Nurses’ attitudes toward ethical issues in psychiatric inpatient settings

2013 ◽  
Vol 21 (3) ◽  
pp. 359-373 ◽  
Author(s):  
Nurhan Eren
Keyword(s):  
Nursing Education ◽  
Nursing Care ◽  
Large Scale ◽  
Ethical Issues ◽  
Psychiatric Inpatient ◽  
Psychiatric Hospitals ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses ◽  
Standards Of Care ◽  
Ethical Problems

Background: Nursing is an occupation that deals with humans and relies upon human relationships. Nursing care, which is an important component of these relationships, involves protection, forbearance, attention, and worry. Objectives: The aim of this study is to evaluate the ethical beliefs of psychiatric nurses and ethical problems encountered. Research Design: The study design was descriptive and cross-sectional. Research context: Methods comprised of a questionnaire administered to psychiatric nurses (n = 202) from five psychiatric hospitals in Istanbul, Turkey, instruction in psychiatric nursing ethics, discussion of reported ethical problems by nursing focus groups, and analysis of questionnaires and reports by academicians with clinical experience. Participants: Participants consist of the nurses who volunteered to take part in the study from the five psychiatric hospitals (n = 202), which were selected with cluster sampling method. Ethical considerations: Written informed consent of each participant was taken prior to the study. Findings: The results indicated that nurses needed additional education in psychiatric ethics. Insufficient personnel, excessive workload, working conditions, lack of supervision, and in-service training were identified as leading to unethical behaviors. Ethical code or nursing care -related problems included (a) neglect, (b) rude/careless behavior, (c) disrespect of patient rights and human dignity, (d) bystander apathy, (e) lack of proper communication, (f) stigmatization, (g) authoritarian attitude/intimidation, (h) physical interventions during restraint, (i) manipulation by reactive emotions, (j) not asking for permission, (k) disrespect of privacy, (l) dishonesty or lack of clarity, (m) exposure to unhealthy physical conditions, and (n) violation of confidence. Discussion: The results indicate that ethical codes of nursing in psychiatric inpatient units are inadequate and standards of care are poor. Conclusion: In order to address those issues, large-scale research needs to be conducted in psychiatric nursing with a focus on case studies and criteria for evaluation of service, and competency and responsibility needs to be established in psychiatric nursing education and practice.

Gender, Politics, and Regionalism: Factors in the Evolution of Registered Psychiatric Nursing in Manitoba, 1920 – 1960

2011 ◽  
Vol 19 (1) ◽  
pp. 103-126 ◽  
Keyword(s):  
British Columbia ◽  
Nursing Education ◽  
Registered Nurses ◽  
Nursing Care ◽  
Gender Politics ◽  
Professional Group ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses

In Canada, psychiatric nursing care is provided by two kinds of nurses. East of Manitoba, it is provided by registered nurses who may or may not have specialized psychiatric nursing education. In the four western provinces, a distinct professional group, registered psychiatric nurses, also provide care. Saskatchewan was the first province to achieve distinct legislation, in 1948, followed by British Columbia in 1951, Alberta in 1955, and Manitoba in 1960.

scholarly journals Ethical climate in a Belgian psychiatric inpatient setting: relation with burnout and engagement in psychiatric nurses

2013 ◽  
Vol 1 (2) ◽  
pp. 443
Author(s):  
Astrid Faelens ◽  
Marleen Claeys ◽  
Bernard Sabbe ◽  
Didier Schrijvers ◽  
Patrick Luyten
Keyword(s):  
Job Satisfaction ◽  
Turnover Intention ◽  
Ethical Climate ◽  
Ethical Issues ◽  
Psychiatric Inpatient ◽  
Psychiatric Nurses ◽  
Inpatient Setting ◽  
Cross Sectional ◽  
Emotional Burden ◽  
The Relationship

