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Moral Deliberation in Psychiatric Nursing Practice

Tineke A Abma

Department of Healthcare Ethics and Philosophy, University of Maastricht, Post Box 616, 6200 MD Maastricht, The Netherlands; T.abma{at}ZW.unimaas.nl

Guy AM Widdershoven

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

Nursing Ethics, Vol. 13, No. 5, 546-557 (2006)
DOI: 10.1191/0969733006nej892oa
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