Elder's life course theory and person-centered research: A lens for conducting ethical nursing research and mental health nursing practice with older adults aging with the diagnosis of schizophrenia

J Psychiatr Ment Health Nurs. 2022 Dec;29(6):904-914. doi: 10.1111/jpm.12819. Epub 2022 Jan 25.

Abstract

Introduction: Older adults diagnosed with schizophrenia are a vulnerable population owing to the manifestations of their illness, which can include decreased reality orientation, paranoia, hallucinations and delusions. This paper presents ethical principles of vulnerability, veracity, non-maleficence and autonomy for person-centered care in mental health nursing research and practice, focused with the lens of Elder's life course theory (LCT).

Aim: To present Elder's LCT as an ethical lens for person-centered care as nurses engage with older adults aging with the diagnosis of schizophrenia in clinical practice and/or research.

Method: Four ethical principles fundamental to nursing research and mental health practice are presented, with Elder's LCT as a theoretical lens for person-centered care.

Results: A model for ethical research and mental health practice with older adults diagnosed with schizophrenia.

Discussion: Nursing research and mental health nursing practice with an ethical LCT lens for person-centered can help nurses envision, explore and generate interventions to address the special needs of older adults aging with schizophrenia.

Implications for practice: The use of a LCT lens for person-centered care can encourage nurses in research and mental health practice to seek information collaboratively with older adults diagnosed with schizophrenia in a thoughtful, ethical manner, to inform the improvement of their health outcomes and health policy.

Keywords: clinical research; ethics; nursing theory; older adult; schizophrenia.

MeSH terms

  • Aged
  • Aging
  • Humans
  • Life Course Perspective
  • Nursing Research*
  • Psychiatric Nursing*
  • Schizophrenia* / diagnosis