Välimäki M, Leino-Kilpi H, Helenius H
University of Turku, Department of Nursing, Finland.
Nurs Ethics. 1996 Dec;3(4):329-44. doi: 10.1177/096973309600300406.
This article looks at the relevance of the concept of self-determination to psychiatric patients by studying the existence, importance and manifestations of self-determination. The data were collected by interviewing long-term patients (n = 72) in one mental health care organization, which included a psychiatric hospital and an outpatient department. Self-determination was defined in terms of the right to decision-making, the right to information, the right of consent, the right to refuse treatment, and the right to be heard and taken into account. It was found that, with the exception of the right to refuse and consent, these rights are indeed present in the practice of psychiatric nursing and that they are relevant, and important to psychiatric patients. The patients typically gave ethical practical and legal reasons for a psychiatric patient's right to self-determination. The main reasons why psychiatric patients said they lacked the right to self-determination were illness and staff authority. Recommendations for educational, clinical and methodological implications for the future in nursing are discussed.
本文通过研究自决权的存在、重要性和表现形式，探讨自决权概念对精神科患者的相关性。数据收集于一家精神卫生保健机构的长期患者（n = 72），该机构包括一家精神病医院和一个门诊部。自决权被定义为决策权、知情权、同意权、拒绝治疗权以及被倾听和被考虑的权利。研究发现，除了拒绝权和同意权外，这些权利在精神科护理实践中确实存在，并且它们与精神科患者相关且重要。患者通常会给出精神科患者自决权的伦理、实践和法律依据。精神科患者表示他们缺乏自决权的主要原因是疾病和工作人员的权威。文中还讨论了对未来护理在教育、临床和方法学方面的启示建议。
