examples of ethical issues in mental health nursing

All actions that are performed by nurses can be regarded as having a moral dimension, most of which are for the benefit of the patient (Edwards 2009). An involuntary commitment to care, or a decision made by a family member on behalf of the patient, is often made to protect the patient from harming … Patient safety may be compromised, resulting in injury and lawsuits. Email . No plagiarism, guaranteed! Beauchamp & Childress (2009: 103) after Kant. This article described how relational ethics is a powerful guide to ethical and effective nursing practice. The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. World Health Organization. It will tease out the ethics of mental health nursing practice, presenting common ethical challenges mental health nurses face on a daily basis, providing a case-study example which will highlight potential solutions to those challenges. © Springer International Publishing AG 2017, School of Nursing and Allied Health, Liverpool John Moores University, Liverpool, UK. Registered Data Controller No: Z1821391. Ethical dilemmas which nurses face are vast in scope. Therefore it may need to be considered whether Anita’s is refusal of treatment is something that she feels in control of, thus a way in which she feels empowered. Nurses are highly accountable to patients, the public, employers, and the entire profession. Ethical Concerns For the nurse in a traditional medical setting, ethical decisions occur occasionally and at times the nurse may face ethical dilemmas. Anita presented with a laceration to the inside of her thigh which was deep enough to expose the adipose tissue beneath, however was not deemed by the medical staff to be life threatening. Autonomy is “the freedom and ability to act in a self determined manner” (Butts & Rich 2008: 42) and the right of a rational person to achieve personal decisions without any outside interference. Enforcing treatment on Anita may produce barriers to the therapeutic relationship such as difficulties in trusting the nurse in the future, disengagement from therapeutic communication, opposition and rejection of future treatment, increased self harming behaviours due to the trauma and hostility towards others (Kettles et al 2007, Byrt 2010), all of which may stop Anita from telling the nursing team when she self-harms in future episodes of distress. It teases out the ethical challenges that mental health nurses can face on a daily basis. Some ethical dilemmas are specific to mental health nursing and are seen rarely in other areas of practice 2. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Multiple Choice 1. This collaborative approach allowed Anita opportunities to explore her emotions, thoughts and feelings and promote her autonomy whilst still allowing her to decide to have the wound sutured should she change her mind. The findings raise much needed awareness of the need for mental health nurses and nurse educators to consider the ethical issues experienced while performing the procedure. Home • Get Ahead • Professional Ethics; Nurses adhere to certain ethical principles when caring for patients. The environment and specialty a RN works in can determine specific ethical dilemmas. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Ten facts on mental health: fact 2. The issue of patients’ rights to and in health care, discussed in the previous chapter, has obvious relevance and application for people with mental illness admitted to hospital for the care and treatment of non-psychiatric conditions (e.g. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. Free resources to assist you with your nursing studies! There are a variety of potential issues to consider including the potential for unclear quality control and standards, clinician’s reluctance, technophobia and anxiety which can all make implementing tele mental health care even more challenging (Langarizadeh et al., 2017). Company Registration No: 4964706. For hundreds of years, the Anglo-American legal system has been developing special rules for dealing with problems caused by the inherently perplexing phenomenon of mentally disordered behavior (Morse, In madness: a brief history (2002) Roy Porter describes madness as being potentially as old as mankind. Legal, Ethical and Professional Issues in Nursing. In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. ... coercive practice and felt that integration of theory and clinical skills performance is easier but application of ethical principles in nursing care is difficult. Ethics regards standards of moral judgement and professional conduct. • Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. So the nurse who mislabeled the normal saline upheld the principle of self determination by following the patients wishes, while violating the principle of beneficence by not providing necessary treatment. Updated December 27, 2018. a fully conscious adult patient of normal intelligence may be treated without consent, not for the protection of others (though this is also possible) but in their own interests (Fulford, Being able to control people who have been diagnosed with a mental health condition is nothing new. Staff explained to Anita that the wound was deep enough to require stitching although not life threatening and advised her that she would need to attend the minor injuries unit of the local general hospital for assessment of the wound. Whether a nurse works in a hospital, doctors office or medical clinic, she likely will find that she is faced with a tough decision at least once a day if not once an hour. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Disclaimer: This work has been submitted by a student. Following a wider team discussion around whether Anita understood the severity of the wound, thus having capacity to make a decision to refuse treatment, the Responsible Clinician (RC) spoke to Anita and attempted to persuade her to have the wound sutured. Are large proportion of moral and ethical dilemmas that are faced by nurses stem from the conflicting principles of autonomy and beneficence. In mental health nursing, autonomy is sometimes overridden in the interests of promoting the principle of beneficence (Lakeman 2009). An ethical dilemma happens when a nurse finds herself in a situation where she has too many patients and cannot provide adequate care for all of them on her own. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. with patients. 963 results for legal and ethical practice in mental health nursing. Questions arise about the use of coercion, e.g., when a patient doesn’t want to take his medicine, refuses treatment or … Authors Paul S Mueller 1 , C Christopher Hook, Kevin C Fleming. As the wound could be safely managed in the short term upon the ward the decision to allow Anita time to weigh up the information was the correct one to make. Examples of Nursing Ethical Dilemmas. Mental health nurses face ethically‐difficult situations when administering these medications. Any decision made from this ethical viewpoint has a higher probability of producing the best outcome under any given circumstance. The Nursing and Midwifery Council (NMC 2008) stipulates that nurses must respect a patients right to confidentiality at all times and ensure that the patient is informed about how information concerning them is shared. The decision to covertly administer the medication will be critically assessed in this assignment. Nurses are highly accountable to patients, the public, employers, and the entire profession. Ethical dilemmas can affect both nurse and patient, none more so than issues of mental health. The discussion will also consider the legal, ethical and professional issues surrounding covert medication. A short case-study highlights potential solutions to those challenges. This is not an example of the work produced by our Nursing Essay Writing Service. Professional, Legal and Ethical issues in person-centred care For the purpose of this assignment the student will be discussing and analysing the professional, legal and ethical issues that influenced how person-centred care was delivered to a patient in an acute psychiatric hospital where the student was working. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. Moral/ethical issues encountered by a PMHNP essay example. This chapter will explore mental health nursing within an ethics context. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. Psychiatry has always been an area of medicine with unique ethical challenges. moral/ethical issues encountered by a PMHNP essay example. For mental health nurses having the power to control and being expected to control people diagnosed with a mental disorder can be morally distressing, especially where situations do not always have clear outcomes. Ethical Issues in Mental Health Nursing . It is about people reasoning, thinking and applying a process of reflection (Adshead 2010); however these people may have opposing views, values and experiences on which to base their moral judgements to define what is the right and wrong course of action (Hendrick 2009) and the principles used to decide this, not only by the individual but also within social groups and societies. Ethical issues in mental health care Nurses working in the care for psychiatric patients daily face dilemma’s concerning respect for autonomy versus paternalistic behavior. Ethical issues experienced by mental health nurses in the administration of antipsychotic depot and long‐acting intramuscular injections: A qualitative study . Nursing students experience ethical problems in clinical practice in a different way from registered nurses. These beneficial actions fall under the heading of beneficence. Nursing is a career where ethical dilemmas are presented nearly every day. Growth Trends for Related Jobs. 1st Jan 1970 Nursing Reference this Disclaimer: This work has been submitted by a university student.

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