Box 1 Participants good dying values Residents do not die Relationships are important Residents are symptom free Residents and family are prepared Residents receive good care Residents die in the nursing home Family are present Knowing residents and wishes Paperwork to be in good order Residents are happy and comfortable When the staff values were congruent with others involved in the care of residents, this could influence the practice of end of life care and staff believed that the resident had a death’ as they were able to the right thing’ (Figure 1). When there ‘good ‘do were incongruent values with others involved in care the practice of end of life care could lead staff to experience moral distress due to being powerless to the right ‘do thing’ and to influence care decisions which could result in a death’. In contrast, ‘bad when there were incongruent values with residents this did not lead to moral distress for nursing home staff as meeting the resident’s values was seen as meeting the ‘good dying’ value of knowing the resident and their wishes. As such it was considered to be the right thing’. Whilst not leading to moral distress it could cause emotional ‘doing distress for staff (Figure 1).
Box 1 Participants good dying values Residents do not die Relationships are important Residents are symptom free Residents and family are prepared Residents receive good care Residents die in the nursing home Family are present Knowing residents and wishes Paperwork to be in good order Residents are happy and comfortable When the staff values were congruent with others involved in the care of residents, this could influence the practice of end of life care and staff believed that the resident had a ‘good death’ as they were able to ‘do the right thing’ (Figure 1). When there were incongruent values with others involved in care the practice of end of life care could lead staff to experience moral distress due to being powerless to ‘do the right thing’ and to influence care decisions which could result in a ‘bad death’. In contrast, when there were incongruent values with residents this did not lead to moral distress for nursing home staff as meeting the resident’s values was seen as meeting the ‘good dying’ value of knowing the resident and their wishes. As such it was considered to be ‘doing the right thing’. Whilst not leading to moral distress it could cause emotional distress for staff (Figure 1).
Young_2016.docx