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A comparative empirical study of autonomy in nursing homes in Sweden and Florida, USA
Author(s)Anne-Cathrine Mattiasson, Lars Andersson, Larry C Mullins
Journal titleJournal of Cross-Cultural Gerontology, vol 12, no 4, December 1997
Pagespp 299-316
KeywordsPatients [nursing homes] ; Independence ; Rights [elderly] ; Personnel ; Policy ; Cross cultural surveys ; Sweden ; United States of America.
AnnotationThis comparative study examined how autonomy is evaluated by a sample of nursing staff in both Sweden and United States (US). In both cultures support for patient autonomy was generally greater from an individual point of view than from the anticipated institutional perspective. Comparisons revealed that individual staff members in the Swedish nursing homes generally gave higher priority to patient preference than did their American counterparts. On the other hand, support for patient preference was generally greater in the American nursing homes in regard to institutionally anticipated decisions. There were statistically significant mean value differences between Swedish nursing staff's personal opinion and anticipated institutional decisions in five of six case studies. Nursing staff's personal opinion showed a stronger support for patients' preferences. There was a statistically significant mean value difference between American nursing staffs' personal opinion and anticipated institutional decisions in only one of the six case studies. In spite of cultural differences the results to some degree reflect a common value-system regarding both the anticipated institutional perspective and nursing staff's personal opinion (AKM).
Accession NumberCPA-980514409 A
ClassmarkLHB:LF: C3: IKR: QM: QAD: 3KA: 76P: 7T

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