Theory of protective empowering for balancing patient safety and choices.

Abstract:

:Registered nurses in psychiatric-mental health nursing continuously balance the ethical principles of duty to do good (beneficence) and no harm (non-maleficence) with the duty to respect patient choices (autonomy). However, the problem of nurses' level of control versus patients' choices remains a challenge. The aim of this article is to discuss how nurses accomplish their simultaneous responsibility for balancing patient safety (beneficence and non-maleficence) with patient choices (autonomy) through the theory of protective empowering. This is done by reflecting on interview excerpts about caring from 17 registered nurses taking part in a grounded theory study conducted in three acute urban psychiatric hospital settings in Canada. The interplay between the protective and empowering dimensions of the theory of protective empowering was found to correspond with international, national, and local nursing codes of ethics and standards. The overall core process of protective empowering, and its associated reflective questions, is offered as a new lens for balancing patient safety with choices.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Chiovitti RF

doi

10.1177/0969733010386169

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

88-101

issue

1

eissn

0969-7330

issn

1477-0989

pii

18/1/88

journal_volume

18

pub_type

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