The essence of psychiatric nursing: redefining nurses' identity through moral dialogue about reducing the use of coercion and restraint.
In this article, we focus on core values of psychiatric nurses in relation to coercion and constraint. We analyze changes that took place in a project aiming at reducing coercion at a closed inpatient ward of a psychiatric hospital. Using the philosophy of Hans-Georg Gadamer and Margaret Urban Walker, we analyze both the process of moral changes through dialogue and the outcome in terms of new identities and moral responsibilities. We conclude that the project stimulated nurses to redefine their roles and develop a deeper intersubjective understanding of core values of their profession.
Department of Medical Humanities, VU University Medical Center, Amsterdam, the Netherlands. e.landeweer@vumc.nl
Elleke G M
EG
Landeweer
Tineke A
TA
Abma
Guy A M
GA
Widdershoven
D032763:Behavior Control / Q000941:ethics*; D003068:Coercion; D006778:Hospitals, Psychiatric; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D028681:Moral Obligations; D009426:Netherlands; D015279:Organizational Culture; D009936:Organizational Innovation; D011568:Psychiatric Nursing / Q000193:education / Q000941:ethics; D058996:Quality Improvement