Coercion in psychiatric and mental health nursing: A conceptual analysis

The use of coercion in psychiatric and mental health nursing is a major challenge, which can lead to negative consequences for nurses and patients, including rupture in the therapeutic relationship and risk of injury and trauma. The concept of coercion is complex to define and is used in different w...

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Published inInternational journal of mental health nursing Vol. 30; no. 3; pp. 590 - 609
Main Authors Paradis‐Gagné, Etienne, Pariseau‐Legault, Pierre, Goulet, Marie‐Hélène, Jacob, Jean Daniel, Lessard‐Deschênes, Clara
Format Journal Article
LanguageEnglish
Published Australia Wiley Subscription Services, Inc 01.06.2021
Subjects
Attributes
Coercion
concept analysis
Conceptual analysis
Ethical dilemmas
Hospitalization
Injuries
Justification
Mental health
mental health nursing
Nursing
Power
Professional practice
psychiatric nursing
Psychiatric-mental health nursing
Social isolation
Therapeutic alliances
coercion
concept analysis
mental health nursing
psychiatric nursing
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Summary:The use of coercion in psychiatric and mental health nursing is a major challenge, which can lead to negative consequences for nurses and patients, including rupture in the therapeutic relationship and risk of injury and trauma. The concept of coercion is complex to define and is used in different ways throughout the nursing literature. This concept is defined broadly, referring to both formal (seclusion, restraint, and forced hospitalization), informal (persuasion, threat, and inducement), and perceived coercion, without fully addressing its evolving conceptualizations and use in nursing practice. We conducted a concept analysis of coercion using Rodgers’ evolutionary method to identify its antecedents, attributes, and associated consequences. We identified five main attributes of the concept: different forms of coercion; the contexts in which coercion is exercised; nurses’ justification of its use; the ethical issues raised by the presence of coercion; and power dynamics. Our conceptual analysis shows the need for more nursing research in the field of coercion to achieve a better understanding of the power dynamics and ethical issues that arise in the presence of coercion.
Bibliography:Declaration of conflict of interest: The authors declare no conflict of interest.
Authorship statement: PPL, MHG and JDJ conducted the literature review. PPL designed the review protocol and was the first reviewer of the systematic review. EPG conducted the concept analysis and drafted the manuscript. JDJ, MHG, PPL and CLD provided feedback, contributed to writing and revised the manuscript. All authors listed meet the authorship criteria according to the latest guidelines of the International Committee of Medical Journal Editors. All authors are in agreement with the manuscript.
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ISSN:1445-8330
1447-0349
DOI:10.1111/inm.12855