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 in | International journal of mental health nursing Vol. 30; no. 3; pp. 590 - 609 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Australia
Wiley Subscription Services, Inc
01.06.2021
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| Online Access | Get full text |
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| Abstract | 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. |
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| AbstractList | Abstract
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. 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. |
| Author | Pariseau‐Legault, Pierre Goulet, Marie‐Hélène Jacob, Jean Daniel Paradis‐Gagné, Etienne Lessard‐Deschênes, Clara |
| Author_xml | – sequence: 1 givenname: Etienne orcidid: 0000-0001-6524-4346 surname: Paradis‐Gagné fullname: Paradis‐Gagné, Etienne email: etienne.paradis-gagne@umontreal.ca organization: Université de Montréal – sequence: 2 givenname: Pierre orcidid: 0000-0001-9833-0187 surname: Pariseau‐Legault fullname: Pariseau‐Legault, Pierre organization: Université du Québec en Outaouais – sequence: 3 givenname: Marie‐Hélène orcidid: 0000-0002-7764-6286 surname: Goulet fullname: Goulet, Marie‐Hélène organization: Université de Montréal – sequence: 4 givenname: Jean Daniel surname: Jacob fullname: Jacob, Jean Daniel organization: University of Ottawa – sequence: 5 givenname: Clara surname: Lessard‐Deschênes fullname: Lessard‐Deschênes, Clara organization: Université de Montréal |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33694266$$D View this record in MEDLINE/PubMed |
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| Copyright | 2021 John Wiley & Sons Australia, Ltd 2021 John Wiley & Sons Australia, Ltd. International Journal of Mental Health Nursing © 2021 Australian College of Mental Health Nurses Inc. |
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| Keywords | coercion concept analysis mental health nursing psychiatric nursing |
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| Notes | 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. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 |
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| SubjectTerms | 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 |
| Title | Coercion in psychiatric and mental health nursing: A conceptual analysis |
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