“Unauthorized measures” in somatic attention: How do health workers are right about them?

How do you manage to take a curtain for patients who do not want to take their medication or against measures that believe that they are beneficial to the patient, such as insert urinary catheter? Do you give up because the patient does not give permission?

Except in acute emergency situations, the sharing somatic treatments are not allowed in Sweden. How do health professionals reflect the patient about situations that cannot benefit the patient and, therefore, has tried anyway? The new interview analysis of the inhabitants of Sweden’s hospital hospitals examines the “non-adoption measures”: ways to comply with reluctance patients, such as convincing physical power, coaxing, deceiving or using.

In conversations, participants have difficulty finding the correct words to describe the measures that occur in the halls. They were moved away from the word “coident” and preferred to speak persuasive, coaxing and deceiving. In general, they accepted the use of unauthorized measures. In many cases, measurements noted in daily working situations that measures were not justified, or the measures that were justified by being the best for the patient. They were seen as soon as staff who gave up quickly and were not reliable. When trying to avoid co-education, he still did not want to give patients in the judicial need. Some more measures were in some cases that were considered acceptable has been longer and less measures.

Unauthorized measures were described as a comprehensive part of the room work, the overall goal is to perform personal tasks. Some participants estimated culture while others were critical, but everyone agreed that the cultures of the room agreed that unauthorized measures. Participants also said such measures tend to use more often with old patients, with the intention of convincing it easier than younger. Several participants observed that it was ethically problematic. Finally, participants have been unacceptable to use excessive physical power or insist on treatments that do not benefit from the patient.

When discussing the results of the conversation, the authors, Joar Björk, Niklas Juth and Tove Godskese, stated that there are many possible ethical problems. One of them must be made with the distribution of work, where doctors make decisions about the measures that nurses have to do. This can cause a conflict of loyalty to nurses. They work closely with patients, but at the same time they are loyal to the system and want to meet the tasks given, which can help accept unauthorized measures. Probably more appropriate to be “non-leaves” should be studied, questions that good nursing can sometimes hide the ethical challenges under the warmthness, flexibility and communication of the nurse. Another problem is a tendency to use consensus measures to the older patients than in younger patients. The authors suggest to carry out interventions that may pay close attention to their conclusions and lead to the autonomy and consent of health workers to health workers. Participants generally took on the rules provided by the rules established in the ethics medicine, which were given more lighter than unauthorized.

You can read the article here: Ethical reflections of health workers “Unauthorized measures” in somatic care: Qualitative examination.

Björk J, Juth N, Godskes ‘Ethical reflections on health workers’ measures without adoption “Somatically: Qualitative examination. Nursing ethics. 2025; 0 (0). DOI: 10.1177 / 09697330251328649

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Ethics requires empirical entry