Weiste2023

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Weiste2023
BibType ARTICLE
Key Weiste2023
Author(s) Elina Weiste, Maria Paavolainen, Nina Olin, Eveliina Korkiakangas, Eveliina Saari, Tiina Koivisto, Jaana Laitinen
Title Elderly Care Practitioners'; Perceptions of Moral Distress in the Work Development Discussions
Editor(s)
Tag(s) EMCA, Elderly care, Medical EMCA, Moral distress, Discursive Psychology
Publisher
Year 2023
Language
City
Month
Journal Healthcare
Volume 11
Number 3
Pages
URL Link
DOI 10.3390/healthcare11030291
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Elderly care practitioners are at specific risk of experiencing prolonged moral distress, which is associated with occupational health-related problems, low job satisfaction, and staff turnover. So far, little attention has been paid to the moral concerns specific to elderly care, a field whose importance is constantly growing as the populations in Western countries age. By drawing on seven workshop conversations as data and interaction-oriented focus group research, conversation analysis and discursive psychology as methods, we aim to study the ways in which elderly care practitioners discuss moral distress in their work. We found that the moral distress experienced was related to three topics that arose when client work and teamwork contexts were discussed: the power to influence, equal treatment of people, and collaboration. The interaction in client work and teamwork contexts differed systematically. The discussion on client work was characterised by negotiations on the rights and wrongs of care work, whereas the teamwork discussion engendered emotional outbursts, a potential manifestation of work-related burnout. Hence, attempts to improve the work-related health of elderly care practitioners require time and space for sharing the emotional load, followed by reflection on what could be improved in the work and what institutional solutions could help in morally distressing situations.

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