Choosing a Framework for Ethical Analysis in Advanced Practice Settings: The Case for Casuistry
Artnak, Kathryn E.
Dimmitt, Jane H.
Archives of Psychiatric Nursing. 1996 Feb; 10(1): 16-23.
The need for advanced practice nurses to incorporate ethical analysis into case management is becoming more apparent -- particularly for the increasingly independent practice settings of psychiatric and mental health nursing. The nursing literature contains many articles dealing with the more abstract treatment of clinical ethics, but for the practitioner there is unfortunately little information available that uses ethical principles in a practical framework, which addresses the concrete reality of daily, difficult clinical decision making. This article applies a model of reasoned analysis to an actual case study using the concepts of casuistry or case-based reasoning. This method offers an alternative to the more popular paradigm of principilism. Complicated by the existence of violence and abuse, the case examines several ethical issues including patient privacy and legitimate breaches of patient confidentiality.
Adolescents; Case Studies; Casuistry; Clinical Ethics; Confidentiality; Case Management; Dangerousness; Decision Making; Duty to Warn; Ethical Analysis; Ethics; Family Relationship; Fathers; Females; Health; Law; Law Enforcement; Life; Literature; Mental Health; Mothers; Nurses; Nursing Ethics; Patient Care; Patient Participation; Principle-Based Ethics; Privacy; Psychotherapy; Quality of Life; Sex Offenses; Social Problems; Trust; Values; Violence;
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Dimmitt, Jane H.; Artnak, Kathryn E. (1994-12)In the absence of a well articulated conceptual framework for nursing ethics, this article argues for a theory of applied ethics -- casuistics -- used within a clinical reasoning model, to analyse the complicated ...