Ett nödvändigt ont

: En litteraturöversikt om psykiatrisk tvångsvård

Abstract

Background: The nurse has a responsibility to create opportunities for the person
being cared for to improve, maintain or regain their health. Psychiatric care is
basically voluntary but may be forced when certain conditions are met. As mental
illness increases and the lack of specialist nurses, the general nurse will encounter
people who are cared for under involuntary psychiatric care to a greater extent.
Therefore, a deeper understanding of the phenomenon is required to create a
quality nursing care and work environment. Aim: The aim was to describe nurses'
experiences of providing care to persons undergoing psychiatric involuntary
treatment. Method: A general literature review based on 10 qualitative articles.
The search was made in three databases. The articles were reviewed using
Kristianstad University's review template and the analysis process followed
Friberg's (2017) five-step analysis. Results: The analysis generated five
categories; Negative experiences of involuntary care, Involuntary care as a
necessary evil, Nurse's power and legal responsibility, Coping strategies and
Informal coercion. Discussion: The method is discussed based on Shenton's
(2004) credibility concept. Three findings presented in the discussion: Negative
experiences of involuntary care, Involuntary care as a necessary evil and The
nurse´s position of power. The discussion is based on McCormack and McCance's
(2017) model for person-centered care. The literature review can create an
understanding of the nurse's professional role and approach, which can lead to
nursing staff gaining a new perspective and thereby creating safer and qualitative
nursing care.

Date of Award	2023-Dec
Original language	Swedish
Supervisor	Fredrik Gasser (Supervisor) & Janet Mattsson (Examiner)