Patienters erfarenheter av tvångsvård : En litteraturbaserad studie

Sammanfattning: Background: Admitting psychiatric patients against their will is a criticized form of care. Decisions stating that a patient needs to be hospitalized under coercion are based on their incapability to voluntarily participate in their care. Former patients reported that coercive care led to lower satisfaction with their care. Although most former patients experienced negative care, there where patients that understood their care. Previous studies stated a need to examine how patients experienced being under coercive care and subjected to coercive measures such as seclusion, mechanical restraint and forced medication. Aim: This study aimed to illuminate adult psychiatric inpatients experiences of coercive care. Method: A literature-based study based on analysis of ten qualitative scientific studies. Results: 3 themes with 10 subthemes emerged from the analysis; interpersonal relationships, lack of influence while under coercive care and good coercion. The results showed that negative experiences of coercion were often linked to the actions of the mental health care staff. The relationship to the staff could contribute to their experiences being negative or positive. Patients also stated that they felt powerless and experienced loss of autonomy during coercive care. Good coercion was experienced when they felt seen and taken seriously. Conclusion: Patients expressed both negative and positive experiences of coercion. Patients wished for better adjusted information and opportunities to participate. They also expressed the need for trusting and supportive relationships to the mental health care staff. This could lead to greater understanding for their coercive care.