The aim of this study was to explore the ethical knowledge nurses possessed and practiced in their interaction with demented patients. A qualitative, descriptive design, with a phenomenological — hermeneutical approach was used. The study was based on moral dilemmas in daily life with six nursing situations presented through narratives. The findings were discussed from an ethical perspective and in particular Kari Martinsen's philosophy of moral practice. Analysis of data followed Kvale's method of qualitative analysis. The findings indicated that nurses emphasised values as respect and the worth of the patient as a human being. The Golden Rule and acting in the patients best interest seemed to be a guide for nursing practice. Autonomy were estimated as important, but often a problematic approach. Interpretations of the behavioural cues of the demented patients, and the caregivers deep knowledge of the patients personal life story were emphasised.
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