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Pierre Pariseau-Legault, Sandrine Vallée-Ouimet, Jean Daniel Jacob

    Recherche En Soins Infirmiers
    |December 15, 2020
    PubMed
    Summary

    Nurses face challenges integrating human rights into coercive mental health care practices. This qualitative synthesis explores their role conflicts and perceptions of coercion as a necessary evil.

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    Area of Science:

    • Mental Health Nursing
    • Human Rights in Healthcare
    • Qualitative Research Synthesis

    Background:

    • Increasing use and forms of coercion in mental health care over the past decade.
    • Nurses frequently implement coercive measures, yet human rights implications are under-researched.
    • Need to understand how nurses navigate human rights within coercive practices.

    Purpose of the Study:

    • To qualitatively synthesize the integration of human rights into nursing practice involving coercion in mental health care.
    • To explore nurses' perspectives on human rights within coercive mental health settings.

    Main Methods:

    • Systematic review of qualitative literature published between 2008 and 2018.
    • Meta-ethnographic analysis to synthesize findings from 46 selected studies.

    Main Results:

    • Coercion in mental health care identified as a socio-legal construct.
    • Key themes include recognition of human rights, nurse role conflict, and conceptualization of coercion.
    • Nurses perceive coercion as a 'necessary evil' or a 'critical incident'.

    Conclusions:

    • Further research is essential to understand the balance of support and control in psychiatric nursing.
    • Understanding nurses' experiences is crucial for ethical and effective mental health care delivery.

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