Ethical challenges when using coercion in mental healthcare: A systematic literature review

Hem, Marit Helene; Gjerberg, Elisabeth; Husum, Tonje Lossius; Pedersen, Reidar

doi:10.1177/0969733016629770

Cited by 109 publications

(157 citation statements)

References 59 publications

(172 reference statements)

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“…[54][55][56] Being given the opportunity to decide on their care could also increase patients' self-esteem and thus sense of control during transitions between services, which can be stressful and experienced as paternalistic. 39,42,57 The informants reported that having staff advocating for them and their perspectives strengthened their self-esteem.…”

Section: Patient-centred Care Versus Offensive Care Interpreted As mentioning

confidence: 99%

Patients' perspectives on care pathways and informed shared decision making in the transition between psychiatric hospitalization and the community

Sather

Iversen

Svindseth

et al. 2019

Evaluation Clinical Practice

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Rationale, aims, and objectives Patients with mental health problems experience numerous transitions into and out of hospital. This study explores former patients' views of pathways in transition between district psychiatric hospital centres (DPCs) and community mental health services. Method A descriptive qualitative design was chosen. Three focus group interviews with a total of 10 informants from five different communities were conducted. Interviews were transcribed and analysed thematically where themes describe promoting or inhibitory factors to the transition phase. Results The informants shared their experiences on issues promoting and preventing successful care pathways in mental health. Four main paired themes were identified: (a) patient participation/activation/empowerment versus paternalism and institutionalization, (b) patient‐centred care versus care interpreted as humiliation, (c) interprofessional collaboration or teamwork versus unsafe patient pathways in mental health services, and (d) sustainable integrated care versus fragmented, noncollaborative care. Conclusions Shared decision making was reported more precisely as informed shared decision making. Shared information between all parties involved in care pathways is key.

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Section: Patient-centred Care Versus Offensive Care Interpreted As mentioning

confidence: 99%

Patients' perspectives on care pathways and informed shared decision making in the transition between psychiatric hospitalization and the community

Sather

Iversen

Svindseth

et al. 2019

Evaluation Clinical Practice

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“…I tillegg er evidensen for negative aspekt ved tvangsbruk økende, både internasjonalt og i Norge (Kallert, 2008;Kirkesaether Brun, Husum & Pedersen, 2017;Wynn, 2006). Et systematisk litteratursøk med fokus på etiske utfordringer ved bruk av tvang i psykiske helsetjenester konkluderte med at det er mangel på studier som eksplisitt adresserer etiske utfordringer knyttet til bruk av tvang (Hem, Gjerberg, Husum & Pedersen, 2016). De stabile geografiske variasjonene i bruken av alle former for tvang reiser også etiske utfordringer.…”

Section: Bakgrunnunclassified

En studie av synet på etiske utfordringerrelatert til arbeid med bruk av tvang hos ansatte i psykiske helsetjenester

Husum¹,

Hem²,

Pedersen³

2018

TPH

Self Cite

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En studie av synet på etiske utfordringer relatert til arbeid med bruk av tvang hos ansatte i psykiske helsetjenester Mental health care staffs experience with ethical challenges related to use of coercion Sammendrag Senter for medisinsk etikk ved universitetet i Oslo har gjennomført en nettbasert spørreundersøkelse av helsepersonells erfaringer med etiske utfordringer, tvang og krenkelser innen psykiske helsetjenester. Denne artikkelen presenterer en analyse av svarene som ble gitt på et åpent spørsmål om hva helsepersonell erfarte som etisk utfordrende i arbeidet relatert til bruk av tvang. Totalt 439 ansatte med ulik yrkesbakgrunn beskrev en eller flere etiske utfordringer. Svarene ble analysert med manifest innholdsanalyse og rangert etter hvor ofte de ble nevnt. Følgende etiske utfordringene ble nevnt oftest: 1. Tvil og usikkerhet angående bruk av formell tvang, 2. Andre former for restriksjoner, 3. Tvangsmedisinering, 4. Uenighet mellom berørte parter, 5. Utfordringer relatert til utføring av tvangstiltak, 6. Organisatoriske faktorer og mangelfulle ressurser, 7. Overdreven bruk av makt, maktmisbruk og uegnet personell. Studien bidrar med ny kunnskap om hva helsepersonell innen psykiske helsetjenester opplever som etisk utfordrende i sammenheng med bruk av tvang. AbstractThe Centre for Medical Ethics at the University of Oslo has performed a web-based survey of mental health care staff's experiences of ethics, coercion and humiliation during work. This article presents the En studie av synet på etiske utfordringer relatert til arbeid med bruk av tvang hos ansatte i psykiske helsetjenester TIDSSKRIFT FOR PSYKISK HELSEARBEID · Volum 15 · Nr. 2-3 · 2018 · © Universitetsforlaget 99 answers the staff gave in an open answer field as responses to the question about what staff found ethically challenging in relation to the use of coercion. A total of 439 staff with multiprofessional backgrounds wrote one or more ethical challenges in an open answer field. The answers were analysed using manifest content analysis and categorized according to how often the ethical challenge was mentioned in seven categories: (1) Doubt and uncertainty related to the formal use of coercion; (2) Doubt and uncertainty about other kinds of restrictions and use of force toward patients; (3) Involuntary medication; (4) Disagreement between the parties involved; (5) Implementation of coercion in daily care; (6) Organisational factors and lack of resources and (7) Overuse of force, abuse of power and unsuitable staff. The study provides new knowledge about what staff in mental health care experience as ethically challenging matters related to use of coercion in care.

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“…Where Hem et al . (, p. 13) in their systematic review of the literature on coercion have described mental health nursing as ‘a unique moral practice’, increased formal involvement in detention whether as AMHP or RC adds a further dimension to that ethical challenge.…”

Section: Implications For Practice: Coercion and Control Vs Therapeumentioning

confidence: 99%

Strange bedfellows? Nurses as Responsible Clinicians under the Mental Health Act (England & Wales)

Veitch

Oates

2017

Psychiatric Ment Health Nurs

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Ethical challenges when using coercion in mental healthcare: A systematic literature review

Cited by 109 publications

References 59 publications

Patients' perspectives on care pathways and informed shared decision making in the transition between psychiatric hospitalization and the community

Patients' perspectives on care pathways and informed shared decision making in the transition between psychiatric hospitalization and the community

En studie av synet på etiske utfordringerrelatert til arbeid med bruk av tvang hos ansatte i psykiske helsetjenester

Strange bedfellows? Nurses as Responsible Clinicians under the Mental Health Act (England & Wales)

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