10.1001/jama.284.3.357. Coercion threatens autonomy of patients, may have adverse effects, and it threatens health care professionals’ perception of what constitutes good care and treatment. If someone like that shows up at your meeting, look further ahead in this chapter for some tips on dealing with "disrupters.". Hence, we realised the importance of clarifying what we meant by the concepts ‘ethical challenge’ and ‘coercion’. Are they bored? By focusing on ethics and coercion in mental health care, we also should be aware of the potentially infringing culture. The ethical challenge they face, is how far they can go in utilizing the opportunity to hold back information in connection with coercion – in the name of preventing harm - when this, at the same time, compromises patient autonomy to such a large degree. He participated in drafting and revising the manuscript. Hem MH: Mature care? One of the most important sets of skills for leaders and members are facilitation skills. Health care practitioners describe ethical dilemmas they face concerning formal, informal and perceived coercion. In the focus group discussions, the challenges often appeared as professional or clinical challenges instead. Learning the Craft of Qualitative Research Interviewing. 10.1111/j.1365-2850.2004.00715.x. Is the location a familiar place, one where people feel comfortable?
Along with these tips on facilitation, there are some things you can do both to prevent disruption before it occurs to stop it when it's happening in the meeting. In two of the interviews (psychogeriatric unit and sub-acute unit), participants said that applying coercion may sometimes be necessary ‘to come into position’ to help a patient. The research question in this study was: What kind of ethical challenges related to the use of coercion do health care practitioners face in their daily clinical work? Platforms for sharing genomic and phenotype data have been developed to promote genomic research, while maximizing the utility of existing datasets and minimizing the burden on participants. Sometimes organization leaders are required to facilitate meetings: thus, board presidents must be trained in how to facilitate. 0000034096 00000 n 2005, 12 (4): 370-380. Importantly, we read an extensive amount of research articles in connection with a literature review on ethical challenges connected to the use of coercion in mental health care which we performed at the same time (work in progress). Afterwards, we will show how certain challenges are context specific. While they have to get through an agenda and make sure that important issues are discussed, decisions made, and actions taken, good chairs don't feel that they have all of the answers or should talk all the time. The ethical challenges deserve to be identified and handled in a systematic way. These are the "process" skills we use to guide and direct key parts of our organizing work with groups of people such as meetings, planning sessions, and training of our members and leaders. Qualitative research in health care. Some studies concentrate on difficult feelings and moral distress. Even though there are studies indicating various ethical challenges, the majority of the participants in the study of Lind et al. 10.1002/bsl.2370110309. These folks can turn your meeting into a nightmare if they don't feel that their influence and role are acknowledged and respected. 2013, Oxford: Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. Our approach was inductive [19]. Perhaps we can decide to go in the direction that most of the group wants, and maybe Tom and Levonia can get back to us on other ways to accommodate their concerns." We followed up with questions for elaboration. 0000033144 00000 n
0000001003 00000 n Bobo, K., Kendall, J., & Max, S., (1991). This, among other things, includes the expectation that the patients participate in the daily activities on the ward, like common meals. Correspondence to Developing Facilitation Skills, Chapter 16.
Refreshments: Grumbling stomachs will definitely take folks minds off the meeting. I go to the mountains on Friday at 3 pm., ha-ha, you get pizza or porridge tomorrow.
Find out the group's expectations. "Buy-in" power players. In addition, more precise knowledge about ethical challenges is necessary for those who want to develop ethics support in mental health care.
Many groups, however, find that voting is a fine way to make decisions. Giacomini MK, Cook DJ: Users’ guides to the medical literature. Hem, M.H., Molewijk, B. This led to the initial structuring of the material by themes. Priebe S, McCabe R: Therapeutic relationships in psychiatry: the basis of therapy or therapy itself?. To hear keys jingle is the equivalent of the exercise of power. In every situation, the dignity of the patient is at stake when coercion is considered as morally right, as well as when coercion is not the preferred intervention. Scand J Caring Sci.
Behav Sci Law.
BM contributed to conception and design, acquisition of data, analysis and (analytical) interpretation of data. If you're wanting to make a planning group feel that it's a team, a large meeting hall for only 10 or 15 people can feel intimidating and make people feel self-conscious and quiet.
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