The University of Akron, College of Nursing, Akron, Ohio 44325-3701, USA.
Issues Ment Health Nurs. 2011;32(5):274-8. doi: 10.3109/01612840.2011.552749.
There are multiple concerns regarding the practice of forced medication of clients with mental illness. Clients often report that side effects outweigh the benefits of psychotropic medication, while mental health clinicians often think the client may become dangerous without medication. Who should have the right to decide whether a client takes medication? Nursing plays an integral role in the decision making by considering alternative therapies and current research, addressing the diversity among our clients, and ensuring comprehensive assessments. This article presents circumstances that may lead to forced medication and explores beliefs of clients, mental health clinicians, and mental health advocacy groups.Building upon Johns' (2008) model for structured reflections of clinical experiences, this article reflects upon the experience of forced medication in psychiatric nursing practice. First, the process and consequences of forced medication are explored. Next, the factors influencing the thoughts and responses of psychiatric clinicians, clients, and advocacy groups is discussed. Finally, possible alternative actions are presented.
关于对精神病患者进行强制药物治疗的做法存在诸多担忧。患者通常报告说，副作用大于精神药物治疗的益处，而心理健康临床医生则常常认为患者如果不服药可能会变得危险。谁有权决定患者是否服药？护理在决策中起着不可或缺的作用，它考虑替代疗法和当前的研究，解决我们的患者之间的多样性，并确保全面评估。本文介绍了可能导致强制药物治疗的情况，并探讨了患者、心理健康临床医生和心理健康倡导团体的信念。本文以约翰斯（2008）的临床经验结构化反思模型为基础，反思了精神科护理实践中强制药物治疗的经验。首先，探讨了强制药物治疗的过程和后果。接下来，讨论了影响精神科临床医生、患者和倡导团体的想法和反应的因素。最后，提出了可能的替代行动。
