Facing an Ethical Dilemma：An Empirical Study of Gerontological Nursing

• Main Authors: Ling-hua Hua, 林凌華
• Other Authors: Long-quan Lu
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/42736809184288852021

碩士 === 國立中正大學 === 高階主管碩士在職專班 === 98 === Long-term care and elderly care are both critical issues in modern society. Therefore, when people encountering these issues, it is difficult to make an ethical decision whether choosing home care or long-term care institute. Indiviual consuming decision is a series of complicate process. When people encountering conflicts between disable perents care and self-interests, the process of ethical decision is essential. Finally, ehtheical or unetheical behaviors will be occurred. This study will leverage the Ethical Decision Making (EDM) framework which is strongly dependent on personal views of morality, the magnitude of consequence, and moral intensity. It is expected that applying the EDM framework to the dilemma related to long-term elderly parental care will provide a more enlightened method on which to base this difficult decision. This study uses a multiple-situation survey consisting of vignettes and questions as an assessment tool. The survey population consisted of subjects who met the following conditions: • born between 1963-1973 (36-46 years old) • at least one of the parents is living • adult children are married A total of 450 questionnaires were issued with 312 valid responders (response rate of 89.4%). The Hypothesis Zeyi multiple regression and hierarchical regression analysis was used to analyze the survey results. Demographic characteristics, differences in moral decision making process, moral intensity on ethical decision making and filial responsibility were determined to have a moderating effect on the moral decision making process. This study’s findings have management and practical implications for long-term care providers. One such implication is the opportunity for long-term care provider to educate and reassure family members who are faced with this difficult decision. Such education efforts will begin to influence public opinion such that professional long-term care would be considered an acceptable choice. As such, long-term care providers are likely to experience an increase occupancy rate.