The Ethics in Long-Term Care Model: Everyday Ethics and the Unseen Moral Landscape of Assisted Living.
The Ethics in Long-Term Care Model: Everyday Ethics and the Unseen Moral Landscape of Assisted Living.
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DOI：
10.1177/07334648211049806
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Burgess EO
中科院分区：
文献类型：
--
作者：
Kemp CL;Lesandrini J;Craft Morgan J;Burgess EO
辅助生活（AL）社区是人们生活，工作和访问的长期护理环境，以及协商社会关系和护理，包括临终护理。AL充满了价值观的不确定性和冲突，特别是考虑到居民的认知和身体虚弱。这些充满价值的问题对居民和护理伙伴的经验都有影响。然而，几乎没有研究在这个复杂的护理环境中检查伦理。在这篇文章中，我们借鉴和综合现有的理论，研究和实践知识，提供一个概念模型，并讨论案例的例子，突出了日常道德问题AL。我们概念化的道德决策过程，因此，AL的道德景观，受无数的多层次因素的影响，塑造人际交往和决策，涉及居民和他们的护理伙伴，最终塑造个人在环境中的行为和经历。最后，我们讨论的研究，政策和实践的影响。
Assisted living (AL) communities are long-term care settings where people live, work and visit, and where social relationships and care, including end-of-life care, are negotiated. AL is fraught with uncertainty and conflict about values, especially given residents’ cognitive and physical frailty. These value-laden issues have implications for both resident and care partners’ experiences. Yet, almost no research has examined ethics in this complex care environment. In this article, we draw on and synthesize existing theory, research, and practice knowledge to offer a conceptual model and discuss case examples that highlight everyday ethical issues in AL. We conceptualize the moral decision-making process and hence, the moral landscape of AL, as influenced by a myriad of multi-level factors that shape inter-personal encounters and decision-making involving residents and their care partners, which ultimately shape individuals’ actions and experiences in the setting. We conclude by discussing implications for research, policy, and practice.
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DOI：
10.1177/0733464817746756
发表时间：
2020-01
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Bender AA;Burgess EO;Barmon C
通讯作者：
Barmon C
DOI：
10.1093/geront/gnaa161
发表时间：
2021-02-23
期刊：
The Gerontologist
影响因子：
--
作者：
Kemp CL
通讯作者：
Kemp CL
影响因子：
5.7
作者：
Kemp, Candace L.;Ball, Mary M.;Fitzroy, Andrea F.
通讯作者：
Fitzroy, Andrea F.
影响因子：
5.7
作者：
Dill, Janette S.;Morgan, Jennifer Craft;Marshall, Victor W.
通讯作者：
Marshall, Victor W.
影响因子：
5.7
作者：
Ciofi, Joy M.;Kemp, Candace L.;Bender, Alexis A.
通讯作者：
Bender, Alexis A.