Sustainability in care through an ethical practice model

A1 Journal article (refereed)

Internal Authors/Editors

Publication Details

List of Authors: Linda Nyholm, Susanne Salmela, Lisbet Nyström, Camilla Koskinen
Publisher: Sage
Publication year: 2018
Journal: Nursing Ethics
Volume number: 25
Issue number: 2
Start page: 264
End page: 272
eISSN: 1477-0989


Background: While sustainability is a key concept in many different domains today, it has not yet been
sufficiently emphasized in the healthcare sector. Earlier research shows that ethical values and evidencebased
care models create sustainability in care practice.
Objective: The aim of this study was to gain further understanding of the ethical values central to the
realization of sustainability in care and to create an ethical practice model whereby these basic values can be
made perceptible and active in care practice.
Research design: Part of the ongoing “Ethical Sustainable Caring Cultures” research project, a
hermeneutical application research design was employed in this study.
Participants: Dialogues were used, where scientific researchers and co-researchers were given the
opportunity to reflect on ethical values in relation to sustainability in care.
Findings: An ethical practice model with ethos as its core was created from the results of the dialogues. In
the model, ethos is encircled by the ethical values central to sustainability: dignity, responsibility, respect,
invitation, and vows.
Discussion: The model can be used as a starting point for ethical conversations that support carers’
reflections on the ethical issues seen in day-to-day care work and the work community, allowing ethical
values to become visible throughout the entire care culture.
Conclusion: It is intended as a tool whereby carers can more deeply understand an organization’s
common basic values and what they entail in regard to sustainability in care.

Last updated on 2020-01-06 at 05:38