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Ethical challenges in the provision of end-of-life care in Norwegian nursing homes
Authors:Elisabeth Gjerberg  Reidun Førde  Reidar Pedersen  Georg Bollig
Institution:1. Norwegian Knowledge Centre for the Health Services/Section for Medical Ethics, University of Oslo, Oslo, Norway;2. Section for Medical Ethics, University of Oslo, Oslo, Norway;3. Bergen Red Cross Nursing Home, Bergen, Norway
Abstract:As in other Western countries, most Norwegian nursing home patients are suffering from multi-pathological conditions and a large majority of them will die in the nursing home. End-of-life care represents many challenges, and it is a widespread concern that several nursing homes lack both resources and competence to ensure good quality care. This article examines the types and prevalence of ethical challenges in end-of-life care as nursing home staff consider them, as well as what they believe can help them to better cope with the ethical challenges. It is based on a national survey probing Norwegian nursing homes’ end-of-life care at the ward level conducted in 2007. 664 respondents from 364 nursing homes answered the questionnaire, representing 68% of the patients and 76% of the nursing home sample.
Keywords:Norway  Nursing homes  Ethical challenges  End-of-life care  Nursing home staff  Survey
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