Research suggests a relation between the ethical climate – that is, the organisational conditions and practices that affect the way ethical issues with regard to patient care are discussed and decided - and job satisfaction of nurses. Yet no study to date has investigated the relationship between ethical climate and job satisfaction in psychiatric nurses. This study aimed to address this critical gap in our knowledge by investigating the relationships among ethical climate and features of both burnout and engagement based on the Job Demands-Resources Model (JD - R model) in a large cross-sectional study of 265 nurses working in a large psychiatric inpatient hospital in Flanders, Belgium. Correlational and multiple hierarchical regression analyses were used to investigate the relationship between ethical climate, burnout and engagement. In addition, based on the JD-R model, we also investigated whether engagement mediated the relationship between ethical climate on the one hand and job satisfaction and turnover intention on the other and whether ethical climate moderated the relationship between emotional burden and burnout. Results showed that a positive ethical climate was related to lower levels of emotional exhaustion and distancing and higher levels of engagement and job satisfaction. Furthermore, although ethical climate did not buffer against the effects of emotional burden on burnout, higher levels of engagement explained in part the relationship between ethical climate and job satisfaction.

Global Influence of American Nursing: some ethical issues

1999 ◽  
Vol 6 (2) ◽  
pp. 118-125 ◽  
Author(s):  
Anne J Davis
Keyword(s):  
Nursing Education ◽  
Ethical Issues ◽  
Cultural Norms ◽  
Ethical Problems ◽  
Education Practice ◽  
American Values ◽  
The Usa ◽  
Global Influence

This article raises some questions about the global influence of nursing in the USA and describes some problems that may come about because of it. Selected American values that are embedded in nursing and ethics are found in American nursing education, practice and research. These can then be exported to countries with very different cultural definitions and values. One such country is Japan. The discrepancy between national cultural norms and imported ideals of nursing practices can create ethical problems for nurses in these countries.

Decisions of psychiatric nurses about duty to warn, compulsory hospitalization, and competence of patients

2012 ◽  
Vol 20 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Mine Sehiralti ◽  
Rahime A Er
Keyword(s):  
Work Experience ◽  
Ethical Dilemmas ◽  
Postgraduate Education ◽  
Psychiatric Nursing ◽  
Third Parties ◽  
Psychiatric Nurses ◽  
Ethical Problems ◽  
Duty To Warn ◽  
Questionnaire Form ◽  
The Right

Nurses who attend patients with psychiatric disorders often encounter ethical dilemmas and experience difficulties in making the right decision. The present study aimed to evaluate the decisions of psychiatric nurses regarding their duty to warn third parties about the dangerousness of the patient, the need for compulsory hospitalization, and the competence of patients. In total, 111 nurses working in the field of psychiatry in Turkey completed a questionnaire form consisting of 33 questions. The nurses generally assessed the decision-making competency of the patient correctly. However, their decisions regarding whether the patient should be compulsorily hospitalized and their understanding of their duty to warn/protect were less consistent. A significant relationship was found between the decisions of the psychiatric nurses and their work experience, them having children, and them having postgraduate education in psychiatric nursing. The nurses stated their desire to be part of the team that decided on ethical problems in psychiatry.

scholarly journals Impact of an educational intervention in enhancing nurses’ knowledge towards psychiatric patients’ ethical and legal rights

2019 ◽  
Vol 9 (10) ◽  
pp. 1
Author(s):  
Amal Ibrahim Khalil ◽  
Rawan Felemban ◽  
Rawan Tunker
Keyword(s):  
Educational Intervention ◽  
Ethical Issues ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Psychiatric Nursing ◽  
Legal Rights ◽  
Knowledge Questionnaire ◽  
Significant Difference ◽  
Post Assessment ◽  
Nurses Knowledge

