examples of ethical issues in mental health nursing

To achieve this aim the author will examine a case study of a patient whose care he was involved with whilst in placement. This chapter explores mental health nursing practice within an ethics context. Moral/ethical issues encountered by a PMHNP essay example. More technical elements of care were in their infancy (Nolan, Having the power to control and being expected to control people with mental health conditions has been shaped by the historical development of mental health nursing practice; it has also been shaped by the media and by public perceptions (Smith, Of course contemporary mental health nursing has moved away from the brutalities of the past in the way that people with mental health conditions were confined, conformed, and treated (Nolan. On a daily basis mental health nurses make clinical decisions. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Chapter 26 The result could be declines in the quality of patient care; problematic clinical relationships; and moral distress, which is defined as knowing the right thing to … Read Summary. Examples of Nursing Ethical Dilemmas. Patient safety may be compromised, resulting in injury and lawsuits. 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. This chapter will explore mental health nursing within an ethics context. The ethical issues experienced by mental health nurses in administering antipsychotic depot and long‐acting intramuscular injections (LAI) were explored in the present study. 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. Provide a thoughtful response to each of the following two sections, including specific, concrete examples to illustrate your ideas. Complicating the resolution of these ethical issues, ... For example, mental health service users have reported that participatory research offered them opportunities to gain knowledge and to share their unique perspectives, increased their self-esteem, provided them with an opportunity for employment, and gave them a chance to give back to society and help others . This is not an example of the work produced by our Nursing Essay Writing Service. Authors Paul S Mueller 1 , C Christopher Hook, Kevin C Fleming. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. 2017/2018. Ethical nurses lead the way for health care reform which emphasizes healing even when curing is impossible. Home • Get Ahead • Professional Ethics; Nurses adhere to certain ethical principles when caring for patients. Disclaimer: This work has been submitted by a student. Being a mental health nurse is a challenging role that comes with its own rules, ethics, and issues. Topics: Ethics, ... 2005). In contrast, the correctional nurse may face ethical situations daily. 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 … However, although the actions on behalf of nurses is clearly driven by obligations towards beneficence, nurses need to weigh up the harms and benefits of enforcing treatment before acting in such a way as to produce the best outcome for Anita (Edwards 2009). We're here to answer any questions you have about our services. A challenge for the contemporary mental health nurse is to know how to wield this power in a way that acknowledges their societal responsibilities while at the same time respecting the rights of the individuals they are required to control. 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. The Mental Capacity Act (GB 2005) is clear in expressing that capacity is time and decision specific. Every decision that a nurse makes concerning the care of a patient needs to be considered from an ethical base. James Paul Smith. As members of the health-care community, nurses experience many legal, ethical and professional issues similar to other health-care workers. 2899 words (12 pages) Nursing Essay. A nurse must be able to face ethical quandaries and make decisions based on experience and key principles learnt in higher education or through training, while also following legislative procedure. According to Felicia “Liz” Stokes, JD, RN, senior policy advisor at the ANA’s … In addition to the personal health issues nurses experience when faced with continued ethical dilemmas, patient care suffers when staffing levels go down. Volume 24, Issue 3. Before a medical procedure takes place, it is the nurse’s responsibility to obtain informed consent. Examples include diverse topics such as staffing ratios, and end of life care. We will look at how, after an episode of self-harm, the patient refused any medical treatment for the wound and how this posed an ethical dilemma for the nursing staff involved in their care. The health-care community is composed of physicians, nurses, assistants, pharmacists, therapists, researchers, dietitians, and others whose primary role is to provide the services and tools to promote the health of patients. From which ethical framework is the charge nurse operating? 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. Nurses and scholars Cynda Rushton and Melissa Kurtz offer a salient example of moral distress, pre-coronavirus. | Sort by Date ... Critical care decisions in fetal and neonatal medicine : ethical issues (PDF) Published by Nuffield Council on Bioethics, 01 November 2006 This report looks at decision making in fetal and neonatal medicine and the ethical dimensions of this. When Anita had calmed the nurse had a discussion surrounding the implications of not having the wound sutured such as infection, Anita’s possible need to attack the wound in the future and pain relief issues, However Anita maintained her decision not to have the wound sutured. 6 Doctors' orders prevent a nurse, Maria, from giving her patient much-needed pain medication. 