Matches in SemOpenAlex for { <https://semopenalex.org/work/W2891427768> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W2891427768 abstract "This study explores the mental health nurse’s experience of ethical reasoning while overriding the choices of mental health service users within an acute mental health context. When working with service users in acute mental distress a mental health nurse’s clinical decisions will have a controlling element, which can lead to the service user’s freedoms being restricted. This power to restrict freedoms also known as coercion can be explicit, it follows the rule of law, and implicit; ways of controlling that are ‘hidden’. The ethical use of this power requires the nurse to be an effective ethical reasoner who understands both the explicit and implicit nature of this power. Coercive power, which is explicit, has been thoroughly explored; however, there is limited work exploring the use of this power within an ethical context and as a ‘real-time’ practice issue. In addition, there is little work exploring implicit power as a practice issue or as an ethical issue. To examine this knowledge gap this study adopts an interpretative phenomenological analysis (IPA) approach to engender an understanding of the mental health nurse’s personal meaning and experience of using both explicit and implicit coercive power. This approach affords the researcher the opportunity to tease out the personal ‘ethical’ meaning of the participants’ experiences by facilitating an in-depth and sensitive dialogue, which focuses on stimulating conscious ethical reflection. IPA is an idiographic mode of inquiry where sample purposiveness and analytical depth is more important than sample size. On this basis, six qualified mental health nurses were recruited who have used coercive strategies while nursing service users in acute mental distress. The semi-structured interviews were thematically and interpretively analysed, the five superordinate themes that were generated are; the nurse as a practitioner, their values, their practice, their use of coercion, and their ethics. In addition, the results of the study highlighted that coercive strategies are a key part of a mental health nurse’s daily practice both explicitly and implicitly. These strategies can be beneficent; however, this is dependent on the ethical reasoning ability of the nurse and the professional support they receive in practice. Being an effective ethical reasoner requires the nurse to acquire ‘good habits’, a basis for enabling the nurse to work through an ethical challenge in ‘quick time’. Furthermore, to enhance these good habits they also need to have an ‘ethical imagination’. Considering these points, this study recommends mental health nurses when using coercive power use a multi-faceted ethical reasoning approach. This approach should aim to create good ethical habits through continually rehearsing good responses to common practice issues. In addition, this approach should not neglect the need for the nurse to use their ethical imagination and to feel for an ethical solution where required. As a future area for research, this study recognises the skilled use of ethical imagination in the field of mental health nursing requires further exploration." @default.
- W2891427768 created "2018-09-27" @default.
- W2891427768 creator A5015534296 @default.
- W2891427768 date "2018-08-11" @default.
- W2891427768 modified "2023-09-26" @default.
- W2891427768 title "Overriding the choices of mental health service users; a study examining the acute mental health nurse’s perspective" @default.
- W2891427768 doi "https://doi.org/10.24377/ljmu.t.00008976" @default.
- W2891427768 hasPublicationYear "2018" @default.
- W2891427768 type Work @default.
- W2891427768 sameAs 2891427768 @default.
- W2891427768 citedByCount "0" @default.
- W2891427768 crossrefType "dissertation" @default.
- W2891427768 hasAuthorship W2891427768A5015534296 @default.
- W2891427768 hasConcept C121332964 @default.
- W2891427768 hasConcept C134362201 @default.
- W2891427768 hasConcept C138885662 @default.
- W2891427768 hasConcept C151730666 @default.
- W2891427768 hasConcept C15744967 @default.
- W2891427768 hasConcept C163258240 @default.
- W2891427768 hasConcept C2777188754 @default.
- W2891427768 hasConcept C2779343474 @default.
- W2891427768 hasConcept C2780876879 @default.
- W2891427768 hasConcept C41895202 @default.
- W2891427768 hasConcept C542102704 @default.
- W2891427768 hasConcept C62520636 @default.
- W2891427768 hasConcept C75630572 @default.
- W2891427768 hasConcept C77805123 @default.
- W2891427768 hasConcept C86803240 @default.
- W2891427768 hasConceptScore W2891427768C121332964 @default.
- W2891427768 hasConceptScore W2891427768C134362201 @default.
- W2891427768 hasConceptScore W2891427768C138885662 @default.
- W2891427768 hasConceptScore W2891427768C151730666 @default.
- W2891427768 hasConceptScore W2891427768C15744967 @default.
- W2891427768 hasConceptScore W2891427768C163258240 @default.
- W2891427768 hasConceptScore W2891427768C2777188754 @default.
- W2891427768 hasConceptScore W2891427768C2779343474 @default.
- W2891427768 hasConceptScore W2891427768C2780876879 @default.
- W2891427768 hasConceptScore W2891427768C41895202 @default.
- W2891427768 hasConceptScore W2891427768C542102704 @default.
- W2891427768 hasConceptScore W2891427768C62520636 @default.
- W2891427768 hasConceptScore W2891427768C75630572 @default.
- W2891427768 hasConceptScore W2891427768C77805123 @default.
- W2891427768 hasConceptScore W2891427768C86803240 @default.
- W2891427768 hasLocation W28914277681 @default.
- W2891427768 hasOpenAccess W2891427768 @default.
- W2891427768 hasPrimaryLocation W28914277681 @default.
- W2891427768 hasRelatedWork W1595585512 @default.
- W2891427768 hasRelatedWork W1602184183 @default.
- W2891427768 hasRelatedWork W1752725386 @default.
- W2891427768 hasRelatedWork W1777849983 @default.
- W2891427768 hasRelatedWork W1986187389 @default.
- W2891427768 hasRelatedWork W2037056449 @default.
- W2891427768 hasRelatedWork W2086802942 @default.
- W2891427768 hasRelatedWork W2093542242 @default.
- W2891427768 hasRelatedWork W2128587947 @default.
- W2891427768 hasRelatedWork W2188963053 @default.
- W2891427768 hasRelatedWork W2306306780 @default.
- W2891427768 hasRelatedWork W2410212681 @default.
- W2891427768 hasRelatedWork W2508097442 @default.
- W2891427768 hasRelatedWork W2559218487 @default.
- W2891427768 hasRelatedWork W2761919353 @default.
- W2891427768 hasRelatedWork W2800044317 @default.
- W2891427768 hasRelatedWork W2946320993 @default.
- W2891427768 hasRelatedWork W2971569598 @default.
- W2891427768 hasRelatedWork W3095188098 @default.
- W2891427768 hasRelatedWork W3165754089 @default.
- W2891427768 isParatext "false" @default.
- W2891427768 isRetracted "false" @default.
- W2891427768 magId "2891427768" @default.
- W2891427768 workType "dissertation" @default.