Maintenance of patients' integrity in long-term institutional care

Sari Teeri, Maritta Anneli Vaelimaeki, Jouko Katajisto, Helena Leino-Kilpi

Research output: Journal article publicationJournal articleAcademic researchpeer-review

13 Citations (Scopus)


This study aimed to describe and compare the views of nurses and older patients' relatives on factors restricting the maintenance of patient integrity in long-term care. The purposive sample comprised 222 nurses and 213 relatives of older patients in four Finnish long-term care institutions. The data were collected using a self-developed questionnaire addressing five sets of factors relating to patients, relatives, nurses, the organization and society. The maintenance of patient integrity was restricted by: (1) social factors, including lack of respect for long-term geriatric care and lack of adequate resources; (2) patient factors relating to forgetfulness; and (3) factors relating to nurses and relatives in maintaining patient integrity. Better maintenance of patient integrity requires that more consideration is paid to issues of social respect and to the availability of adequate resources. Closer attention must be given to patients who are forgetful and unable to take part in decision making.
Original languageEnglish
Pages (from-to)523-535
Number of pages13
JournalNursing Ethics
Issue number4
Publication statusPublished - 1 Jul 2008
Externally publishedYes


  • Ethical problems
  • Integrity
  • Long-term care
  • Older patients

ASJC Scopus subject areas

  • Nursing(all)

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