Volume 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics
IJMEHM 2024, 17 - Supplement of 11th Annual Iranian Congress of Medical Ethics : 1-3 |
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Yadegar Tirandaz S, Shirinabadi Farahani A. Home-Based Care Ethical Issues and Solutions: A Review Study. IJMEHM 2024; 17 (S1) :1-3
URL: http://ijme.tums.ac.ir/article-1-7162-en.html
URL: http://ijme.tums.ac.ir/article-1-7162-en.html
1- Community health nursing student, student research committee, school of nursing and midwifery, shahid beheshti university of medical sciences, Tehran, Iran
2- Associate professors, Department of Pediatric Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Associate professors, Department of Pediatric Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (131 Views)
In recent decades, care delivery has shifted from hospital settings to community and home-based care due to factors such as an aging population, cost control, patient preferences, and advancements in technology. While home care offers advantages like patient independence and care aligned with individual values, it also presents unique ethical challenges. These challenges arise from the home environment, which may not be designed for medical care, as well as potential conflicts between the values of patients and care providers. This study aims to explore the ethical issues in home-based care and propose solutions. This review was conducted by analyzing original articles from PubMed, Scopus, WOS, and Google Scholar, using the keywords "Home-Based Care" and "Ethical Issues" until November 2024. A total of 10 studies relevant to the study’s focus were included. The studies identified several ethical challenges in home-based care, including: respecting patient autonomy, establishing trust, managing patient resistance to care, balancing autonomy with benevolence, the risk of harm, justice concerns, limited resources, managing patient expectations, decision-making capacity, disagreements on treatment, access to healthcare providers, caregiver roles, maintaining professional relationships, providing truthful information, conflicts between families and patients, self-medication, medication access, sudden changes in condition, care coordination issues, inadequate treatment due to resource limitations, insufficient psychosocial support, life-saving decisions, communication problems, ineffective care, and cultural conflicts. To address these challenges, the following solutions were proposed: respecting patient values, beliefs, and preferences; supporting patient rights in family conflicts; promoting independence; building trust through respectful communication, empathy, and encouragement; ensuring patient dignity; maintaining healthcare workers' moral obligations; avoiding coercion; adhering to legal and ethical principles; facilitating patient participation; reducing caregiver burden; providing adequate resources; and educating and guiding patients and families. Ethical challenges are inherent in home-based care. If not properly identified and managed, these issues can negatively impact the quality of care. Home care organizations and providers must implement ethical strategies to uphold patients' independence and dignity within their home environment.
Type of Study: Ethics Congress |
Subject:
Health Ethics Congress (11th) - Poster Presentation
Received: 2026/02/15 | Revised: 2026/02/24 | Accepted: 2024/12/22 | Published: 2024/12/22
Received: 2026/02/15 | Revised: 2026/02/24 | Accepted: 2024/12/22 | Published: 2024/12/22
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