Nurses' attitudes toward ethical issues in psychiatric inpatient settings.

Abstract:

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.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Eren N

doi

10.1177/0969733013500161

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

359-73

issue

3

eissn

0969-7330

issn

1477-0989

pii

0969733013500161

journal_volume

21

pub_type

杂志文章
  • Origins of difficulty in the nurse-patient encounter.

    abstract::The purpose of this study was to look beyond the patient as the source of difficulty and to examine the context of care encounters for factors that contributed to the construction of difficulty in the nurse-patient encounter. The study explains the origins of difficulty in the nurse-patient encounter. This explanation...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733007077885

    authors: Macdonald M

    更新日期:2007-07-01 00:00:00

  • The evolution of caring within bioethics: provision for relationship and context.

    abstract::Given the complexity of modern health care, there exists an urgent need to discover how best to resolve complex bioethical issues. Traditionally, principle based ethics provided the benchmark for guiding ethical decision-making. More recently, however, it has become apparent that this traditional approach is often ina...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:

    authors: deMoissac DM,Warnock FF

    更新日期:1996-09-01 00:00:00

  • Operationalization of patients' rights in Sudan: Quantifying nurses' knowledge.

    abstract:BACKGROUND:Promoting patients' rights is essential for defining the standards of clinical services within a country. Given their responsibilities, nurses can be the primary target for research to investigate the issue of patients' rights within a healthcare system. As such, assessing the knowledge of nurses about patie...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733018787224

    authors: Abdalla SM,Mahgoub EA,Abdelgadir J,Elhassan N,Omer Z

    更新日期:2019-11-01 00:00:00

  • Patients' perspectives on person-centred participation in healthcare: a framework analysis.

    abstract::The aim of this article was to critically analyse the concept of person-centred participation in healthcare from patients' perspectives through a review of qualitative research findings. In accordance with the integrative review method of Broom, data were retrieved from databases, but 60 studies were finally included ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013490593

    authors: Thórarinsdóttir K,Kristjánsson K

    更新日期:2014-03-01 00:00:00

  • Nursing's professional respect as experienced by hospital and community nurses.

    abstract:BACKGROUND:There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and apprai...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733016664972

    authors: Stievano A,Bellass S,Rocco G,Olsen D,Sabatino L,Johnson M

    更新日期:2018-08-01 00:00:00

  • Moral distress experienced by non-Western nurses: An integrative review.

    abstract:BACKGROUND:Moral distress has been identified as a significant issue in nursing practice for many decades. However, most studies have involved American nurses or Western medicine settings. Cultural differences between Western and non-Western countries might influence the experience of moral distress. Therefore, the lit...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/0969733019880241

    authors: Prompahakul C,Epstein EG

    更新日期:2020-05-01 00:00:00

  • Factors behind ethical dilemmas regarding physical restraint for critical care nurses.

    abstract:BACKGROUND:Physical restraint is among the commonly used methods for ensuring patient safety in intensive care units. However, nurses usually experience ethical dilemmas over using physical restraint because they need to weigh patient autonomy against patient safety. AIM:The aim of this study was to explore factors be...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733019858711

    authors: Salehi Z,Najafi Ghezeljeh T,Hajibabaee F,Joolaee S

    更新日期:2020-03-01 00:00:00

  • Relationship between ethical ideology and moral judgment: Academic nurse educators' perception.

    abstract:BACKGROUND:Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision. PURPOSE:This study aims to investiga...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017722825

    authors: Abou Hashish EA,Ali Awad NH

    更新日期:2019-05-01 00:00:00

  • Perceptions of informed consent in the care of elderly people in five European countries.

    abstract::The focus of this article is on elderly patients' and nursing staff perceptions of informed consent in the care of elderly patients/residents in five European countries. The results suggest that patients and nurses differ in their views on how informed consent is implemented. Among elderly patients the highest frequen...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1191/0969733003ne574oa

    authors: Schopp A,Välimäki M,Leino-Kilpi H,Dassen T,Gasull M,Lemonidou C,Scott PA,Arndt M,Kaljonen A

