Although this appeared to be an unwise decision, which felt uncomfortable to the team, it was agreed to monitor the wound, keep it clean and dry and continue to talk to Anita about her thoughts and feelings surrounding getting medical treatment for the wound. 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. 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. Ethical dilemmas in community mental health care is the focus of this article. 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. This statement clearly incorporates the principle of beneficence and shows that the nurses in the case study are considering whether Anita should have medical treatment for the wound enforced upon her due to the principle of beneficence as described due to the worries of the wound becoming infected if not sutured. 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). In contrast, the correctional nurse may face ethical situations daily. Disclaimer: This work has been submitted by a student. 5 - Lecture notes 5 Mental Status Terminology Seek and Find Exam Review 2017, answers … 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). At this time Anita, due to her mental state, could not fully appreciate the nature of the wound and felt that she needed to punish herself further by refusing treatment. 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). Volume 24, Issue 3. Home • Get Ahead • Professional Ethics; Nurses adhere to certain ethical principles when caring for patients. It is similar to the medical model of ethics in that it deals with life and death issues. Related documents. Responding to ethical and justice issues in mental health care is an obligation for all of us. 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. In considering whether Anita needed to make the decision around treatment, we can see that, as the wound was not life threatening, it was decided to allow her time to settle and re-approach the question of treatment. Legal And Ethical Issues In Mental Health Nursing Nursing Essay. theories of decision-making are assessed fortheir relevance to the work of mental health nurses. 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. It will explore how ethical decisions are reached and how they can directly influence patient care. 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. These beneficial actions fall under the heading of beneficence. Ethical and Legal Issues in Psychiatric/Mental Health Nursing ; 2 Introduction. Examples of Nursing Ethical Dilemmas. The Mental Health … Read Summary. However this may not feel entirely comfortable for the nurse. This article will examine some of the ethical and legal issues correctional nurses must address in their practice. ). 2004 Apr;79(4):554-62. doi: 10.4065/79.4.554. This assignment aims to critically appraise an ethical conflict in relation to the care provided to a patient. 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). Course. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. 11th Feb 2020 Nursing Essay Reference this Tags: nursing. However with collaborative working practices this case study has shown that solutions can be found in even the most complicated of nursing dilemmas. These are used to help unravel ethical issues relating to patient autonomy. 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. 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. In real world nursing ethical decisions are made by following the money. Mental Health Nursing. Helpful? Examples include diverse topics such as staffing ratios, and end of life care. Authors Paul S Mueller 1 , C Christopher Hook, Kevin C Fleming. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Print . This is not an example of the work produced by our Essay Writing … Study for free with our range of nursing lectures! 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 aim of these rules was to prevent people engaging in destructive behaviours including self-destructive behaviours (Wolff, In the early days of the asylums nursing as a profession did not exist, neither did psychiatry as a medical discipline. 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. Ethical and Legal Issues in Psychiatric/Mental Health Nursing Chapter 26 Ethical and Legal Issues in Psychiatric/Mental Health Nursing Multiple Choice 1. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. Legislation determines what is right or good within a society. 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 . This chapter explores ethical issues in mental health policy from a public health perspective, with a focus on the United States. Updated December 27, 2018. [1,8] Ethical issues related to PMH nursing in the literature can be summarized as: obtaining informed consent from the patient; compulsory treatment and hospitalization; using seclusion and restraint; respect for patients’ privacy and confidentiality; and research in psychiatric medicine. Nurses are highly accountable to patients, the public, employers, and the entire profession. 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. The Mental Capacity Act (GB 2005) is clear in expressing that capacity is time and decision specific. Growth Trends for Related Jobs. Ten facts on mental health: fact 2. Morality requires not only that we treat persons autonomously and refrain from harming them, but also that we contribute to their welfareâ€¦ and â€¦[is therefore]â€¦ a moral obligation to act for the benefit of others. Patient safety may be compromised, resulting in injury and lawsuits. In accordance with this the name of the patient has been changed and permission has been sought from the patient to use them in the case study (Appendix 1). Are large proportion of moral and ethical dilemmas that are faced by nurses stem from the conflicting principles of autonomy and beneficence. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. [1,5,7,10] Turkey’s Mental Health System Introduction. This is not an example of the work produced by our Essay Writing Service. In order to develop ethical reasoning and competence in nursing students, nurse educators must recognise the unique issues students face. This chapter explores mental health nursing practice within an ethics context. 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 . They are in charge of coordinating and integrating multidisciplinary mental care services, while providing comprehensive family psychiatric mental health education. This chapter explores mental health nursing practice within an ethics context. This chapter explores mental health nursing practice within an ethics context. From which ethical framework is the charge nurse operating? Health care professionals continually face ethical and legal issues in the workplace, putting them at risk for burnout. The environment and specialty a RN works in can determine specific ethical dilemmas. Firstly the practitioner needs to ascertain whether the person being assessed has some sort of disturbance of the mind and, if such a disturbance exists then it “must affect their ability to make decisions when they need to” (Department of Constitutional Affairs (DoCA) 2007:45). Then there are three stories describing everyday interactions in an acute psychiatric unit. Porter (, The standards of care in these facilities varied greatly irrespective of whether they were funded privately or by charitable donations. Ethical dilemmas are nothing other than an academic exercise. 