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The study aims to clarify the ethical challenges care managers face and solicit suggestions for improving ethical care management.

Ethical Issues and Approaches in Care Management for Older Adults: Interviews With Japanese Care Managers

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The study aims to clarify the ethical challenges care managers face and solicit suggestions for improving ethical care management.
Qualitative descriptive study using semi-structured interviews with 16 care managers.
Content analysis to identify ethical issues and approaches in care management.
Participants had at least 3 years of experience in home care support or long-term care facilities.
Four categories of ethical issues identified: care plan-related, professional collaboration, organizational context, and systemic challenges.
Three key approaches to ethical issues: engaging clients satisfactorily, negotiating with professionals, and collaborating for client benefits.
Highlighting the need for a stronger focus on autonomy and person-centered ethics in care management practices.

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Qualitative study reveals ethical issues managers face in older adult care, suggesting improvements in practice.

Mari Tsuruwaka (2026) studied this question.

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