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. Respect for autonomy flows from the recognition that all persons have unconditional worth, each having the capacity to determine his or her own moral destiny. Mental Health Nursing ESSAY Help. This chapter explores ethical issues in mental health policy from a public health perspective, with a focus on the United States. 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. It is similar to the medical model of ethics in that it deals with life and death issues. She was taken to the clinic room where the wound could be cleaned and assessed. The discussion will also consider the legal, ethical and professional issues surrounding covert medication. The practice of locking the main ward door is not in itself unusual. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. To violate a person’s autonomy is to treat that person merely as a means: that is, in accordance with others’ goals without regard to the persons own goals. Although a person, under part four Mental Health Act (GB 2007) can be treated for mental disorder without their consent, it is important to note that a physical problem can only be treated without consent should the person lacks capacity and treatment is deemed to be in their best interests under the auspice of the Mental Capacity Act (GB 2007, MIND 2009). Share . Print . It is only since the 1930s that mental health nursing started to become recognised as a future field of nursing practice (Nolan, The role of the keeper started to emerge during the 1800s with the emergence of the asylums. Personal Problems and Conflicts. Physical punishment was not uncommon however some asylums offered rest and recuperation (Porter, Over time, as societal norms and rules developed, people on a day by day basis were expected to abide and sign-up to these rules – even if this was a tacit process. Introduction. The findings suggest that mental health nurses face ethical challenges in administering LAI. Inappropriate Medication Orders 1st Jan 1970 Nursing Reference this Disclaimer: This work has been submitted by a university student. Reference this. All work is written to order. *You can also browse our support articles here >. 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. The principles of autonomy (freedom to act on your own belief), Nonmaleficence (obligation to avoid doing harm), Beneficence (providing benefits and help) and Justice (fair distribution of benefits, risk and cost) which are derived from a duty based theory of Emmanuel Kant (1724-1804) (Beauchamp & Childress 2009). However this may not feel entirely comfortable for the nurse. It is important to recognise that restricting freedoms through the use of sanctioned coercion can be a good thing, however this is dependent on coercion being used by the mental health nurse in a way that is sensitive to the needs of the mental health service user. Anita is a young woman with a primary diagnosis of emotionally unstable personality disorder borderline type as defined by the World Health Organisation (WHO 2010). Nursing is a career where ethical dilemmas are presented nearly every day. Related documents. World Health Organization. In encouraging autonomy for Anita involves taking risks on the part of the nurses’ which may go against their principles of Nonmaleficence and beneficence. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. Ethics can be seen as the study of human conduct and morality (Buka 2008). Mental Health Nursing. These beneficial actions fall under the heading of beneficence. Low staff levels lead to additional dilemmas nurses must personally grapple with when considering their futures. Ethical discourse about mental health treatment has typically focused on paradigmatic concepts of individual autonomy, competence, paternalism, and appropriate justifications for overriding individual decision-making and restricting individual liberty. ). What is unusual is that they are kept locked all the time, which in some ways can be seen as a return to the restrictive practices of the past (Ashmore. In Anita’s case, the nurses worry that the consequences of the wound becoming infected is driving their desire to treat the wound irrespective of Anita’s wishes. In the mental health sector, medication non-adherence remains a serious health-care problem with far-reaching ramifications for patients, their relatives and health-care professionals. Legal And Ethical Issues In Mental Health Nursing Nursing Essay. • Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. Locking doors certainly creates a potential ethical tension between keeping mental health service users’ safe, protecting the vulnerable, and eroding freedoms and being paternalistic (Bowers et al. The nursing model is one of individual patient empowerment. In considering Anita’s wishes and agreeing a management plan to care for the wound incorporates both principles of Anita’s autonomy and the nurse’s obligation towards beneficence. It places quality of life in the forefront. © Springer International Publishing AG 2017, School of Nursing and Allied Health, Liverpool John Moores University, Liverpool, UK. Ethical and Legal Issues in Psychiatric/Mental Health Nursing ; 2 Introduction. Beauchamp and Childress (2009) devised four basic moral principles which function as guidelines for professional ethical decision making. To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will often work in your best interests (Kukla, 2005). Ethical nursing principles include ensuring confidentiality, obtaining consent, veracity and honesty, always acting in a fair manner and ensuring justice, and the intention of always doing good and not causing harm. For example, the WHO estimates that in the United States, the return on investment for improving mental health care delivery is roughly 4 to 1 [5]. Learn vocabulary, terms, and more with flashcards, games, and other study tools. using a case study, the author analyses the patient’s right to autonomy and the nurse’s duty of care. Health care professionals continually face ethical and legal issues in the workplace, putting them at risk for burnout. 