    更新日期:2003-01-01 00:00:00

  • The human condition of the professional: discretion and accountability.

    abstract::This article takes issue with procedural reductionism, which is the inclination to reduce all matters of judgement and responsibility to the following of some procedure or rule. Two scenarios provide content for a discussion of professional discretion in the context of accountability. The author shows that in professi...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/096973309700400608

    authors: Hunt G

    更新日期:1997-11-01 00:00:00

  • Validation of the Hospital Ethical Climate Survey for older people care.

    abstract:BACKGROUND:The exploration of the ethical climate in the care settings for older people is highlighted in the literature, and it has been associated with various aspects of clinical practice and nurses' jobs. However, ethical climate is seldom studied in the older people care context. Valid, reliable, feasible measures...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733014549878

    authors: Suhonen R,Stolt M,Katajisto J,Charalambous A,Olson LL

    更新日期:2015-08-01 00:00:00

  • Relationship between ethical work climate and nurses' perception of organizational support, commitment, job satisfaction and turnover intent.

    abstract:BACKGROUND:Healthcare organizations are now challenged to retain nurses' generation and understand why they are leaving their nursing career prematurely. Acquiring knowledge about the effect of ethical work climate and level of perceived organizational support can help organizational leaders to deal effectively with dy...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733015594667

    authors: Abou Hashish EA

    更新日期:2017-03-01 00:00:00

  • Human rights education in patient care: A literature review and critical discussion.

    abstract::The identification of human rights issues has become more prominent in statements from national and international nursing organisations such as the American Nurses Association and the United Kingdom's Royal College of Nursing with the International Council of Nursing asserting that human rights are fundamental to and ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020921512

    authors: Newham R,Hewison A,Graves J,Boyal A

    更新日期:2020-06-19 00:00:00

  • Invisibility, moral knowledge and nursing work in the writings of Joan Liaschenko and Patricia Rodney.

    abstract::The ethical 'eye' of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construc...

    journal_title:Nursing ethics

    pub_type: 传,历史文章,杂志文章

    doi:10.1191/0969733004ne677oa

    authors: Bjorklund P

    更新日期:2004-03-01 00:00:00

  • Documentation of patients' participation in care at the end of life.

    abstract::The aim of this study was to describe how patients' participation in the care they received was documented in their health care records during the last three months of their lives. Two hundred and twenty-nine deceased adult persons were randomly identified from 12 municipalities in a Swedish county and their records w...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1191/0969733006ne883oa

    authors: Lindström I,Gaston-Johansson F,Danielson E

    更新日期:2006-07-01 00:00:00

  • Ethical considerations in cross-linguistic nursing.

    abstract::This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequa...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733009343622

    authors: Carnevale FA,Vissandjée B,Nyland A,Vinet-Bonin A

    更新日期:2009-11-01 00:00:00

  • Perspectives on good preceptorship: A matter of ethics.

    abstract:BACKGROUND:Clinical education is an essential part of the Bachelor's program in Nursing and a keystone of professional nursing education. Through clinical experiences, the student nurses acquire nursing knowledge and essential skills for professional practice. The preceptor plays a vital role in the development of stud...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013511361

    authors: Hilli Y,Salmu M,Jonsén E

    更新日期:2014-08-01 00:00:00

  • Struggling to become ready for consolation: experiences of suicidal patients.

    abstract::Although there has been a vast amount of research about suicide, very few studies focus on the inner world of the suicidal patient. A secondary analysis of two exemplar narrative interviews with Norwegian patients reveals a glimpse of the inner world of suicidal patients' longing for consolation. The results of a phen...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1191/0969733003ne651oa

    authors: Talseth AG,Gilje F,Norberg A

    更新日期:2003-11-01 00:00:00

  • Research with bereaved families: a framework for ethical decision-making.

    abstract::Theoretical debates about the nature of grief and bereavement draw attention to the sensitivity of carrying out research with bereaved people, the possible threats that this may pose and the ethical considerations required to ameliorate potentially damaging outcomes. The authors of this article present a framework for...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733014521097

    authors: Sque M,Walker W,Long-Sutehall T

    更新日期:2014-12-01 00:00:00

  • The development and implications of a case-based computer program to train ethical decision-making.

