholar
  • Hertogh CMPM, Mei The BA, Miesen BML, Eefsting JA (2004) Truth telling and truthfulness in the care for patients with advanced dementia: an ethnographic study in Dutch nursing homes. Soc Sci Med 59(8): 1685–93 Crossref, MedlineGoogle Scholar
  • Holt J, Convey H (2012) Ethical practice in nursing care. Nurs Stand 24(13): 51–6 CrossrefGoogle Scholar
  • Innes A (2009) Dementia Studies. Sage, London Google Scholar
  • Kelly F, Innes A (2013) Human rights, citizenship and dementia care nursing. Int J Older People Nurs 8(1): 61–70 Crossref, MedlineGoogle Scholar
  • Kirby C, Slevin O (2003) Ethical knowing: the moral ground of nursing practice. In: Basford LSlevin O, eds. Theory and Practice of Nursing: An Integrated Approach to Nursing Practice. 2nd edn. Nelson Thornes, Cheltenham Google Scholar
  • Kitwood T, Bredin K (1992) Towards a theory of dementia care: personhood and well-being. Ageing Soc 12(3): 269–87 Crossref, MedlineGoogle Scholar
  • McBrien B (2007) Exercising restraint: clinical, legal and ethical considerations for the patient with Alzheimer's disease. Accid Emerg Nurs 15(2): 94–100 Crossref, MedlineGoogle Scholar
  • Merkle Sorrell J (2006) Listening in thin places. Ethics in the care of persons with Alzheimer's disease. ANS Adv Nurs Sci 29(2): 152–60 Crossref, MedlineGoogle Scholar
  • Nuffield Council on Bioethics (2009) Dementia Ethical Issues. Nuffield Council on Bioethics, London Google Scholar
  • Page S, Hope K (2013) Towards new ways of working in dementia: perceptions of specialist dementia care nurses about their own level of knowledge, competence and unmet educational needs. J Psychiatr Ment Health Nurs 20(6): 549–56 Crossref, MedlineGoogle Scholar
  • Park EJ (2012) An integrated decision-making model for nurses. Nurs Ethics 19(1): 139–59 Crossref, MedlineGoogle Scholar
  • Post S (1995) The Moral Challenge of Alzheimer Disease. The Johns Hopkins University Press, Baltimore Google Scholar
  • Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP (2013) The global prevalence of dementia: a systematic review and meta-analysis. Alzheimers Dement 9(1): 63–75 Crossref, MedlineGoogle Scholar
  • Purtillo R (2010) Ethical Dimensions in the Health Professions. 5th edn. WB Saunders Company, Philadelphia Google Scholar
  • Prince M, Jackson J (2009) World Alzheimer's Report 2009. Alzheimer's Disease International, London Google Scholar
  • Seedhouse D (2009) Ethics The Heart of Health Care. 3rd edn. Wiley, Chichester Google Scholar
  • Traynor V, Dewing J (2003) Admiral Nurse Competency Framework. Royal College of Nursing (RCN), Oxford Google Scholar
  • Traynor V, Inoue K, Crooks P (2011) Literature review: understanding nursing competence in dementia care. J Clin Nurs 20(13-14): 1948–60 Crossref, MedlineGoogle Scholar
  • Tyrell J, Genin N, Myslinski M (2006) Freedom and choice in decision-making in health and social care: views of older patients with early-stage dementia and their carers. Dementia 10(1): 479–502 CrossrefGoogle Scholar
  • Werner P, Karnieli-Miller O, Eidelman S (2013) Current knowledge and future directsion about the disclosure of dementia: a systematic review of the first decade of the 21st century. Alzheimers Dement 9(2): e74–e88 Crossref, MedlineGoogle Scholar
  • Williams CL, Hyer K, Kelly A, Leger-Krall S, Tappen R (2005) Development of nurse competencies to improve dementia care. Geriatr Nurs 26(2): 98–105 Crossref, MedlineGoogle Scholar

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