Ethical issues experienced by mental health nurses in the administration of antipsychotic depot and long-acting intramuscular injections: A qualitative study

2014 ◽  
Vol 24 (3) ◽  
pp. 222-230 ◽  
Author(s):  
James Paul Smith ◽  
Oliver Rudolf Herber
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Ethical Issues ◽  
Mental Health Nurses ◽  
Intramuscular Injections ◽  
Long Acting

Nursing care in mental health: Human rights and ethical issues

2020 ◽  
pp. 096973302095210
Author(s):  
Carla Aparecida Arena Ventura ◽  
Wendy Austin ◽  
Bruna Sordi Carrara ◽  
Emanuele Seicenti de Brito
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Nursing Care ◽  
Ethical Issues ◽  
Research Question ◽  
Well Being ◽  
Mental Illnesses ◽  
Empirical Literature ◽  
Mental Health Nursing ◽  
Mental Health Nurses

People with mental illness are subjected to stigma and discrimination and constantly face restrictions in the exercise of their political, civil and social rights. Considering this scenario, mental health, ethics and human rights are key approaches to advance the well-being of persons with mental illnesses. The study was conducted to review the scope of the empirical literature available to answer the research question: What evidence is available regarding human rights and ethical issues regarding nursing care to persons with mental illnesses? A scoping review methodology guided by Arksey and O’Malley was used. Studies were identified by conducting electronic searches on CINAHL, PubMed, SCOPUS and Hein databases. Of 312 citations, 26 articles matched the inclusion criteria. The central theme which emerged from the literature was “Ethics and Human Rights Boundaries to Mental Health Nursing practice”. Mental health nurses play a key and valuable role in ensuring that their interventions are based on ethical and human rights principles. Mental health nurses seem to have difficulty engaging with the ethical issues in mental health, and generally are dealing with acts of paternalism and with the common justification for those acts. It is important to open a debate regarding possible solutions for this ethical dilemma, with the purpose to enable nurses to function in a way that is morally acceptable to the profession, patients and members of the public. This review may serve as an instrument for healthcare professionals, especially nurses, to reflect about how to fulfil their ethical responsibilities towards persons with mental illnesses, protecting them from discrimination and safeguarding their human rights, respecting their autonomy, and as a value, keeping the individual at the centre of ethical discourse.

The role of online ethics consultation on mental health

2020 ◽  
Vol 27 (5) ◽  
pp. 1261-1269
Author(s):  
Kayoko Ohnishi ◽  
Teresa E Stone ◽  
Takashi Yoshiike ◽  
Kazuyo Kitaoka
Keyword(s):  
Mental Health ◽  
Moral Distress ◽  
Ethical Issues ◽  
Physical Restraint ◽  
Ethics Consultation ◽  
Mental Health Nurses ◽  
Ethical Problems ◽  
Improving Patient Care

Background Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations The research was conducted in accordance with the Declaration of Helsinki. Research design This evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in Japan Participants The Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users. Findings The most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive. Discussion The Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants. Conclusion This study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses’ moral distress, building ethics into decision-making.

scholarly journals Mental health nurses’ support to caregivers of older adults with severe mental illness: a qualitative study

BMC Nursing ◽  
2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Marian I. Zegwaard ◽  
Marja J. Aartsen ◽  
Mieke H. F. Grypdonck ◽  
Pim Cuijpers
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Qualitative Study ◽  
Severe Mental Illness ◽  
Mental Health Nurses

Experience of mental health nurses regarding mechanical restraint in patients with psychomotor agitation: A qualitative study

2021 ◽  
Author(s):  
Yasmina Manzano‐Bort ◽  
Ramón Mir‐Abellán ◽  
Gemma Via‐Clavero ◽  
Jaime Llopis‐Cañameras ◽  
Montserrat Escuté‐Amat ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Psychomotor Agitation ◽  
Mental Health Nurses ◽  
Mechanical Restraint

scholarly journals Switching antipsychotics to support the physical health of people with severe mental illness: a qualitative study of healthcare professionals’ perspectives

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e042497
Author(s):  
Annabel Nash ◽  
Tom Kingstone ◽  
Saeed Farooq ◽  
Jessica Tunmore ◽  
Carolyn A Chew-Graham
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Illness ◽  
Side Effects ◽  
Qualitative Study ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Secondary Care ◽  
Healthcare Professionals ◽  
Mental Health Nurses

ObjectivesThe side effects of antipsychotic medications (APs) can increase the risk of developing physical health conditions. Some APs pose a higher risk than others. Evidence suggests switching to lower risk APs can support physical health outcomes. We sought to explore the views of healthcare professionals about switching antipsychotics to support physical health in people with severe mental illness (SMI).DesignA qualitative study with semi-structured interviews conducted with general practitioners (GPs), psychiatrists and mental health nurses. The main focus was to explore participants’ views on the physical health of people with SMI, the impact of APs and decision-making about switching medication to support physical health. Data were analysed thematically using principles of constant comparison.SettingsParticipants recruited through primary care and one mental health trust in the West Midlands.ParticipantsInterviews were conducted with 9 GPs, 10 psychiatrists and 4 mental health nurses.ResultsAwareness and knowledge of AP side-effects and risk profiles varied considerably between primary and secondary care clinicians. GPs reported limited awareness, while psychiatrists and nurses demonstrated a comprehensive understanding of AP risk profiles and side-effects. Mental health and control of symptoms were prioritised. Switching to promote physical health was considered as a reactive intervention, once side-effects or complications developed. There were a range of views over where responsibility lay for monitoring physical health and consideration of switching. Collaboration between primary and secondary care was identified as a way to address this.ConclusionsThis study presents multidisciplinary perspectives on awareness, decision making, perceived responsibility and barriers to switching APs to support physical health. Collaborative approaches that involve liaison between primary and secondary care, but tailored to the individual patient, may support switching, and present an opportunity to intervene to address the physical health inequalities experienced by individuals with SMI.

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