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.
Original language | English |
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Pages (from-to) | 546-557 |
Number of pages | 12 |
Journal | Nursing ethics |
Volume | 13 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Sept 2006 |
Keywords
- CARE model
- Coercion
- Dialogue
- Moral deliberation
- Narrative
- Psychiatry