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Ethical Issues Encountered by Forensic Psychiatric Nurses in Japan
Kayoko Tsunematsu1, Yuko Fukumoto2, Keiko Yanai2
1Author Affiliations:Kumamoto Health Science University.
Forensic psychiatric nurses in Japan frequently face ethical challenges, particularly concerning patient rights and safety. They often discuss issues with peers, highlighting the need for better support systems for patient reintegration.
Area of Science:
- Forensic Psychiatry
- Nursing Ethics
- Mental Health Law
Background:
- Japanese legal system distinguishes between penal servitude and treatment for mentally disordered offenders.
- Forensic psychiatric nurses encounter unique ethical dilemmas caring for this population.
Purpose of the Study:
- To identify and analyze the ethical issues faced by forensic psychiatric nurses in Japan.
Main Methods:
- Survey using the Ethical Issues Scale among 131 forensic healthcare ward nurses.
- Semistructured interviews with 17 consenting nurses.
- Data analyzed using descriptive statistics and content analysis.
Main Results:
- "Protecting patients' rights and human dignity" was the most frequent ethical issue.
- "Providing nursing care with possible health risks" was the most disturbing issue.
- Key concerns included discharge management, violence prevention, compulsory treatment, and patient care.
Conclusions:
- Nurses struggle to balance patient rights with safety and legal requirements.
- Peer discussion is a common coping mechanism.
- Developing support systems for social reintegration is crucial for resolving ethical issues.
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