title: Moral deliberation in psychiatric nursing practice.
abstract: Moral deliberation has been receiving more attention in nursing ethics. Several ethical conversation models have been developed. This article explores the feasibility of the so-called CARE (Considerations, Actions, Reasons, Experiences) model as a framework for moral deliberation in psychiatric nursing practice. This model was used in combination with narrative and dialogical approaches to foster discourse between various stakeholders about coercion in a closed admission clinic in a mental hospital in the Netherlands. The findings demonstrate that the CARE model provides a substantial framework for structuring moral deliberations. Narratives and dialogue are useful tools for broadening issues in conversations, to engage various stakeholders (including patients), and to gain shared understandings.
authors.affiliation: Department of Healthcare Ethics and Philosophy, University of Maastricht, The Netherlands. T.abma@ZW.unimaas.nl
authors.forename: Tineke A
authors.initials: TA
authors.lastname: Abma
authors.forename: Guy A M
authors.initials: GA
authors.lastname: Widdershoven
mesh_terms: D001291:Attitude of Health Personnel; D003134:Commitment of Persons with Psychiatric Disorders; D003142:Communication; D003299:Cooperative Behavior; D006301:Health Services Needs and Demand; D006778:Hospitals, Psychiatric; D006801:Humans; D016294:Models, Nursing; D009014:Morals; D033262:Narration; D009426:Netherlands; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations / Q000941:ethics; D009730:Nursing Assessment; D009736:Nursing Process / Q000941:ethics / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000941:ethics / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010344:Patient Advocacy / Q000941:ethics / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology; D010356:Patient Isolation / Q000941:ethics / Q000523:psychology; D011568:Psychiatric Nursing / Q000941:ethics / Q000458:organization & administration; D013850:Thinking / Q000941:ethics; D035502:Trust / Q000523:psychology