This title was first published in 2001. Much discussion takes place
concerning the nature of the relationship between nurses and older
people in hospital and there have been many concerns expresses in
United Kingdom policy documents about the quality of care for older
people in hospitals. Autonomy is considered to be one of the
central ethical principles of health care practice and as such is a
significantly relevant concept for nurses. This book presents the
results of a study undertaken with nurses who work with older
people in hospitals. Issues arising from the study include the
effects of institutional constraints on autonomy. A framework for
person-centred practice has been developed from this work that
emphasizes the values of the individual and their needs, wants and
desires. The role of the nurse in facilitating practice that
respects an individual's values is outlined, and the importance of
nurses in negotiating relationships with older people is also
emphasized.
General
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