Background and objective: The management of psychiatric patients and the law of ethic already exists. Therefore, nursing ethics are necessary for psychiatric nurses since they are involved in providing services that impact human life. The aim was to evaluate the effectiveness of an educational program in enhancing nurses’ knowledge regarding their responsibilities toward psychiatric patients’ ethical and legal rights.Methods: A quasi experimental study design with one group pre/post was used with 30 nurses recruited conveniently from Psychiatric Hospital Jeddah, Saudi Arabia. Nurses were questioned using 5 short answer questions, 11 multiple choice questions and the Structured Knowledge Questionnaire developed by Kumar, Mehta, and Kalra (2011).Results: A total of 30 nurses were recruited, with their age ranging between 25-54 years old; the majority (59.4%) were married, while 78.1% neither have psychiatric nursing experiences nor did they study ethics during their undergraduate years. The total mean score of pre-knowledge questionnaire was 27.2 ± 2.97 compared to 30.2 ± 2.40 in post assessment, with a significant difference between pre and post assessment. On the other hand, the total mean percentage of nurse’s theoretical background in pre assessment was 25% compared with 29% with no significant difference between pre and post interventions.Conclusions: Nurses’ knowledge was inadequate regarding ethical and legal rights. The current study findings evidenced the effectiveness of the educational intervention in changing the nurses’ knowledge significantly. Therefore, it is a necessity to ensure that nurses working in psychiatric hospitals have the necessary expertise regarding the legal and ethical issues involved with caring for psychiatric patients, to decrease the effects of malpractices and negligence in psychiatric nursing practice.

Ideology of Nursing Care in Child Psychiatric Inpatient Treatment

2007 ◽  
Vol 14 (5) ◽  
pp. 583-596 ◽  
Author(s):  
Heikki Ellilä ◽  
Maritta Välimäki ◽  
Tony Warne ◽  
Andre Sourander
Keyword(s):  
Nursing Care ◽  
Psychiatric Inpatient ◽  
Codes Of Ethics ◽  
Child And Adolescent ◽  
Psychiatric Nursing ◽  
Qualitative And Quantitative ◽  
Psychiatric Inpatient Treatment ◽  
Individual Care ◽  
Child Psychiatric ◽  
Inpatient Nursing

Research on nursing ideology and the ethics of child and adolescent psychiatric nursing care is limited. The aim of this study was to describe and explore the ideological approaches guiding psychiatric nursing in child and adolescent psychiatric inpatient wards in Finland, and discuss the ethical, theoretical and practical concerns related to nursing ideologies. Data were collected by means of a national questionnaire survey, which included one open-ended question seeking managers' opinions on the nursing ideology used in their area of practice. Questionnaires were sent to all child and adolescent psychiatric inpatient wards (n = 69) in Finland; 61 ward mangers responded. Data were analysed by qualitative and quantitative content analysis. Six categories - family centred care, individual care, milieu centred care, integrated care, educational care and psychodynamic care - were formed to specify ideological approaches used in inpatient nursing. The majority of the wards were guided by two or more approaches. Nursing models, theories and codes of ethics were almost totally ignored in the ward managers' ideological descriptions.

Student nurses’ preparation for psychiatric nursing practice: Malawian experiences

2016 ◽  
Vol 11 (5) ◽  
pp. 294-304
Author(s):  
Thokozani Bvumbwe
Keyword(s):  
Mental Health ◽  
Nursing Education ◽  
Work Experience ◽  
Professional Training ◽  
Nursing Practice ◽  
Training Programs ◽  
Psychiatric Hospitals ◽  
Psychiatric Nursing ◽  
Content Type ◽  
Newly Graduated Nurses

Purpose The purpose of this paper is to explore newly graduated nurses’ experiences of their preparation for psychiatric nursing practice in Malawi. Knowledge of how basic or undergraduate nursing training programs prepare nurses for mental health services will inform educators to maximize the teaching and learning processes. Students are a key stakeholder in professional training hence an understanding of their experiences of training programs is critical. Design/methodology/approach A qualitative exploratory study was undertaken. In total, 16 newly graduated nurses with six months work experience at three psychiatric hospitals in Malawi were purposively sampled and recruited into the study. One to one interviews which lasted almost 45 minutes were conducted. Data were analyzed using content analysis. Findings Findings show that training programs fall short in preparing students for psychiatric nursing practice. Participants reported little attention to the specialty as compared to other specialties by educators. Inadequate academic support during practice sessions was highlighted by the majority of participants. Research limitations/implications The study needed to compare the findings with experiences of students who have been allocated to other nursing specialties. Originality/value Psychiatric nursing specialty remains the least preferred career choice for many nursing students. However, preservice nursing education programs are expected to socialize, motivate and prepare students for psychiatric practice as well. It is therefore critical to understand gaps that exist in student preparation for psychiatric nursing services in order to improve mental health training.

