NRNP 6665 Ethical and Legal Foundations of PMHNP Care Essay
NRNP 6665 Ethical and Legal Foundations of PMHNP Care Essay
NRNP 6665 Ethical and Legal Foundations of PMHNP Care Essay
Ethical and Legal Foundations of PMHNP Care
Nursing professionals must abide by several moral and legal requirements outlined in the American Nurses Association Code of Ethics to ensure patient satisfaction while providing patient-centered care. Numerous state laws have been passed to promote the treatment of those with mental disorders in light of the hazards they entail. Civil commitment legislation has been passed in Chicago, Illinois, making it possible for PMHNPs to begin mandatory treatment for patients with mental disorders who do not voluntarily seek help (Saya et al., 2019). The paper gives instances of legal and ethical issues with involuntary hospitalization and civil commitment with due process in the state of Illinois for both children and adults.
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Legal Issues
According to Sheridan Rains et al. (2019), the Illinois mental health Act may influence several mental health patients since they may be susceptible to involuntary detention for reasons such as significant mental illness. It might take up to 72 hours for an adult to undergo a non-voluntary test that calls for solitary detention. For children and teens under the age of 18, the detention term is only allowed to last 12 hours (Saya et al., 2019). Children often undergo an uninvited examination as soon as they enter the mental health institution. Before they ever step foot inside a mental health institution, adults may be evaluated to determine the best placement for the patient.
Ethical Issues
While protecting the public from the risks presented by mentally ill patients was the intention of the commitment law, mental health practitioners often struggle with making moral judgments that respect their client’s rights. For instance, to protect the health of patients with mental illnesses, especially adults, the PMHNP must respect their independence and self-determination rights (Takimoto, 2022). Children under the age of 18 must have the consent of their parents or guardians when making decisions about their health. Bipeta (2019) asserts that adhering to the nursing code of ethics requires the PMHNP to improve the health of patients rather than do them harm. This is referred to as the beneficence ethical principle. These moral obligations, however, may be rather challenging for individuals who are suicidal and show signs of potential harm to both themselves and others. This makes it challenging for nurses to decide which patients ought to have their rights suspended and be hospitalized against their choice.
Impact on Clinical Practice
Several legal and ethical standards must be followed while caring for people with mental illnesses. As a consequence, PMHNPs regularly have to make morally challenging decisions. For instance, state law throughout the United States places several restrictions on both involuntary hospitalization and due process of civil commitment laws. However, the civil commitment rules allow for involuntary incarceration since they see the mentally ill patient as a danger to neighbors. As a consequence, in Illinois, for example, PMHNPs have tough choices about whether to prioritize the patient’s interests and enable them to select what is most beneficial to their health, or whether the patient’s examination findings warrant the patient’s forced admission and treatment.
References
Bipeta, R. (2019). Legal and ethical aspects of mental health care. Indian Journal of Psychological Medicine, 41(2), 108–112. https://doi.org/10.4103/ijpsym.ijpsym_59_19
Saya, A., Brugnoli, C., Piazzi, G., Liberato, D., Di Ciaccia, G., Niolu, C., & Siracusano, A. (2019). Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00271
Sheridan Rains, L., Zenina, T., Dias, M. C., Jones, R., Jeffreys, S., Branthonne-Foster, S., Lloyd-Evans, B., & Johnson, S. (2019). Variations in patterns of involuntary hospitalization and legal frameworks: an international comparative study. The Lancet Psychiatry, 6(5), 403–417. https://doi.org/10.1016/s2215-0366(19)30090-2
Takimoto, Y. (2022). International comparison of physicians’ attitudes toward refusal of treatment by patients with anorexia nervosa: a case-based vignette study. Journal of Eating Disorders, 10(1). https://doi.org/10.1186/s40337-022-00613-x
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Ethical and Legal Foundations of PMHNP Care
Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.
For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare
Select one of the following ethical/legal topics:
Autonomy
Beneficence
Justice
Fidelity
Veracity
Involuntary hospitalization and due process of civil commitment
Informed assent/consent and capacity
Duty to warn
Restraints
HIPPA
Child and elder abuse reporting
Tort law
Negligence/malpractice
In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.
By Day 3 of Week 2
Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.
Read a selection of your colleagues’ responses.
By Day 6 of Week 2
Respond to at least two of your colleagues on 2 different days by sharing cultural considerations that may impact the legal or ethical issues present in their articles.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!
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NRNP_6665_Week2_Discussion_Rubric
Criteria | Ratings | Pts | ||||
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This criterion is linked to a Learning Outcome Main Posting:Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
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44 pts | ||||
This criterion is linked to a Learning Outcome Main Posting:Writing |
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6 pts | ||||
This criterion is linked to a Learning Outcome Main Posting:Timely and full participation |
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10 pts | ||||
This criterion is linked to a Learning Outcome First Response:Post to colleague’s main post that is reflective and justified with credible sources |
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9 pts | ||||
This criterion is linked to a Learning Outcome First Response:Writing |
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6 pts | ||||
This criterion is linked to a Learning Outcome First Response:Timely and full participation |
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5 pts | ||||
This criterion is linked to a Learning Outcome Second Response:Post to colleague’s main post that is reflective and justified with credible sources |
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9 pts | ||||
This criterion is linked to a Learning Outcome Second Response:Writing |
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6 pts | ||||
This criterion is linked to a Learning Outcome Second Response:Timely and full participation |
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5 pts | ||||
Total Points: |