Gjerberg Elisabeth, Lillemoen Lillian, Pedersen Reidar, Førde Reidun
University of Oslo, Norway
University of Oslo, Norway.
Nurs Ethics. 2016 May;23(3):253-64. doi: 10.1177/0969733014564907. Epub 2015 Jan 6.
Studies have demonstrated the extensive use of coercion in Norwegian nursing homes, which represents ethical, professional as well as legal challenges to the staff. We have, however, limited knowledge of the experiences and views of nursing home patients and their relatives.
The aim of this study is to explore the perspectives of nursing home patients and next of kin on the use of coercion; are there situations where the use of coercion can be defended, and if so, under which circumstances?
The data are based on individual interviews with 35 patients living in six nursing homes and seven focus group interviews with 60 relatives.
Participation was based on written informed consent, and the study was approved by the Regional Committees for Medical and Health Research Ethics.
More than half of the patients and the majority of the relatives accepted the use of coercion, trusting the staff to act in the patient's best interest. However, the acceptance of coercion is strongly related to the patients' lack of understanding, to prevent health risks and to preserve the patient's dignity.
The majority of nursing home patients and relatives accepted the use of coercion in specific situations, while at the same time they emphasised the need to try alternative strategies first. There is still a need for good qualitative research on the use of coercion in nursing homes, especially with a closer focus on the perspectives and experiences of nursing home patients.
研究表明，挪威养老院广泛存在强制手段的使用情况，这给工作人员带来了伦理、专业以及法律方面的挑战。然而，我们对养老院患者及其亲属的经历和观点了解有限。
本研究旨在探讨养老院患者及其近亲对强制手段使用的看法；是否存在可以为强制手段的使用辩护的情况，如果有，在哪些情况下？
数据基于对六家养老院中35名患者的个人访谈以及对60名亲属的七次焦点小组访谈。
参与基于书面知情同意，该研究获得了地区医学与健康研究伦理委员会的批准。
超过半数的患者以及大多数亲属接受强制手段的使用，相信工作人员是为患者的最大利益行事。然而，对强制手段的接受与患者缺乏理解、预防健康风险以及维护患者尊严密切相关。
大多数养老院患者和亲属在特定情况下接受强制手段的使用，同时他们强调需要首先尝试其他策略。对于养老院中强制手段的使用，仍然需要进行良好的定性研究，尤其是更密切地关注养老院患者的观点和经历。
