title: Ethical issues experienced by healthcare workers in nursing homes: Literature review.
abstract: BACKGROUND
  Ethical issues are increasingly being reported by care-providers; however, little is known about the nature of these issues within the nursing home. Ethical issues are unavoidable in healthcare and can result in opportunities for improving work and care conditions; however, they are also associated with detrimental outcomes including staff burnout and moral distress.
  
  
  OBJECTIVE
  The purpose of this review was to identify prior research which focuses on ethical issues in the nursing home and to explore staffs' experiences of ethical issues.
  
  
  METHODS
  Using a systematic approach based on Aveyard (2014), a literature review was conducted which focused on ethical and moral issues, nurses and nursing assistants, and the nursing home.
  
  
  RESULTS
  The most salient themes identified in the review included clashing ethical principles, issues related to communication, lack of resources and quality of care provision. The review also identified solutions for overcoming the ethical issues that were identified and revealed the definitional challenges that permeate this area of work.
  
  
  CONCLUSIONS
  The review highlighted a need for improved ethics education for care-providers.
authors: Queen's University Belfast, UKHamilton Health Sciences, Canada dpreshaw01@qub.ac.uk.
authors: Deborah Hl
authors: DH
authors: Preshaw
authors: Queen's University Belfast, UKHamilton Health Sciences, Canada.
authors: Kevin
authors: K
authors: Brazil
authors: Queen's University Belfast, UK.
authors: Dorry
authors: D
authors: McLaughlin
authors: Hamilton Health Sciences, Canada.
authors: Andrea
authors: A
authors: Frolic
mesh_terms: D003657:Decision Making / Q000941:ethics; D004991:Ethics, Institutional; D004993:Ethics, Nursing; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics; D009728:Nursing Assistants / Q000941:ethics* / Q000523:psychology; D009735:Nursing Homes / Q000941:ethics*; D009740:Nursing Staff / Q000941:ethics* / Q000523:psychology; D036301:Qualitative Research; D012149:Restraint, Physical / Q000941:ethics
keywords: Ethical issues; ethics; literature review; nurses; nursing assistants; nursing homes