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DOI: 10.1191/0969733006nej892oa © 2006 SAGE Publications Moral Deliberation in Psychiatric Nursing PracticeDepartment of Healthcare Ethics and Philosophy, University of Maastricht, Post Box 616, 6200 MD Maastricht, The Netherlands; T.abma{at}ZW.unimaas.nl
University of Maastricht, The Netherlands 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.
Key Words: CARE model coercion dialogue moral deliberation narrative psychiatry
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