{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T22:06:26Z","timestamp":1783807586519,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2006,3,1]],"date-time":"2006-03-01T00:00:00Z","timestamp":1141171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:p> The aim of this study was to explore ethically problematic situations in the long-term nursing care of elderly people. It was assumed that greater awareness of ethical problems in caring for elderly people helps to ensure ethically high standards of nursing care. To obtain a broad perspective on the current situation, the data for this study were collected among elderly patients, their relatives and nurses in one long-term care institution in Finland. The patients (n=10) were interviewed, while the relatives (n=17) and nurses (n=9) wrote an essay. Interpretation of the data was based on qualitative content analysis. Problematic experiences were divided into three categories concerning patients\u2019 psychological, physical and social integrity. In the case of psychological integrity, the problems were seen as being related to treatment, self-determination and obtaining information; for physical integrity, they were related to physical abuse and lack of individualized care; and for social integrity, to loneliness and social isolation. This study provided no information on the prevalence of ethical problems. However, it is clear from the results that patient integrity warrants more attention in the nursing care of elderly patients. <\/jats:p>","DOI":"10.1191\/0969733006ne830oa","type":"journal-article","created":{"date-parts":[[2006,2,15]],"date-time":"2006-02-15T21:23:12Z","timestamp":1140038592000},"page":"116-129","source":"Crossref","is-referenced-by-count":77,"title":["Long-Term Nursing Care of Elderly People: Identifying ethically problematic                 experiences among patients, relatives and nurses in Finland"],"prefix":"10.1177","volume":"13","author":[{"given":"Sari","family":"Teeri","sequence":"first","affiliation":[{"name":"University of Turku, Turku and Satakunta Polytechnic, Pori, Finland,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Leino-Kilpi","sequence":"additional","affiliation":[{"name":"University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maritta","family":"V\u00e4lim\u00e4ki","sequence":"additional","affiliation":[{"name":"University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2006,3,1]]},"reference":[{"key":"atypb1","unstructured":"Visco I. The fiscal implications of aging populations in OECD countries.                 Oxford Centre on Population Ageing. Pensions Symposium. 7 June 2001. Retrieved 4                 January, 2005, from: http:\/www.oecd.org\/dataoecd\/20\/46\/2431794.pdf"},{"key":"atypb2","series-title":"Research Reports Series B, no. 21","volume-title":"Population ageing and its consequences in Finland - a review of current trends and debates","author":"Ketola T","year":"2005"},{"key":"atypb3","volume-title":"Key policy issues in long-term care. The Cross-Clester initiative on long-term care","author":"Brodsky J","year":"2003"},{"key":"atypb4","unstructured":"Vaarama M, Kainulainen S, Per\u00e4l\u00e4 M-L, Sinervo T. Vanhusten                 laitoshoidon tila. Voimavarat, henkil\u00f6st\u00f6n hyvinvointi ja hoidon                 laatu.(Current state of institutional care for the aged. Resources, staff well-being                 and quality of care.) Sosiaali-ja terveysalan tutkimus-ja kehitt\u00e4-miskeskus                 Stakes, 1999 (in Finnish)."},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02104.x"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/10547730022158582"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/0890-4065(95)90006-3"},{"key":"atypb8","doi-asserted-by":"crossref","unstructured":"Laki potilaan asemasta ja oikeuksista 17.8.1992\/785.(Act on the Status and                 Rights of Patients (785\/92).) Suomen S\u00e4\u00e4d\u00f6skokoelma, 1992                 (in Finnish; English translation).","DOI":"10.7556\/jaoa.1992.92.6.785"},{"key":"atypb9","first-page":"6","volume-title":"Handbooks 2001","author":"Ministry of Social Affairs and Health","year":"2001"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/096973309500200204"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/096973309600300305"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1177\/096973300100800506"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1191\/0969733003ne572oa"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1177\/096973309800500607"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1191\/0969733003ne573oa"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.1996.tb00319.x"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1177\/096973300000700606"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/28.Suppl.10"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1993.18010020.x"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7489(93)90095-C"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1300\/J083v33n01_02"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1191\/0969733003ne605oa"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2001.10.6.5349"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.1995.tb00204.x"},{"key":"atypb25","unstructured":"Routasalo P. Touch in the nursing care of elderly patients [Dissertation].                 Annales Universitasis Turkuensis D 258. University of Turku, 1997."},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1995.4.2.69"},{"key":"atypb27","unstructured":"National Research and Development Centre for Welfare and Health (2003). Care                 and services for older people 2002. (Official statistics of Finland (SVT) Social                 Security 2003: 1.) Stakes, 2003."},{"key":"atypb28","first-page":"15","volume-title":"Qualitative methods in aging research","author":"Kayser-Jones J","year":"1994"},{"key":"atypb29","unstructured":"Ministry of Social Affairs and Health. Health care in Finland. (Brochures                 2004: 11.) Ministry of Social Affairs and Health, 2004."},{"key":"atypb30","volume-title":"Qualitative data analysis. An expander sourcebook","author":"Miles MB","year":"1994"},{"key":"atypb31","unstructured":"Andersson M. Integritet som begrepp och princip. En studie av ett                 v\u00e5rdetiskt ideal i utveckling. (Integrity as a concept and as a principle                 in health care ethics.) \u00c5 bo Akademis f\u00f6rlag, 1994."},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03029.x"},{"key":"atypb33","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/29.3.314"},{"key":"atypb34","unstructured":"The National Advisory Board on Health Care Ethics. Shared values in health                 care: common goals and principles. 2002. Retrieved 10 February 2004, from: http:\/\/www.etene.org"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1191\/0969733002ne554oa"},{"key":"atypb36","volume-title":"Vanhusten pitk\u00e4aikaishoidon ulkopuolinen tarkistus. Toinen vaihe. (The quality of long-term care of older people. 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