2017/2018. Ethical issues happen when choices need to be made, the answers may not be clear and the options are not ideal. Therefore, clinicians should be familiar with … Ethical issues in geriatrics: a guide for clinicians Mayo Clin Proc. • Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment. She was taken to the clinic room where the wound could be cleaned and assessed. We're here to answer any questions you have about our services. As the wound was neither life threatening or of such a degree that it could not be safety managed upon the ward enabled the staff to consider the possibility of allowing Anita to make an autonomous choice. Limited resources force tough choices in quality of care. 11th Feb 2020 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. They must have integrity and an ethical core to recognize when they should make a referral because their knowledge in an area is insufficient and may cause harm. Restricting services users’, Over 30 years ago the main ward door on an acute mental health ward in the English health system was not routinely locked. 2017/2018 *You can also browse our support articles here >. As members of the health-care community, nurses experience many legal, ethical and professional issues similar to other health-care workers. This infringement is “supported by the principle of beneficence, which is the argument frequently used to impose treatment on patients whether they want it or not” (Buka 2008: 29). Ethical dilemmas which nurses face are vast in scope. Low staff levels lead to additional dilemmas nurses must personally grapple with when considering their futures. It teases out the ethical challenges that mental health nurses can face on a daily basis. This paper considers the dilemmas faced by mental health nurses when they encounterdifficult ethical decisions. 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) with patients. In mental health nursing, autonomy is sometimes overridden in the interests of promoting the principle of beneficence (Lakeman 2009). 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. Ethical and Legal Issues in Psychiatric/Mental Health Nursing ; 2 Introduction. To answer the question we need to examine how the dilemma sits within an ethical theory and the principles that apply. Personal Problems and Conflicts. 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. The nurse has an ethical duty to keep her patients safe. From this we can surmise that a morally correct course of action may involve two opposing principles being applicable in any one situation. Browse the list of issues and latest articles from Issues in Mental Health Nursing. Moral/ethical issues encountered by a PMHNP essay example. This approach was agreed in collaboration with Anita and the wider team as a way of her taking responsibility for her own decisions. Sorted by Relevance . 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. Psychiatry has always been an area of medicine with unique ethical challenges. Beauchamp & Childress (2009: 103) after Kant. EXAM 2 Study Guide MGT-434 Ch. School of Nursing and Midwifery, University of Dundee, Dundee, UK. The following are several common ethical dilemmas that nurses face while on the job. Share . This decision was reached due to Anita being able to understand the information being given to her, being able to retain the information and weigh it up to make a decision to refuse treatment. Topic # 2 Legal and Ethical Issues in Mental Health Nursing. 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. You can view samples of our professional work here. In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. This may indicate that Anita was under a great deal of distress at the time, which could have affected her capacity to make sound decisions; however her later decision of continuing to refuse treatment was based on her own morals and values towards her body that may have included these thoughts of self-loathing and the need to be punished. 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. All work is written to order. Post . World Health Organization. Harris et al. Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. Professional, Legal and Ethical Issues in Person-Centred Care 1357 Words | 6 Pages. knowledge for psychiatric and mental health nurses. 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. 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. In addition to the personal health issues nurses experience when faced with continued ethical dilemmas, patient care suffers when staffing levels go down. 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. 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. Tweet . This article described how relational ethics is a powerful guide to ethical and effective nursing practice. 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). 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. 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. References. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. It places quality of life in the forefront. According to Felicia “Liz” Stokes, JD, RN, senior policy advisor at the ANA’s … 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. Nursing Essay Mental health counselors face ethical issues in honestly assessing their level of skill and competency. Chapter 5. 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. Share. 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. There are three primary duties for nurses, among many others, which are the duty of autonomy, confidentiality, and duty of care to all patients. Nurses are constantly faced with the challenge of making difficult decisions regarding good and evil or life and death. 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. 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). From this we can surmise that ethics is a complex system of reflective thinking, which is used in the search for a standard that can be used to judge your own actions, or the actions of others, within your own moral code. 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. Grand Canyon University. Conflicting moral principles may create difficult ethical dilemmas for nurses by having to contravene one moral obligation to uphold another (Beauchamp & Childress 2009). University. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. Start studying Ethical Issues in Mental Health Nursing. Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or. Ethical issues experienced by mental health nurses in the administration of antipsychotic depot and long‐acting intramuscular injections: A qualitative study . Ethical Principles in Nursing Pages: 3 (721 words) Legal and Ethical Issues for Mental Health Professionals Pages: 11 (2560 words) Legal and Ethical issues in nursing Pages: 13 (3092 words) Applying ethical principles in nursing management Pages: 5 (1190 words) This research described the occurrence of ethical iss … To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will often work in your best interests (Kukla, 2005). What legal Dilemma can be hypothesised as underpinning the decision making process of the mental health professionals in this case? Ethics regards standards of moral judgement and professional conduct. Beneficence can be seen as actions to benefit and promote the welfare of others (Butts & Rich 2008). In encouraging autonomy for Anita involves taking risks on the part of the nurses’ which may go against their principles of Nonmaleficence and beneficence. Before a medical procedure takes place, it is the nurse’s responsibility to obtain informed consent. It places quality of life in the forefront. University. The existing literature, however, does not identify strategies that support the practice of relational ethics in this way. No plagiarism, guaranteed! Mental health nurses work with people from all backgrounds to assess and treat psychiatric issues through work in the hospital and the community 1. 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