Tvång som vård
Patienters upplevelser av tvångsvård och tvångsåtgärder ? en litteraturöversikt
Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients? autonomy. Therefore having ethical judgment is necessary to know when to use paternalism. To take note of patients? experiences may increase awareness, making care more patient-centered.Aim To describe patients? experiences of coercive care and coercive interventions in psychiatric care.Method A literature review has been conducted in order to compile what is currently known about the topic at hand. The result is based on ten scientific articles with findings responding to the aim of this study. The articles have been analyzed by identifying similarities and differences that have synthesized to a new whole. Result The literature review yielded a profound view of patients? experiences when being in coercive care. Three main themes were found to cover the phenomenon. Those were Coercive Care - limits and possibilities, The care relationship is fundamental and From abuse to life saving.Discussion The result has been discussed using the theory about Care Suffering, as described by Katie Eriksson. This theory is applicable on the context of interest. The findings has also been discussed using earlier studies concerning coercive care, as well as studies emphasizing the perspective of the nurse?s using coercive restraint.Key words Coercive care, coercive interventions, psychiatric care, patients? experiences.