How social workers are positioned and constructed as contributors within national palliative care policies in Sweden: a policy analysis.

Background: Palliative care is expected to acknowledge physical, psychological, emotional, spiritual, and social needs, to which social workers can contribute with expertise on recognizing the importance of social relations and how social inequalities impact on individuals. The social work profession faces challenges in claiming their contributions in the hierarchies of medical professions. Polices play an important role in constructing and positioning responsibilities of professions.

Self-determination in older patients: Experiences from nurse-dominated ambulance services.

Aim: To describe ambulance clinicians' experiences of self-determination in older patients.

Design: The study had an inductive and explorative design, guided from a life-world perspective.

Methods: Thirty-two Swedish ambulance clinicians were interviewed in six focus groups in November 2019.

Ethics rounds in the ambulance service: a qualitative evaluation.

Background: It is a common ethical challenge for ambulance clinicians to care for patients with impaired decision-making capacities while assessing and determining the degree of decision-making ability and considering ethical values. Ambulance clinicians' ethical competence seems to be increasingly important in coping with such varied ethical dilemmas. Ethics rounds is a model designed to promote the development of ethical competence among clinicians.

Caring for older patients with reduced decision-making capacity: a deductive exploratory study of ambulance clinicians' ethical competence.

Background: As more people are living longer, they become frail and are affected by multi-morbidity, resulting in increased demands from the ambulance service. Being vulnerable, older patients may have reduced decision-making capacity, despite still wanting to be involved in decision-making about their care. Their needs may be complex and difficult to assess, and do not always correspond with ambulance assessment protocols.

Older patients' perceptions of the Swedish ambulance service: A qualitative exploratory study.

Background: As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients' perspective. Thus, the aim of this study was to explore older patients' perceptions of the Swedish Ambulance Service.

Dignity in bodily care at the end of life in a nursing home: an ethnographic study.

Background: Nursing homes (NHs) are populated by the frailest older people who have multiple physical or mental conditions and palliative care needs that may convey the violation of dignity. Although dignity is a commonly used concept and a core value of end-of-life care, it is assumed to be complex, ambiguous, and multivalent. Thus, the aim of this study was to explore aspects of dignity in older persons' everyday lives in a NH.

Barriers to and facilitators of ethical encounters at the end of life in a nursing home: an ethnographic study.

Background: Among a growing population of older persons, many affected by multiple diseases and complex needs, are cared for in nursing homes. Previous studies of nursing homes have highlighted the importance of personalised palliative care. Nevertheless, we know little about whether everyday care practice involving assistant nurses and frail older persons accomplishes ethical encounters, especially in assisted bodily care.

Elements of assisted bodily care: Ethical aspects.

Background: Many frail older persons who die in Swedish nursing homes need assisted bodily care. They must surrender their bodies to the authority of assistant nurses, which may affect their autonomy and dignity of identity. While assistant nurses claim to support older persons' wishes, older persons claim they have to adapt to assistant nurses' routines.

Being a spectator in ambiguity-Family members' perceptions of assisted bodily care in a nursing home.

Aim: The aim of this study was to explore family members' perceptions of assisted bodily care in a nursing home.

Background: Many older people living in nursing homes need assisted bodily care, provided by assistant nurses. This means exposedness, as the assistance is often provided under stress, but also brings pleasure.

Assenting to exposedness - meanings of receiving assisted bodily care in a nursing home as narrated by older persons.

Most older persons moving to a nursing home need to receive assisted bodily care, which means being in a position of vulnerability. However, few studies have explicitly focused on the meanings of receiving assisted bodily care from the older persons' perspective. This study aimed to elucidate meanings of receiving assisted bodily care, as narrated by older persons living in a nursing home.

End-of-life care in a nursing home: Assistant nurses' perspectives.

Background: Worldwide, older persons lack access to palliative care. In Sweden, many older persons die in nursing homes where care is provided foremost by assistant nurses. Due to a lack of beds, admission is seldom granted until the older persons have complex care needs and are already in a palliative phase when they move in.