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. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. Conflicting moral principles may create difficult ethical dilemmas for nurses by having to contravene one moral obligation to uphold another (Beauchamp & Childress 2009). Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. If the nurse’s obligation to act beneficently is informed by the patient’s choices and preferences, then the respect for the patient’s autonomy will ultimately override any paternalistic actions on the part of the nurse (Beauchamp & Childress 2009). Psychiatric Mental Health Nursing (NSG323) Academic year. Ethics regards standards of moral judgement and professional conduct. (Adshead 2010). In the Nursing and Midwifery Order 2001, the Nursing and Midwifery Council (NMC) must establish minimum standards and requirements for nursing education in professional and ethical issues. injuries sustained as a result of a road traffic accident, an acute appendicitis, complications of diabetes, renal failure, etc. Disclaimer: This work has been submitted by a student. This would not only encourage a supportive nurse-patient relationship but also provides care that is holistic, develops Anita’s confidence in being able to negotiate her care and allows her to take greater personal responsibility, thus instilling empowerment and hope, all of which improve the potential for recovery. 2899 words (12 pages) Essay. Registered Data Controller No: Z1821391. 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. The nurse has an ethical duty to keep her patients safe. This is not an example of the work produced by our Essay Writing … However with collaborative working practices this case study has shown that solutions can be found in even the most complicated of nursing dilemmas. Applying ethical principles in nursing management Pages: 5 (1190 words) Use of Ethical Principles to Combat Stigma in Psychiatric Nursing Pages: 8 (1752 words) Ethical Issues in Mental Health Nursing Pages: 8 (1835 words) Ethical Issues in Mental Health Nursing Pages: 8 (1832 words) The practice of paternalism is now generally discouraged in health care (Butts & Rich) and is considered unjustifiable in cases where the patient has capacity to make a decision (Edwards 2009, Beauchamp & Childress 2009). 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. 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. 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. Mental health nurses work with people from all backgrounds to assess and treat psychiatric issues through work in the hospital and the community 1. Ethical dilemmas which nurses face are vast in scope. Legislation determines what is right or good within a society. 963 results for legal and ethical practice in mental health nursing. Email . The nursing model is one of individual patient empowerment. Lakeman (2009) points out that an ethical dilemma occurs when there are a multitude of alternative courses of action to deal with a particular situation. Mental health counselors face ethical issues in honestly assessing their level of skill and competency. This research described the occurrence of ethical iss … In mental health nursing, autonomy is sometimes overridden in the interests of promoting the principle of beneficence (Lakeman 2009). The discussion will also consider the legal, ethical and professional issues surrounding covert medication. Start studying Ethical Issues in Mental Health Nursing. Broader ethical issues. No plagiarism, guaranteed! Feature Article. Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp & Childress 2009). This article will examine some of the ethical and legal issues correctional nurses must address in their practice. Ethical Issues in Mental Health Nursing . Grand Canyon University. However, the service user is being pressured to behave in ways that the mental health nurse and society expects them to behave (Smith, Key Concepts and Issues in Nursing Ethics, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on Ethical Issues in Mental Health Nursing, Utilitarianism as an Approach to Ethical Decision Making in Health Care, Ethical Principles in Healthcare Research, Nursing and the Ethical Dimension of Practice. Professional, Legal and Ethical Issues in Person-Centred Care 1357 Words | 6 Pages. This article described how relational ethics is a powerful guide to ethical and effective nursing practice. Self-harm has been strongly associated with borderline personality disorder (Motz 2008) where thoughts of self-loathing and self-punishment are common precipitators; the act of self harm can be seen as a symptom of internal turmoil, an expression of internal pain or as controlling factor to maintain a level of care (Grocutt 2009). Since, seclusion is a matter conflicting between patient’s rights and safety, therefore this issue is of great concern for mental health nurses. Indeed there is an historical context for such intervention which this chapter will explore. Course. The decision to manage the wound on the ward and allow Anita time to calm and consider her options is, in the author’s opinion, the correct course of action to take. , autonomy is sometimes overridden in the shift Anita approached staff and stated that she had upon..., resulting in injury and lawsuits ; how they handle these ethical dilemmas will.. 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