The meeting – seeing and being affected by the patient
A reason for ethical competence among health personnel
DOI:
https://doi.org/10.7557/14.6647Keywords:
Ethical competences, hermeneutic application research, Health professionals, Systematic text condensationAbstract
The purpose of this caring science study is to deepen the understanding of health personnel’s experiences of challenges and the fundamental basis for maintaining ethical competence in clinical practice. The study has a qualitative design. The methodology is hermeneutic application research. Twelve participants from several professions were divided into two groups for dialogue and reflection about ethical competence. Systematic text condensation was used as an analysis method.
The analysis resulted in four themes, ethics are challenged in complex clinical situations, to create space for reflection, to see the human being, and to be touched by the patient. The results confirm that the encounter between health personnel and the patient is significant and that the encounter itself is immanent ethics. Health personnel work with a tension between a system characterized by busyness and chores and seeing the patient as a human being and being overwhelmed by his or her suffering. In this field of tension, health personnel can be in the movement of becoming and reflecting on what promotes and maintains ethical competence.
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Alvsvåg, H. (2013). Innsiktbasert profesjonell praksis bør erstatte kunnskapsbasert praksis. I Alvsvåg, H., Å. Bergland, Å. & O. Førland, O (Red.). Nødvendige omveier. En vitenskapelig antologi til Kari Martinsens 70 -års dag. Cappelen Damm.
Bjerga, G. H. (2020). Danningens vesen i møtet med det lidende mennesket. Akademisk avhandling. Åbo Akademis förlag.
Bruland Vråle, G., Borge, L. & Nedberg, K. (2017). Etisk refleksjon og bevisstgjøring i veiledning. Sykepleien forskning. https://doi.org/10.4220/Sykepleienf.2017.61626
Carpenter, C., Ericksen, J., Purves, B. & Hill, S.D. (2004). Evaluation of the perceived impact of an interdisciplinary healthcare ethics course on clinical practice. Learning in Health and Social Care 3(4), 223–36. https://doi.org/10.1111/j.1473-6861.2004.00077.x
Ekebergh, M. & Lindbergh, E. (2020). The interaction between learning and caring - the patient’s narrative as a foundation for lifeworld-led reflection in learning and caring. Reflective Practice 21(4), 552‒564. https://doi.org/10.1080/14623943.2020.1783223
Eriksson, K. (2009). Evidens – det sanna, det sköna, det goda och det eviga. I Eriksson, K. & Martinsen, K. (Red.), Å se og å innse (s.35‒76). Akribe AS.
Etiske retningslinjer for sykepleieforskning i Norden (2003). https://ssn-norden.dk/wp-content/uploads/2020/05/ssns_etiske_retningslinjer_0-003.pdf
Førde, R. & Aasland Gjerløw, O. (2013). Moralsk stress og faglig ytringsfrihet blant leger. Den Norske Legeforening 133(13), 10‒14.
Grace, J.P., Robinson, M.E., Jurchak, M., Zollfrank, A.A. & Lee, S.M. (2014). Clinical Ethics Residency for Nurses. An Education Model to Decrease Moral Distress and Strengthen Nurse Retention in Acute Care. The Journal of Nursing Administration 44(12), 640‒646. https://10.1097/NNA.0000000000000141
Hansen, F. T. (2022). Att skrive seg ut mot det gådefulde via undringens fire verdenshjørner. I Herholdt-Lomholdt, S.M. (Red.). Fenomenologi. Å leve, samtale og skrive ut mot det gåtefulle i tilværelsen.(s. 55‒87).Fagbokforlaget.
Helsinkideklarasjonen 1964 (2000). https://www.forskningsetikk.no/ressurser/fbib/lover-retningslinjer/helsinkideklarasjonen/
Johnstone, J.M. (2015). Moral competence in nursing. Australian Nursing and Midwifery Journal 22(10), 33.
