Cristin-resultat-ID: 1380708
Sist endret: 30. oktober 2018 16:18
NVI-rapporteringsår: 2017
Resultat
Vitenskapelig artikkel
2018

Prioritising patient care. The different views of clinicians and managers

Bidragsytere:
  • Helge Skirbekk
  • Marit Helene Hem og
  • Per Nortvedt

Tidsskrift

Nursing Ethics
ISSN 0969-7330
e-ISSN 1477-0989
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2018
Publisert online: 2017
Volum: 25
Hefte: 6
Sider: 746 - 759

Importkilder

Scopus-ID: 2-s2.0-85021304733

Beskrivelse Beskrivelse

Tittel

Prioritising patient care. The different views of clinicians and managers

Sammendrag

Background: There is little research comparing clinicians’ and managers’ views on priority settings in the healthcare services. During research on two diffe rent qualitative research projects on healthcare prioritisations, we found a striking difference on how hospital executive managers and clinical healthcare professionals talked about and understood prioritisations. Aim: The purpose of this study is to explore how healthcare professionals in mental healthcare and somatic medicine prioritise their care, to compare different ways of setting priorities among managers and clinicians and to explore how moral dilemmas are balanced and reconciled. Research design and participants: We conducted qualitative observations, interviews and focus groups with medical doctors, nurses and other clinical members of the interdisciplinary team in both somatic medical and mental health wards in hospitals in Norway. The interviews were recorded and transcribed verbatim. Ethical considerations: Basic ethical principles for research ethics were followed. The respondents signed an informed consent for participation. They were assured anonymity and confidentiality. The studies were approved by relevant ethics committees in line with the Helsinki Convention. Findings: Our findings showed a widening gap between the views of clinicians on one hand and managers on the other. Clinicians experienced a threat to their autonomy, to their professional ideals and to their desire to perform their job in a professional way. Prioritisations were a cause of constant concern and problematic decisions. Even though several managers understood and empathised with the clinicians, the ideals of patient flow and keeping budgets balanced were perceived as more important. Discussion: We discuss our findings in light of the moral challenges of patient-centred individual healthcare versus demands of distributive justice from healthcare management. Conclusion: The clinicians’ ideals of autonomy and good medical and nursing care for the individual patients were perceived as endangered. Keywords Areas of practice, clinical ethics, empirical approaches, ethics and leadership/management, ethics of care/ care ethics, intensive care, mental health/psychiatry, moral/ethical climate of organisations, professional ethics, qualitative research, theory/philosophical perspectives, topic areas

Bidragsytere

Aktiv cristin-person

Helge Skirbekk

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Lovisenberg diakonale høgskole
Aktiv cristin-person

Marit Helene Hem

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
Aktiv cristin-person

Per Nortvedt

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
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