The process of ethical decision making does not differ according to the patient care setting. However, various factors in home care affect the way in which decisions are made. The factors to consider are the amount of time needed to make a decision, the involvement of the patient and family, the need for support systems, the difficulties with interdisciplinary communication, and the lack of an ethics committee. Recognizing the ways in which these variables affect the decision making can help home healthcare nurses resolve the ethical dilemmas they face. In addition, staff education programs, the use of consultants, and the development of ethics committees are possible strategies to facilitate ethical decision making.
- access to care advocacy autonomy boundaries boundary burnout CAS case management case study challenges faced by professionals client choice client safety community ethics community relations community safety confidentiality conflict of interest conflict with family consent and capacity culture determing capacity dignity discharge planning disclosure diversity duty to care elderly care ethical decision-making ethics ethics committees ethics program family going against organizational policy home home care home care ethics Honesty illegal activities inappropriate demands language legal obligation living at risk long-term care misunderstanding of role of PSW Moral deliberation moral distress moral duty to report nurse nursing home organisational culture PAIN medicine palliative care pediatric Personal support worker (PSW) personal values policy priority setting privacy professional responsability professional safety quality of service refusal of service relational ethics resource allocation resources risk management self determination service withdrawl social work spirituality staff safety substitute decision maker (SDM) suspected abuse truth-telling whistleblowing