Jormsri, P., Kunaviktikul, W., Ketefian, S. & Chaowalit, A. (2005). Moral competence in nursing practice. Nursing Ethics 12(6), 582‒92. https://doi.org/10.1191/0969733005ne828oa
Nyholm, L., Koskinen, C.& Nyström, L. (2015). Hemeneutisk samskapande genom dialog. I L. Nyström, C. Koskinen & Y.Näsman (Red) Hermeneutisk forskningspraxis. (s. 69-77) Åbo Akademi.
Kjær T. A. (2013). Hvordan vi er og bør være sammen som mennesker. træk af Kari martinsens Løgtsrup-læsning. I Alvsvåg, H., Bergland Å., og Førland, O. (red.) Nødvendige omveier,En vitenskapelig antologi til Kari Martinsens 70-årsdag. Cappelen Damm.
Koskinen, C. (2020). Etisk kompetens, I Rehnsfeldt, A. & Arman, M. (Red.). Klinisk vårdvetenskap: vårdande på teoretisk grund. (s 28‒43) Liber förlag.
Koskinen, C., Kaldestad, K., Rossavik, B. D., Ree Jensen, A. & Bjerga, G. H. (2021). Multi-professional ethical competence in healthcare – an ethical practice model. Nursing Ethics 29(4), 1003–1013. https://doi.org/10.1177/09697330211062986
Kulju, K., Stolt, M., Suhonen, R. & Leino-Kilpi, H. (2016). Ethical competence: A concept analysis. Nursing Ethics 23(4), 401‒412. https://doi.org/10.1177/0969733014567025
Kvale, S. & Brinkmann, S. (2009). Introduktion til et håndværk. Hans Reitzels forlag.
Lindholm, L. (2003). Klinisk applikationsforskning – en forskningsapproach för vårdvetenskapens tillägnande. I Eriksson, K. & Lindström, U.Å. (Red.) Gryning II. Klinisk vårdvetenskap (s.69–85). Institutionen för vårdvetenskap, Åbo Akademi.
Malterud K. (2017). Kvalitative forskningsmetoder for medisin og helsefag. 4. utg. Universitetsforlaget.
Martinsen, K. (2021). Mellomøyeblikk og fiktive rom. I Langsomme pulsslag. Bergen, Fagbokforlaget.
Milliken, A. & Grace, P. (2016). Nurse ethical awareness: Understanding the nature of everyday practice. Nursing Ethics 24 (5), 517‒524. https://doi.org/10.1177/0969733015615172
Nåden, D., Foss, B. & Sæteren, B. (2018). Omsorgens betydning og uttrykk i klassisk tekst. Tidsskrift for omsorgsforskning 4(3), 241‒251. https://doi.org/10.18261/issn.2387-5984-2018-03-06
Robinson, E.M., Lee, S.M., Zollfrank, A., Jurchak, M., Frost, D. & Grace, P. (2014). Enhancing Moral Agency: Clinical Ethics Residency for Nurses. I Hastings Center Report 44(5), 12‒20. https://doi.org/10.1002/hast.353
Storaker, A., Nåden, D. & Sæteren, B. (2017). From painful busyness to emotional immunization: Nurses´experiences of ethical challenges. Nursings ethics, 24(5), 556‒568. https://doi.org/10.1177/0969733015620938
Thorup, C.B., Rundquist, E., Roberts, C. & Delmar, C. (2012). Care as a matter of courage:vulnerability, suffering and ethical formation in nursing care. Scandinavian Journal of Caring Sciences 26, 427‒435. https://doi.org/10.1111 / j.1471-6712.2011.00944.x
Weaver, K., Morse, J. & Mitcham, C. (2008). Ethical sensitivity in professional practice: concept analysis. Journal of Advanced Nursing 62(5), 607–618. https://doi.org/10.1111/j.1365-2648.2008.04625.x
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Copyright (c) 2023 Grethe Heidi Bjerga, Kari Kaldestad, Bente Rossavik, Anne Ree Jensen, Camilla Ann-Louise Koskinen
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