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Nurses' narratives about using coercion in psychiatric care

B Olofsson1, F Gilje, L Jacobsson

  • 1Department of Nursing, Umeå University, Sweden.

Journal of Advanced Nursing
|August 1, 1998
PubMed
Summary

Nurses want to provide good psychiatric care but find using coercion conflicts with this goal. This internal conflict hinders exploring alternative solutions to patient coercion.

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Area of Science:

  • Mental Health Nursing
  • Psychiatric Patient Care
  • Qualitative Research Methods

Background:

  • Coercion is frequently used in psychiatric care settings.
  • Nurses' perceptions of using coercion are not fully understood.
  • Understanding these experiences is crucial for improving patient care and reducing restrictive practices.

Purpose of the Study:

  • To explore registered and enrolled mental nurses' lived experiences of using coercion with psychiatric patients.
  • To identify the challenges nurses face when employing coercive measures.
  • To understand the conflict between nurses' desire to provide good care and the use of coercion.

Main Methods:

  • Phenomenological hermeneutic study design.
  • In-depth interviews with fourteen nurses (seven registered nurses, seven enrolled mental nurses).

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  • Analysis guided by Watzlawick's theory of change.

    • Main Results:

    • Nurses aspire to be perceived as providing "good" care.
    • The use of coercion created a dissonance between their professional ideals and practice.
    • This conflict impeded nurses' ability to question coercion or consider alternatives.

    Conclusions:

    • Nurses experience significant conflict when using coercion, as it contradicts their goal of providing good care.
    • Challenging the traditional use of coercion requires nurses to adopt new perspectives.
    • Support is needed for nurses to develop and implement alternative strategies in psychiatric care.