How to avoid and prevent coercion in nursing homes: A qualitative study

In many Western countries, studies have demonstrated extensive use of coercion in nursing homes, especially towards patients suffering from dementia. This article examines what kinds of strategies or alternative interventions nursing staff in Norway used when patients resist care and treatment and w...

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Bibliographic Details
Authors: Gjerberg, Elisabeth (Author) ; Hem, Marit Helene (Author) ; Førde, Reidun (Author) ; Pedersen, Reidar (Author)
Format: Electronic Article
Language:English
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Published: Sage 2013
In: Nursing ethics
Year: 2013, Volume: 20, Issue: 6, Pages: 632-644
Further subjects:B Ethics
B Nursing Homes
B Introduction
B Power
B Coercion
B Dementia
Online Access: Volltext (lizenzpflichtig)
Description
Summary:In many Western countries, studies have demonstrated extensive use of coercion in nursing homes, especially towards patients suffering from dementia. This article examines what kinds of strategies or alternative interventions nursing staff in Norway used when patients resist care and treatment and what conditions the staff considered as necessary to succeed in avoiding the use of coercion. The data are based on interdisciplinary focus group interviews with nursing home staff. The study revealed that the nursing home staff usually spent a lot of time trying a wide range of approaches to avoid the use of coercion. The most common strategies were deflecting and persuasive strategies, limiting choices by conscious use of language, different kinds of flexibility and one-to-one care. According to the staff, their opportunities to use alternative strategies effectively are greatly affected by the nursing home’s resources, by the organization of care and by the staff’s competence.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/0969733012473012