Ethical Dilemmas in Community Learning Disabilities Nursing

Abstract

Community learning disability nurses (CLDNs) sometimes face ethical dilemmas arising from choices made by people with learning disabilities. This article reports on the results of a postal questionnaire that asked a sample of CLDNs in England and Wales about support available to them to assist in resolving these dilemmas. They were also asked about their knowledge and use of best interests guidelines. Differences were reported in the availability of support, such as policies and procedures, training, and ethical committees, to help in the areas of relationships and lifestyle, finance, and health care. Additional support was identified by respondents, and the most helpful to CLDNs are characterized by the provision of reflective opportunity and the ability to discuss issues with colleagues and other professionals. This support included talking to colleagues, reflective practice, multidisciplinary working, clinical supervision, access to the evidence base, and training.