Justifying Coercion

A grounded theory study of psychiatric nurses’ experiences of administering medication to involuntary psychiatric patients revealed a basic social process of justifying coercion. Although the 17 nurses interviewed all reported success at avoiding the use of coercion, each had an individual approach...

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Bibliographic Details
Authors: Vuckovich, Paula K (Author) ; Artinian, Barbara M (Author)
Format: Electronic Article
Language:English
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Published: Sage 2005
In: Nursing ethics
Year: 2005, Volume: 12, Issue: 4, Pages: 370-380
Further subjects:B involuntary hospitalization
B Ethics
B psychotropic medication
B Mental Illness
B psychiatric nursing
B Coercion
Online Access: Volltext (lizenzpflichtig)
Description
Summary:A grounded theory study of psychiatric nurses’ experiences of administering medication to involuntary psychiatric patients revealed a basic social process of justifying coercion. Although the 17 nurses interviewed all reported success at avoiding the use of coercion, each had an individual approach to using the nurse-patient relationship to do this. However, all the nurses used the same process to reconcile themselves to using coercion when it became necessary. This has three stages: assessment of need; negotiation; and justifying and taking coercive action. Two critical junctures - decision to engage and impasse - determine the progression from one stage to the next. The process of justifying coercion allows a nurse to engage in behavior generally disapproved of while retaining a self-image of a ‘good’ nurse.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1191/0969733005ne802oa