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Assistant nurses' experiences of ethical challenges while working in residential care facilities during the pandemic: an interview study
Research Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
Research Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
Umeå University, Faculty of Medicine, Department of Nursing. Research Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.ORCID iD: 0000-0002-3408-2900
Research Platform for Collaboration for Health, Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.
2025 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 39, no 2, article id e70049Article in journal (Refereed) Published
Abstract [en]

Introduction: Early in 2020, the World Health Organisation (WHO) declared COVID-19 to be a pandemic. Older people were especially vulnerable to illness and death from the virus. For care staff, including assistant nurses (ANs) working in residential care facilities (RCFs), many circumstances related to the pandemic caused ethical challenges.

Aim: The aim of this study was to explore ANs' experiences of ethical challenges during the pandemic, while working in RCFs for older people in Sweden.

Methods: This study used an explorative qualitative design based on focus group interviews with 19 ANs. The interviews were analysed using thematic analysis.

Results: Ethical challenges faced by ANs in RCFs during the pandemic included (a) being unable to give dignified care, depriving older people of their human rights; (b) being duty-bound to follow restrictions despite the suffering of relatives, witnessing injustice; (c) facing the deprioritisation of older people, being part of providing care on unequal terms; (d) being restricted and devalued, feeling abandoned; (e) being forced to adhere to personal constraints, having integrity and autonomy severely violated; and (f) fulfilling duty with life at stake, sensing the fear.

Conclusion: During the pandemic, ANs in Sweden experienced ethical challenges in the care of older people in RCFs, as well as personal ethical challenges. Such challenges arose in various situations, and their consequences entailed undignified and compromised care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 39, no 2, article id e70049
Keywords [en]
assistant nurses, COVID-19, ethical challenges, interviews, older people, residential care, thematic analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-242040DOI: 10.1111/scs.70049ISI: 001517170500014PubMedID: 40551339Scopus ID: 2-s2.0-105009324673OAI: oai:DiVA.org:umu-242040DiVA, id: diva2:1982583
Funder
The Dementia Association - The National Association for the Rights of the DementedGyllenstiernska Krapperup FoundationKristianstad UniversityAvailable from: 2025-07-08 Created: 2025-07-08 Last updated: 2025-07-08Bibliographically approved

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Backman, Annica C.

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