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Doran, D., Sanchez McCutcheon, A., Evans, M.G., MacMillan, K., McGillis Hall, L., Pringle, D., Smith, S. and Valente, A. (2004) Impact of the Manager’s Span of Control on Leadership and Performance. Canadian Health and Long-Term Care Nursing Effectiveness, Utilization and Outcomes Research Unit, Faculty of Nursing, University of Toronto, Ontario.
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has been cited by the following article:

• TITLE: Norwegian Nurse Managers’ Perceptions of Ethical Conflicts in Community Healthcare When Caring for Older Persons Who Wish to Die

  AUTHORS: Anne Lise Holm, Astrid Karin Berland, Elisabeth Severinsson

  KEYWORDS: Death Wishes, Ethical Conflicts, Focus Group, Home Healthcare, Older Patients

  JOURNAL NAME: Open Journal of Nursing, Vol.7 No.11, November 21, 2017

  ABSTRACT: The complexity of the healthcare organization with emphasis on efficiency and productivity has led to an increase in value conflicts as well as moral and ethical conflicts. The aim of this study was to explore nurse managers’ perceptions of ethical conflicts when caring for older patients who wish to die. A qualitative method was employed and data were collected by means of a focus group interview with eight nurse managers. The results revealed one theme: A struggle due to responsibility for decision making and four sub-themes:Understanding the meaning of free will, wondering about how serious the death wish is, providing more worthy elder care and lack of competent healthcare professionals to provide safe care. Nurse managers’ have no structure for bringing ethical conflicts to the attention of their leaders or the next level of the organization. Consequently, they appear to need supervision, support and clear, flexible lines of communication with leadership.