    abstract::To effectively train ethical decision-making of nursing students, a case-based computer program was developed using Flash animation. Seven ethical cases collected from practicing registered nurses' actual clinical experiences and a six-step Integrated Ethical Decision-Making Model developed by the author were employed...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013484489

    authors: Park EJ

    更新日期:2013-12-01 00:00:00

  • Professional self-concept and professional values of senior students of the nursing department.

    abstract:AIM:This study was carried out in order to determine professional self-concept and professional values in the students, who were studying in the final year of the nursing department in schools providing undergraduate education in the Inner Anatolia Region. METHOD:This cross-sectional study was conducted on a total of ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733018761171

    authors: Çöplü M,Tekinsoy Kartın P

    更新日期:2019-08-01 00:00:00

  • Evaluating nurse understanding and participation in the informed consent process.

    abstract:BACKGROUND:Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill t...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017740175

    authors: Axson SA,Giordano NA,Hermann RM,Ulrich CM

    更新日期:2019-06-01 00:00:00

  • Experimental subjects and partial truth telling during technological change in radiotherapy.

    abstract:BACKGROUND:Cone Beam Computed Tomography (CBCT), the focus of a number of radiotherapy fundraising campaigns in the mid-2000s, was introduced accompanied by a fanfare of newness and discourses of 'hope', 'inspiring clinical confidence' and 'accuracy'. The CBCT system, used in the delivery of Radiotherapy treatment, was...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733015614881

    authors: Wood LA

    更新日期:2017-06-01 00:00:00

  • Suicide: a statement of suffering.

    abstract::This article is designed to focus on the provision of nursing care in general medical wards following the admission of persons who have attempted suicide or who have a previous history of attempting suicide. The authors explore, analyse and synthesize how nurses, as key players in the health care team, may begin by re...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/096973309800500102

    authors: Long A,Long A,Smyth A

    更新日期:1998-01-01 00:00:00

  • Autonomy and advocacy in perinatal nursing practice.

    abstract::Advocacy has been positioned as an ideal within the practice of nursing, with national guidelines and professional standards obliging nurses to respect patients' autonomous choices and to act as their advocates. However, the meaning of advocacy and autonomy is not well defined or understood, leading to uncertainty reg...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/0969733007088360

    authors: Simmonds AH

    更新日期:2008-05-01 00:00:00

  • 'What is professional ethics?'.

    abstract::The very term 'professional ethics' is puzzling with respect to what both 'professional' and 'ethics' might mean. I argue (1) that professionalism is ambiguous as to whether or not it is implicitly committed to ethical practice; (2) that to be 'professionally' ethical is at best ambiguous, if not in fact bizarre; and ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013484485

    authors: Brecher B

    更新日期:2014-03-01 00:00:00

  • Ethical issues in the qualitative researcher--participant relationship.

    abstract::Qualitative research poses ethical issues and challenges unique to the study of human beings. In developing the interpersonal relationship that is critical to qualitative research, investigator and participant engage in a dialogic process that often evokes stories and memories that are remembered and reconstituted in ...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/0969733007086018

    authors: Eide P,Kahn D

    更新日期:2008-03-01 00:00:00

  • Nurse moral distress: a proposed theory and research agenda.

    abstract::As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a resea...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1191/0969733002ne557oa

    authors: Corley MC

    更新日期:2002-11-01 00:00:00

  • Factors related to privacy of Somali refugees in health care.

    abstract:BACKGROUND:Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients' privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion. OBJECTIVES:The obj...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733019855748

    authors: Eklöf N,Hupli M,Leino-Kilpi H

    更新日期:2020-03-01 00:00:00

  • Developing moral imagination and the influence of belief.

    abstract::Moral imagination has been described by Murdoch as 'a way of seeing'. The focus of concern here is the influence of belief upon moral imagination and those attitudes that are needed if moral imagination is to be developed. The perspective adopted endorses a Humean recognition of the potent influence of personal experi...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/096973309700400304

    authors: Pask EJ

    更新日期:1997-05-01 00:00:00