13 found
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  1.  18
    The Ethics of Care: Role Obligations and Moderate Partiality in Health Care.Per Nortvedt, Marit Helene Hem & Helge Skirbekk - 2011 - Nursing Ethics 18 (2):192-200.
    This article contends that an ethics of care has a particular moral ontology that makes it suitable to argue for the normative significance of relational responsibilities within professional health care. This ontology is relational. It means that moral choices always have to account for the web of relationships, the relational networks and responsibilities that are an essential part of particular moral circumstances. Given this ontology, the article investigates the conditions for health care professionals to be partial and to act on (...)
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  2.  14
    Ethical Challenges When Using Coercion in Mental Healthcare: A Systematic Literature Review.Marit Helene Hem, Elisabeth Gjerberg, Tonje Lossius Husum & Reidar Pedersen - 2018 - Nursing Ethics 25 (1):92-110.
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  3.  21
    The Significance of Ethics Reflection Groups in Mental Health Care: A Focus Group Study Among Health Care Professionals.Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen & Reidar Pedersen - 2018 - BMC Medical Ethics 19 (1):54.
    Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion. In 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of ‘bricolage’ which means our approach was inductive. Most participants report (...)
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  4.  12
    Mature Care and Reciprocity: Two Cases From Acute Psychiatry.Tove Pettersen & Marit Helene Hem - 2011 - Nursing Ethics 18 (2):217-231.
    In this article we elaborate on the concept of mature care, in which reciprocity is crucial. Emphasizing reciprocity challenges other comprehensions where care is understood as a one-sided activity, with either the carer or the cared for considered the main source of knowledge and sole motivation for caring. We aim to demonstrate the concept of mature care’s advantages with regard to conceptualizing the practice of care, such as in nursing. First, we present and discuss the concept of mature care, then (...)
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  5.  40
    Dealing with Ethical Challenges: A Focus Group Study with Professionals in Mental Health Care.Bert Molewijk, Marit Helene Hem & Reidar Pedersen - 2015 - BMC Medical Ethics 16 (1):4.
    Little is known about how health care professionals deal with ethical challenges in mental health care, especially when not making use of a formal ethics support service. Understanding this is important in order to be able to support the professionals, to improve the quality of care, and to know in which way future ethics support services might be helpful.
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  6.  6
    Next of Kin’s Experiences of Involvement During Involuntary Hospitalisation and Coercion.Reidun Førde, Reidun Norvoll, Marit Helene Hem & Reidar Pedersen - 2016 - BMC Medical Ethics 17 (1):76.
    BackgroundNorway has extensive and detailed legal requirements and guidelines concerning involvement of next of kin during involuntary hospital treatment of seriously mentally ill patients. However, we have little knowledge about what happens in practice. This study explores NOK’s views and experiences of involvement during involuntary hospitalisation in Norway.MethodsWe performed qualitative interviews-focus groups and individual-with 36 adult NOK to adults and adolescents who had been involuntarily admitted once or several times. The semi-structured interview guide included questions on experiences with and views (...)
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  7.  25
    Creating Trust in an Acute Psychiatric Ward.Marit Helene Hem, Kristin Heggen & Knut W. Ruyter - 2008 - Nursing Ethics 15 (6):777-788.
    The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless be created in an environment that is characterized by distrust. Both trust and distrust are exposed as `fragile' phenomena that can easily `tip over' towards (...)
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  8.  16
    The Role of Ethics in Reducing and Improving the Quality of Coercion in Mental Health Care.Reidun Norvoll, Marit Helene Hem & Reidar Pedersen - 2017 - HEC Forum 29 (1):59-74.
    Coercion in mental health care gives rise to many ethical challenges. Many countries have recently implemented state policy programs or development projects aiming to reduce coercive practices and improve their quality. Few studies have explored the possible role of ethics in such initiatives. This study adds to this subject by exploring health professionals’ descriptions of their ethical challenges and strategies in everyday life to ensure morally justified coercion and best practices. Seven semi-structured telephone interviews were carried out in 2012 with (...)
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  9.  21
    How to Avoid and Prevent Coercion in Nursing Homes.Elisabeth Gjerberg, Marit Helene Hem, Reidun Førde & Reidar Pedersen - 2013 - Nursing Ethics 20 (6):632-644.
    In many Western countries, studies have demonstrated extensive use of coercion in nursing homes, especially towards patients suffering from dementia. This article examines what kinds of strategies or alternative interventions nursing staff in Norway used when patients resist care and treatment and what conditions the staff considered as necessary to succeed in avoiding the use of coercion. The data are based on interdisciplinary focus group interviews with nursing home staff. The study revealed that the nursing home staff usually spent a (...)
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  10.  22
    Questionable Requirement for Consent in Observational Research in Psychiatry.Marit Helene Hem, Kristin Heggen & Knut W. Ruyter - 2007 - Nursing Ethics 14 (1):41-53.
    Informed consent represents a cornerstone of the endeavours to make health care research ethically acceptable. Based on experience of qualitative research on power dynamics in nursing care in acute psychiatry, we show that the requirement for informed consent may be practised in formalistic ways that legitimize the researcher's activities without taking the patient's changing perception of the situation sufficiently into account. The presentation of three patient case studies illustrates a diversity of issues that the researcher must consider in each situation. (...)
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  11.  49
    Mature Care and Nursing in Psychiatry: Notions Regarding Reciprocity in Asymmetric Professional Relationships.Marit Helene Hem & Tove Pettersen - 2011 - Health Care Analysis 19 (1):65-76.
    The idea behind this article is to discuss the importance and to develop the concept of reciprocity in asymmetric professional relationships. As an empirical starting point for an examination of the possible forms of reciprocity between patients and nurses in psychiatry, we chose two qualitative in-depth interviews with two different patients. The manners in which these two patients relate to medical personnel—one is dependent, the other is independent—show that this presents challenges to nurses. The theoretical context is provided by the (...)
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  12.  16
    Blood Sampling From Dying Patients: An Ethical Dilemma.Morten Magelssen, Pamela Åsten, Ellen Godal, Eirik Os, Anders Smith, Hanne Rusten Solås & Marit Helene Hem - 2012 - Clinical Ethics 7 (3):107-110.
  13.  6
    Prioritising Patient Care.Helge Skirbekk, Marit Helene Hem & Per Nortvedt - forthcoming - Nursing Ethics:096973301666497.
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