scholarly journals Ethical Issues of Psychiatric Nursing in Japan: A Literature Review

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Ogino M
Keyword(s):  
Ethical Issues ◽  
Family System ◽  
Psychiatric Treatment ◽  
Ethical Dilemmas ◽  
Psychiatric Nursing ◽  
Mental Illnesses ◽  
Human Interaction ◽  
Psychiatric Nurses ◽  
Ethical Challenges ◽  
Cultural Aspects

Aim: The aim of this paper is to examine the latest research and literature related to psychiatric nursing in Japan in orderto shed light on the ethical challenges that the field currently faces. Methods: A literature search was conducted using the keywords psychiatric nursing and nursing ethics within the searchsystem of the Japan Medical Abstracts Society. We examined recent literature (2013–2018) as well as research articles onexcited literature. Result: We examined 24 of literatures related to ethics in psychiatric nursing. These studies showed that psychiatricnurses perceive their ethical dilemmas to be “an inability to respect the patient’s wishes,” “restricting the movement ofpatients,” “conflict between patients and their families,” “interaction with patients,” and “insufficient communicationbetween treatment providers.” Discussion: Problems that psychiatric nurses in Japan perceived as ethical dilemmas arise from the nature of mental illnesses and are ethical quandaries that every country must deal with. One of the reasons psychiatric nurses in Japan feel that restricting the movement of patients creates an ethical dilemma has to do with the country’s former yet longstanding practice of committing mentally disabled individuals to psychiatric facilities. Some of Japan’s cultural aspects that influence ethical issues in psychiatric treatment are its family system and its methods of human interaction. Conclusion: It is essential that psychiatric nurses understand their own culture and maintain an ethical view as members of the nursing profession.

scholarly journals Turning up the Volume on Man’s Best Friend: Ethical Issues Associated with Commercial Dog Breeding

2019 ◽  
Vol 1 (2) ◽  
pp. 230-252
Author(s):  
Candace C. Croney
Keyword(s):  
Ethical Issues ◽  
Standards Of Care ◽  
Bond Failure ◽  
Regulatory Oversight ◽  
Ethical Problems ◽  
The Past ◽  
The Us ◽  
Commercial Breeding ◽  
Purebred Dogs ◽  
Dog Breeding

Abstract As the dog’s popularity as a human companion has grown, demand for purebred dogs has likewise escalated. Commercial breeding of dogs, which currently helps to meet such demands has become a point of social contention. The co-evolution of dogs and humans and the unique, familial relationships people have developed with them suggest that they are owed special consideration of their needs and interests that is independent of their utility to humans. Not surprisingly, opposition to commercial breeding enterprises has increased dramatically in the past decade in the US and abroad, spawning a growing number of legislative initiatives aimed at regulating such operations, which are widely believed to harm dogs. Among the most significant ethical problems embedded in commercial dog breeding are the potential for insults to the human-dog bond, failure to duly consider and meet duties of care to dogs, including dogs’ welfare needs and interests, and insufficient regulation of dog care standards. The shortage of published science on the actual conditions experienced by dogs in commercial breeding kennels complicates understanding of the nature and severity of problems as well as solutions. It is argued that despite the concerns associated with commercial dog breeding, abolishing the practice without identifying an ethically preferable alternative that meets demands could result in even worse consequences for dogs. Given this problem, commercial breeding could be ethically defensible under conditions that vastly reduce or eliminate potential for dog suffering, and with strict regulatory oversight of corresponding standards of care for dogs.

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