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Hospitalization in psychiatry is marked by the use of care without consent.
We therefore proposed to study from this perspective the feelings and opinions of patients on such an experience.
Objectives
The objective of this work is to explore the experiences of patients and their perception of the effects of this hospitalization, through 3 fundamental ethical principles: Autonomy, beneficence and non-maleficence.
Methods
This study will be conducted at Arrazi Psychitaric Hospital, in patients at the end of their stay, via a questionnaire.
Results
A total of 122 patients attended the study. A very large proportion of patients were satisfied with the premises, space planning, and had knowledge of a structured planning of the organization of care. A senior doctor was identified by 95% of them. Eighty five per cent were free to move around in the hospital.
The information on the care offered was perceived by 83.7%. The rates are lower with respect to clear explanations received on the disease, the effects of drugs and the type of hospitalization.
Regarding the feelings experienced during the stay, 83% of people who spoke mentioned a painful experience. The feelings that prevailed were a feeling of helplessness, fear, worthlessness. On the other hand, a majority of patients expressed that the hospitalization had protective effects towards themselves and towards others, but that it wasn’t justified.
Conclusions
These results suggest that autonomy and beneficence are respected. Therefore, an attention should be paid to various information given during the stay.
This chapter considers basic concepts in ethics, ethical decision making and risk perception in relation to health promotion. It discusses the relation of ethics to morals and law, and presents a range of ethical perspectives and decision-making shortcuts applicable in health promotion, before considering how risk perception is important in health and risk-related communication. The chapter discusses examples of codes of ethics in the health promotion industry, noting that these need to be flexible, transparent and reflective.
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