Husum Tonje Lossius, Siqveland Johan, Ruud Torleif, Lickiewicz Jakub
Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Centre for Medical Ethics, University of Oslo, Oslo, Norway.
Front Psychiatry. 2023 Feb 7;14:1063276. doi: 10.3389/fpsyt.2023.1063276. eCollection 2023.
Staff's attitudes to the use of coercion may influence the number of coercive interventions employed and staff willingness to engage in professional development projects aimed at reducing the use of coercion itself. The Staff Attitude to Coercion Scale (SACS) was developed to assess the attitudes of mental healthcare staff to the use of coercion in 2008 and has been employed subsequently. This global study systematically reviews and summarizes the use of the scale in research.
Seven databases were searched for studies using SACS in articles published in peer reviewed journals and gray literature. In addition, researchers who have asked for permission to use the scale since its development in 2008 were contacted and asked for their possible results. Extracting of data from the papers were performed in pairs of the authors.
Of the 82 identified publications, 26 papers with 5,838 respondents were selected for review. A review of the research questions used in the studies showed that the SACS questionnaire was mostly used in studies of interventions aimed at reducing coercion and further explain variation in the use of coercion.
SACS is, to our best of knowledge, the only questionnaire measuring staff's attitudes to the use of coercive interventions in mental health services. Its widespread use indicates that the questionnaire is perceived as feasible and useful as well as demonstrating the need for such a tool. However, further research is needed as the relationship between staff attitudes to coercion and the actual use of coercion remains unclear and needs to be further investigated. Staff attitudes to coercion may be a prerequisite for leaders and staff in mental healthcare to engage in service development and quality improvement projects.
工作人员对强制手段使用的态度可能会影响强制干预措施的使用次数，以及工作人员参与旨在减少强制手段本身使用的专业发展项目的意愿。《工作人员对强制手段的态度量表》（SACS）于2008年编制，用于评估精神卫生保健工作人员对强制手段使用的态度，随后一直在使用。这项全球研究系统地回顾和总结了该量表在研究中的使用情况。
检索了七个数据库，以查找在同行评审期刊和灰色文献中发表的使用SACS的研究。此外，还联系了自2008年该量表编制以来请求使用该量表的研究人员，并询问他们可能的研究结果。论文数据提取由两位作者共同完成。
在82篇已识别的出版物中，选取了26篇论文，涉及5838名受访者进行综述。对研究中使用的研究问题进行回顾发现，SACS问卷大多用于旨在减少强制手段的干预措施研究，并进一步解释强制手段使用的差异。
据我们所知，SACS是唯一一份测量工作人员对精神卫生服务中强制干预措施使用态度的问卷。它的广泛使用表明该问卷被认为是可行且有用的，也证明了对这种工具的需求。然而，由于工作人员对强制手段的态度与强制手段的实际使用之间的关系仍不明确，需要进一步研究。工作人员对强制手段的态度可能是精神卫生保健领域的领导者和工作人员参与服务发展和质量改进项目的先决条件。
