[Factors of endangering and violation of autonomy in residential nursing homes: results of a scoping review].

HeilberufeSCIENCE Pub Date : 2023-01-01 Epub Date: 2023-01-16 DOI:10.1007/s16024-022-00397-9
Malte Klemmt, Tanja Henking, Andrea Teti, Silke Neuderth
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Abstract

Background: Respecting autonomy is one of the guiding principles of medical and nursing ethics. Nursing home residents represent a particularly relevant target group whose autonomy can be endangered or violated.

Aim: The study aimed to identify factors that endanger or violate the nursing home residents' autonomy and to determine specific life situations and contexts in which these factors are located.

Methods: A scoping review was carried out according to the Joanna Briggs Institute-method. Empirical results from journal articles from the publication period 2000-2021 were included. The articles were analyzed using qualitative content analysis.

Results: A total of 75 articles were finally included in the review. Identified factors of the endangerment and violation of autonomy are assigned to topic areas located at the level of actors, (care) relationships and structures. Factors that can violate or endanger the residents' autonomy were found in the entire everyday life of the residents.

Conclusion: The localization of the identified endangerments/violations on various actor and structural levels indicates the need for comprehensive preservation and promotion of residents' autonomy in nursing homes.

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[养老院中危及和侵犯自主权的因素:范围界定审查结果]。
背景:尊重自主权是医疗和护理伦理的指导原则之一。研究目的:本研究旨在确定危及或侵犯疗养院居民自主权的因素,并确定这些因素所处的具体生活环境和背景:根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法进行了范围界定研究。方法:根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法进行了一次范围研究,纳入了 2000-2021 年间发表的期刊论文中的经验成果。采用定性内容分析法对文章进行分析:结果:最终共有 75 篇文章被纳入审查范围。确定的危及和侵犯自主权的因素被归入行为者、(护理)关系和结构层面的主题领域。在居民的整个日常生活中都发现了可能侵犯或危及居民自主权的因素:结论:在不同的行为者和结构层面上发现的危害/侵犯行为的定位表明,有必要在养老院中全面保护和促进住户的自主权。
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