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Related Experiment Videos

An ethical dilemma: risk versus responsibility

S McDonald

    Journal of Psychosocial Nursing and Mental Health Services
    |January 1, 1994
    PubMed
    Summary

    Psychiatric nurses advocated for patients when a hospital exploited dissociative disorder and multiple personality disorder diagnoses for profit, leading to extended stays and restricted rights. This highlights the need for nurses to understand hospital financial practices.

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    Area of Science:

    • Psychiatry
    • Healthcare Administration
    • Nursing Ethics

    Background:

    • Dissociative disorders and multiple personality disorder are highly profitable diagnoses in psychiatric hospitals.
    • Psychiatric nurses are crucial in planning patient care for these complex conditions.
    • Concerns arise when hospital financial incentives may compromise patient welfare and rights.

    Purpose of the Study:

    • To examine how financial incentives in psychiatric hospitals can influence patient care for dissociative disorders.
    • To highlight the ethical responsibilities of psychiatric nurses in advocating for patients.
    • To underscore the importance of financial literacy for nurses in understanding hospital operations.

    Main Methods:

    • Case study analysis of a psychiatric hospital unit.
    • Review of billing practices and patient care protocols.
    • Qualitative assessment of nursing advocacy.

    Main Results:

    • The hospital generated significant revenue by housing dissociative disorder patients at intensive care unit rates.
    • Practices were implemented that potentially extended patient stays and infringed upon patient rights.
    • Nurses were compelled to act as patient advocates against exploitative hospital policies.

    Conclusions:

    • Financial considerations can significantly impact patient care and ethical practice in psychiatric settings.
    • Nurses require an understanding of hospital financial structures to effectively advocate for patients.
    • Ethical nursing practice necessitates vigilance against profit-driven healthcare models that may harm patients.
    Keywords:
    Health Care and Public HealthMental Health Therapies

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