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• W4386503802 abstract "Objectives This study was aimed at clarifying characteristics of ethical dilemmas and behaviors in the support process of older adults and their families among nurses at community general support centers.Methods A self-administered questionnaire survey was mailed to 449 nurses at community general support centers in Tokyo. Question items enquired their age, employment license, years of experience as a nurse, the presence of ethics-related organizations, number of cases in which nurses faced difficulties in supporting older adults and their families in decision making over the past year, the ethical dilemmas they experienced and their situations, and ethical behavior in the process of supporting older adults and their families.Results From the 143 responses (response rate: 31.8%), 135 (valid response rate: 30.1%) nurses were analyzed. Overall, 43.0% and 27.4% of the participants were in their 50s and 40s, respectively. Of these, 77.0% and 23.0% were nurses and public health nurses, respectively. In total, 52 (38.5%) respondents had an ethics-related organization. The average number of cases in which the respondents faced difficulties in supporting older adults and their families in decision making over the past year was 8.3 (standard deviation, 12.5). Of these, the average number of cases in which they faced difficulties in making ethical decisions was 4.1 (standard deviation, 6.0). Regarding the perception of ethical dilemmas, 113 (83.7%) answered often or sometimes. Ethical dilemma situations included the intentions of the user and family were different, and I had trouble deciding what to respect 95 (84.1%); the user's intention was different from my judgment as a professional, and I had trouble deciding what to respect 64 (56.6%); and the intention of the user and neighbors were different, and I had trouble deciding what to respect 56 (49.6%). Ethical behaviors included I observe the management rules in my organization regarding personal information data 116 (85.9%); I provide easy-to-understand explanations appropriate to the user's situation 115 (85.2%); and I decide on a support policy with several staff members when self-decision making is difficult due to the user's situation 113 (83.7%).Conclusion More than 80% of the nurses perceived ethical dilemmas. Characteristics of the situations were that users and their families, users and professionals, and users and their neighbors had different intentions. Further research should be conducted on ethical issues related to community-based integrated care." @default.
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• W4386503802 date "2023-09-05" @default.
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• W4386503802 title "[Characteristics of ethical dilemma and behavior in the support process of older adults and their families among nurses at a community general support center in Japan]." @default.
• W4386503802 doi "https://doi.org/10.11236/jph.22-130" @default.
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