在社区精神卫生机构提供强制干预的护士面临的伦理挑战:范围审查
Stephen Haines1,2, Robert Stanton1, Carina Anderson2,3
1Cluster for Resilience and Wellbeing, School of Health, Medical and Applied Sciences, CQUniversity Australia, Rockhampton, Queensland, Australia.
International journal of mental health nursing
|January 11, 2024
概括
社区精神卫生护士因强制干预而面临道德困境,例如社区治疗命令. 关于管理强迫行为的研究.
科学领域:
- 心理健康护理 心理健康护理
- 临床伦理学 临床伦理学
- 公共卫生政策 公共卫生政策
背景情况:
- 澳大利亚社区精神卫生服务中的强制干预正在增加.
- 有关人权和社区治疗订单的临床益处存在担忧.
- 强制性做法与以人为中心,以康复为导向和创伤为基础的护理原则相冲突.
研究的目的:
- 绘制研究文献的地图,以了解社区精神卫生护士如何识别和管理强制干预造成的伤害.
- 探索在社区环境中进行强制干预的护士所面临的伦理挑战.
主要方法:
- 进行了对研究文献的范围审查.
- 一次系统的搜索产生了562项研究,其中三项最终满足了纳入标准.
- 作者的共识被用来确定最终的文章选择.
主要成果:
- 有限的文献确定了三个主题:保持治疗关系,促进自主,并使用微妙的控制.
- 护士在未经同意的情况下给予药物,并促进重新入院.
- 在社区心理健康中,护士面临的伦理挑战与强制面临的伦理挑战的研究很少.
结论:
- 强制性做法给社区精神卫生护士带来了道德挑战和痛苦.
- 需要进一步的研究来理解和解决社区心理健康护理中的胁迫的伦理影响.
- 当代心理健康护理原则往往与强制性干预相矛盾.
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