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Consider water flowing from a nozzle to a turbine vane. As the water hits the turbine vane, it exerts a force that causes it to move along the flow of direction. Force is an impact that changes an object's motion, shape, or orientation. Forces can be caused by physical contact, such as a push or pull, or through non-contact interactions, such as magnetic or gravitational forces. Force is a vector quantity with both magnitude and direction, and is measured in newtons (N) in the SI unit...
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What Might a Good Compassionate Force Protocol Look Like?

Constance E George1

  • 1Psychiatrist at Neuropsychiatric Associates in Austin, Texas.

AMA Journal of Ethics
|May 5, 2021
PubMed
Summary

This article examines compassionate use of force in clinical settings during crises. It proposes guiding principles and protocols for caregivers to ensure patient trust and therapeutic relationships are maintained when force is necessary.

Area of Science:

  • Clinical Psychology
  • Healthcare Ethics
  • Patient Safety

Background:

  • Use of force in clinical settings often follows behavioral or medical crises.
  • The implementation of force can negatively impact patient-clinician relationships, trust, and caregiver moral distress.
  • Current discussions on force in healthcare rarely address compassionate application.

Purpose of the Study:

  • To explore the concept of compassionate use of force, moving beyond 'minimally harmful' approaches.
  • To define the criteria for executing force, including who should implement it.
  • To outline the goals, motivations, and protocols for caregivers administering force.

Main Methods:

  • Conceptual analysis of force in clinical practice.
  • Exploration of ethical considerations in patient care during crises.

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  • Development of a framework for compassionate force protocols.

    • Main Results:

    • Force in clinical settings requires careful consideration beyond harm reduction.
    • Compassionate force necessitates specific protocols, clear goals, and defined caregiver roles.
    • Effective protocols should prioritize patient dignity and therapeutic alliance.

    Conclusions:

    • Implementing compassionate force is crucial for maintaining trust and therapeutic capacity.
    • Caregivers need clear, ethically-grounded protocols for using force compassionately.
    • Further development of compassionate force models is essential for safe and ethical patient care.