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Moral mindfulness: ethical concerns in the work life of health care professionals in a psychiatric intensive care unit
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. (KAOS)ORCID iD: 0000-0002-2610-8998
2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 6, p. 1851-1860Article in journal (Refereed) Published
Abstract [en]

Healthcare professionals working on inpatient wards face the externalizing or challenging behaviour of the patients who are admitted. Ethical values and principles in psychiatric nursing have been reported to be important when approaching patients during the most acute phase of deterioration in their mental health. Hence, the aim of this study was to discover and describe staff members' ethical and moral concerns about their work as healthcare professionals in a psychiatric intensive care unit. The study has a qualitative descriptive design and makes use of Framework Analysis. Registered nurses and psychiatric aides in a psychiatric intensive care unit in Sweden were observed during ethical reflection meetings. Four to six staff attended the 90-min meetings. The data comprise observations from six meetings, which provided 94 pages of text. The results demonstrate that the work was described as being both motivating and exhausting. The staff faced ethical concerns in their daily work, as patients often demonstrated challenging behaviours. Three themes were identified as follows: (i) concerns about the staff impacting on patients' experience of care, (ii) concerns about establishing a safe working environment, and (iii) concerns about becoming unprofessional due to expectations and a high workload. Ethical concerns included simultaneously taking into account both the patients' dignity and safety aspects, while also being exposed to high workloads. These elements of work are theorized as influencing complex psychiatric nursing. If we are to bring these influential factors to light in the workplace, advanced nursing practice must be grounded in moral mindfulness.

Place, publisher, year, edition, pages
2018. Vol. 27, no 6, p. 1851-1860
Keywords [en]
inpatient; mental health nurses; nursing ethics; psychiatric nursing; qualitative; work
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-27022DOI: 10.1111/inm.12494ISI: 000451782800025PubMedID: 29934965Scopus ID: 2-s2.0-85055923800OAI: oai:DiVA.org:hig-27022DiVA, id: diva2:1218438
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2019-01-07Bibliographically approved

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Salzmann-Erikson, Martin

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CiteExportLink to record
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Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
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  • Other style
More styles
Language
  • sv-SE
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  • de-DE
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Output format
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