RT Article
T1 The role of online ethics consultation on mental health
JF Nursing ethics
VO 27
IS 5
SP 1261
OP 1269
A1 Ohnishi, Kayoko
A1 Stone, Teresa E
A1 Yoshiike, Takashi
A1 Kitaoka, Kazuyo
LA English
PB Sage
YR 2020
UL https://www.ixtheo.de/Record/1779459564
AB BackgroundNurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice.Research objectiveTo report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness.Ethical considerationsThe research was conducted in accordance with the Declaration of Helsinki.Research designThis evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in JapanParticipantsThe Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users.FindingsThe most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive.DiscussionThe Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants.ConclusionThis study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses’ moral distress, building ethics into decision-making.
K1 Nursing Ethics
K1 Moral Distress
K1 mental health/psychiatry
K1 Ethics Consultation
K1 clinical ethics
DO 10.1177/0969733020906596