Attitudes to coercion at two Norwegian psychiatric units
- PMID:20735188
- DOI: 10.3109/08039488.2010.513068
Attitudes to coercion at two Norwegian psychiatric units
Abstract
Background: Many countries allow for the use of restraint and seclusion in emergencies with psychiatric inpatients. Authors have suggested that the attitudes of staff are of importance to the use of restraint and seclusion.
Aim: To examine the attitudes to coercion at two Norwegian psychiatric units. In contrast to the idea that attitudes to coercion vary much within and between institutions, we hypothesized that staff's attitudes would be quite similar.
Methods: We distributed a questionnaire to staff at two psychiatric units in two Norwegian counties. Eight wards were included. The questionnaire contained fictitious case histories with one patient that was violent and one patient that was self-harming, and staff were asked to describe how they would intervene in each emergency. Emergency strategies were sorted according to degree of restrictiveness, from the highly restrictive (restraint, seclusion) to the unrestrictive (talking, offering medication). Data were analysed with regression analyses.
Results: There was only a limited degree of variance in how staff at the different units and various groups of staff responded. Staff were more likely to favour a highly restrictive intervention when the patients were physically violent. Male staff and unskilled staff were significantly more prone to choosing a highly restrictive intervention.
Conclusions: Our hypothesis was confirmed, as there was a limited degree of variance in staff's responses with respect to degree of restrictiveness. The study supported the idea that a range of different interventions are used in emergency situations.
Similar articles
- Staff's attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospital.Wynn R.Wynn R.Nord J Psychiatry. 2003;57(6):453-9. doi: 10.1080/08039480310003470.Nord J Psychiatry. 2003.PMID:14630551
- [Use of coercive measures in Norwegian psychiatric institutions].Høyer G, Drange H.Høyer G, et al.Tidsskr Nor Laegeforen. 1991 May 30;111(14):1709-13.Tidsskr Nor Laegeforen. 1991.PMID:2063377Norwegian.
- Use of coercive physical measures in a psychiatric ward of a general hospital in Greece.Bilanakis N, Kalampokis G, Christou K, Peritogiannis V.Bilanakis N, et al.Int J Soc Psychiatry. 2010 Jul;56(4):402-11. doi: 10.1177/0020764009106620. Epub 2009 Jul 23.Int J Soc Psychiatry. 2010.PMID:19628555
- Nurses' attitudes to the use of seclusion: a review of the literature.Happell B, Harrow A.Happell B, et al.Int J Ment Health Nurs. 2010 Jun;19(3):162-8. doi: 10.1111/j.1447-0349.2010.00669.x.Int J Ment Health Nurs. 2010.PMID:20550639Review.
- [Coercive interventions: historical summary and review of subjective experience].Edlinger M, Bader T, Hofer A.Edlinger M, et al.Neuropsychiatr. 2018 Dec;32(4):175-181. doi: 10.1007/s40211-018-0282-1. Epub 2018 Sep 7.Neuropsychiatr. 2018.PMID:30194609Review.German.
Cited by
- Ethical challenges of seclusion in psychiatric inpatient wards: a qualitative study of the experiences of Norwegian mental health professionals.W Haugom E, Ruud T, Hynnekleiv T.W Haugom E, et al.BMC Health Serv Res. 2019 Nov 21;19(1):879. doi: 10.1186/s12913-019-4727-4.BMC Health Serv Res. 2019.PMID:31752958Free PMC article.
- Attitudinal variance among patients, next of kin and health care professionals towards the use of containment measures in three psychiatric hospitals in Switzerland.Hotzy F, Jaeger M, Buehler E, Moetteli S, Klein G, Beeri S, Reisch T.Hotzy F, et al.BMC Psychiatry. 2019 Apr 29;19(1):128. doi: 10.1186/s12888-019-2092-9.BMC Psychiatry. 2019.PMID:31035954Free PMC article.
- Cross-sectional study on nurses' attitudes regarding coercive measures: the importance of socio-demographic characteristics, job satisfaction, and strategies for coping with stress.Bregar B, Skela-Savič B, Kores Plesničar B.Bregar B, et al.BMC Psychiatry. 2018 Jun 4;18(1):171. doi: 10.1186/s12888-018-1756-1.BMC Psychiatry. 2018.PMID:29866142Free PMC article.
- A German Version of the Staff Attitude to Coercion Scale. Development and Empirical Validation.Efkemann SA, Scholten M, Bottlender R, Juckel G, Gather J.Efkemann SA, et al.Front Psychiatry. 2021 Jan 18;11:573240. doi: 10.3389/fpsyt.2020.573240. eCollection 2020.Front Psychiatry. 2021.PMID:33536947Free PMC article.
- Staff and caregiver attitude to coercion in India.Raveesh BN, Pathare S, Noorthoorn EO, Gowda GS, Lepping P, Bunders-Aelen JG.Raveesh BN, et al.Indian J Psychiatry. 2016 Dec;58(Suppl 2):S221-S229. doi: 10.4103/0019-5545.196847.Indian J Psychiatry. 2016.PMID:28216773Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical