NRNP 6665 Ethical and Legal Foundations of PMHNP Care

NRNP 6665 Ethical and Legal Foundations of PMHNP Care

NRNP 6665 Ethical and Legal Foundations of PMHNP Care

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

NRNP_6665_Week2_Discussion_Rubric

Criteria	Ratings	Pts
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.	44 to >39.0 ptsExcellent Thoroughly responds to the Discussion question(s)… Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources… No less than 75% of post has exceptional depth and breadth… Supported by at least three current credible sources 39 to >34.0 ptsGood Responds to most of the Discussion question(s)… Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module… 50% of the post has exceptional depth and breadth… Supported by at least three credible references 34 to >30.0 ptsFair Responds to some of the Discussion question(s)… One to two criteria are not addressed or are superficially addressed… Is somewhat lacking reflection and critical analysis and synthesis… Somewhat represents knowledge gained from the course readings for the module… Post is supported by fewer than two credible references 30 to >0 ptsPoor Does not respond to the Discussion question(s)… Lacks depth or superficially addresses criteria… Lacks reflection and critical analysis and synthesis… Does not represent knowledge gained from the course readings for the module… Contains only one or no credible references	44 pts
This criterion is linked to a Learning Outcome Main Posting:Writing	6 to >5.0 ptsExcellent Written clearly and concisely… Contains no grammatical or spelling errors… Adheres to current APA manual writing rules and style 5 to >4.0 ptsGood Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style with minor errors 4 to >3.0 ptsFair Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors 3 to >0 ptsPoor Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style	6 pts
This criterion is linked to a Learning Outcome Main Posting:Timely and full participation	10 to >8.0 ptsExcellent Meets requirements for timely, full, and active participation… Posts main Discussion by due date 8 to >7.0 ptsGood Posts main Discussion by due date… Meets requirements for full participation 7 to >6.0 ptsFair Posts main Discussion by due date 6 to >0 ptsPoor Does not meet requirements for full participation… Does not post main Discussion by due date	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	9 to >8.0 ptsExcellent Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 to >7.0 ptsGood Response has some depth and may exhibit critical thinking or application to practice setting. 7 to >6.0 ptsFair Response is on topic, may have some depth. 6 to >0 ptsPoor Response may not be on topic, lacks depth.	9 pts
This criterion is linked to a Learning Outcome First Response:Writing	6 to >5.0 ptsExcellent Communication is professional and respectful to colleagues…. Response to faculty questions are fully answered, if posed…. Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in standard, edited English. 5 to >4.0 ptsGood Communication is mostly professional and respectful to colleagues…. Response to faculty questions are mostly answered, if posed…. Provides opinions and ideas that are supported by few credible sources… Response is written in standard, edited English. 4 to >3.0 ptsFair Response posted in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited. 3 to >0 ptsPoor Responses posted in the Discussion lack effective communication…. Responses to faculty questions are missing…. No credible sources are cited.	6 pts
This criterion is linked to a Learning Outcome First Response:Timely and full participation	5 to >4.0 ptsExcellent Meets requirements for timely, full, and active participation… Posts by due date 4 to >3.0 ptsGood Meets requirements for full participation… Posts by due date… 3 to >2.0 ptsFair Posts by due date 2 to >0 ptsPoor Does not meet requirements for full participation… Does not post by due date	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	9 to >8.0 ptsExcellent Response exhibits critical thinking and application to practice settings…. Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 to >7.0 ptsGood Response has some depth and may exhibit critical thinking or application to practice setting. 7 to >6.0 ptsFair Response is on topic, may have some depth. 6 to >0 ptsPoor Response may not be on topic, lacks depth.	9 pts
This criterion is linked to a Learning Outcome Second Response:Writing	6 to >5.0 ptsExcellent Communication is professional and respectful to colleagues…. Response to faculty questions are fully answered, if posed…. Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in standard, edited English. 5 to >4.0 ptsGood Communication is mostly professional and respectful to colleagues…. Response to faculty questions are mostly answered, if posed…. Provides opinions and ideas that are supported by few credible sources… Response is written in standard, edited English. 4 to >3.0 ptsFair Response posed in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited. 3 to >0 ptsPoor Responses posted in the Discussion lack effective communication…. Responses to faculty questions are missing…. No credible sources are cited.	6 pts
This criterion is linked to a Learning Outcome Second Response:Timely and full participation	5 to >4.0 ptsExcellent Meets requirements for timely, full, and active participation… Posts by due date 4 to >3.0 ptsGood Meets requirements for full participation… Posts by due date 3 to >2.0 ptsFair Posts by due date 2 to >0 ptsPoor Does not meet requirements for full participation… Does not post by due date	5 pts
Total Points: