File Name: legal and ethical issues in psychiatric nursing .zip
In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of ethical practice in order to:. Ethics, simply defined, is a principle that describes what is expected in terms of right and correct and wrong or incorrect in terms of behavior.
Utilitarianism teleology or situational ethics. Symptoms may include anger, anxiety, frustration, powerlessness, and fatigue. About Moral Distress Project : core multidisciplinary experts discuss moral issues and distress from across the country in a documentary-style interviewing media project. The goal is to educate, inform, and de-stigmatize moral distress to help you, the viewer, process your own experiences and universalize the problem for an educational and validating experience.
This chapter explores ethical issues in mental health policy from a public health perspective, with a focus on the United States. 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 chapter focuses on overarching ethical challenges in mental health policy at the population level—enhancing access of persons with mental illness to preventive services and community supports, and facilitating their successful community integration. Achieving these goals can reduce the need for coercion and ameliorate the social burden and stigma of mental illness. Shifting ethical discourse to the population level is an important step in the continuing transformation of mental health care and policy in the twenty-first century.
Psychiatrists should only be concerned about, mental illness and the resulting disability, a rich person who has a disability due to mental illness. Principles of Biomedical Ethics. Every PWMI is a potentially medicolegal case unless, proved otherwise. Demonstrate ethical professional boundaries. Ethical and legal responsibilities and role of a psychiatric nurse Clarify personal values concerning working with patients experiencing psychiatric disorders. This would prevent inconvenience to end users.
The application of physical restraint for patients represents ethical dilemmas for psychiatric nurses in terms of maintaining the safety of all clients and staff while at the same time curtailing the individual's autonomy. This article aimed to provide a sound knowledge of ethical positions and strategies for psychiatric nurses to address ethical issues of physical restraint according to the ethical principles of autonomy, beneficence, nonmaleficence, and ethical theories. Given that nursing workforce was limited and workload among psychiatric nurses was heavy, physical restraint was one of the coercive interventions managing aggressive behavior. In relation to address ethical dilemmas, it was proposed to acquire informed consent of physical restraint from the individuals and provide person-centered care. Effective communication and negotiation with patients could help to strike a balance between patients' autonomy and nurses' accountability when using physical restraint.
Moral behaviour: is defined as conduct that results from serious critical thinking about how individuals ought to treat others Moral behavior reflects the way a person interprets basic respect for other persons, such as the respect for autonomy, freedom, justice, honesty, and confidentiality Values: are ideals or concepts that give meaning to the individuals life Right: is absolute when there is no restrictions whatsoever on the individuals entitlement. These principles provide guidelines for ethical decision-making i. Ethical Relativism: right and wrong are determined by what my society believes Divine Command Theory: right and wrong are determined by God. Ethical Egoism: a descriptive theory which states that people always act to maximize their self-interest. Utilitarianism or Consequentialism: right and wrong are determined by the utility or consequences of an action; in most versions of this theory, actions are right if they produce happiness or reduce pain.
Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or simple procedures requiring consent. This influence may be seen in the expanding autonomous roles of nurses in a variety of clinical settings, changes in the health care deliv- Physicians who provide care for nursing home residents are regularly challenged by ethical and legal issues. It reflects the continuing influence that the law, legal issues, and the field of ethics have on the professional practice of nursing. SLO 2. The question of the "equivalency" of legal and moral rights is also addressed.
Is it not, then, an atrocious anomaly that the treatment often meted out to insane persons is the very same treatment which would deprive some sane persons of their very reason? Describe ethical standards, decision making, and dilemmas impacting psychiatric nursing practice. Compare and contrast the two types of admission to a psychiatric hospital and the ethical issues raised by commitment. Examine involuntary community treatment and its implications for improving the care received by psychiatric patients.
The Mental Healthcare Act MHCA ,[ 1 ] explicitly talks about the rights of patients with mental illness PWMI and lays down the ethical and legal responsibilities of mental health professionals and the government. The rights of PWMI are at par with the fundamental rights of human beings and need to be clearly talked about as they belong to a vulnerable group from evaluation, treatment, and research perspectives. Such rights translate into the ethics of psychiatric care that relate to respect for autonomy; the principle of non-maleficence, beneficence, and justice; confidentiality and disclosure ; boundary violations; informed consent and involuntary treatment ; etc.
Have you had any ethical dilemmas? How did you deal with them? Legal and Ethical Concepts. Ethics. Study of philosophical beliefs about what is considered.