Aragonés-Calleja Miriam, Sánchez-Martínez Vanessa
Mental Health Department, Hospital Padre Jofre, Valencia, Spain.
Department of Nursing, Faculty of Nursing and Chiropody, University of Valencia, Valencia, Spain.
J Psychiatr Ment Health Nurs. 2025 Apr;32(2):467-481. doi: 10.1111/jpm.13128. Epub 2024 Oct 27.
Coercion influences mental health services users' experience of care and can hinder their recovery process, so it is essential to understand how it is perceived in rehabilitation settings oriented towards recovery.
To describe and measure users' experience of coercion and explore their perception of the treatment received in an inpatient medium-stay psychiatric rehabilitation unit (IMSPRU).
This study, in which 75 service users participated, used a mixed methods approach. Twenty participants were administered a semistructured interview and completed quantitative measures for coercion and 55 additional service users completed the quantitative measurements only. The perception of coercion was measured using the Coercion Experience Scale.
The content analysis of qualitative data resulted in two main themes: treatment received and experience of coercion in the IMSPRU. The participants made a distinction between good treatment and mistreatment or unfair treatment. Experience of coercion in the IMSPRU included the feeling of freedom or lack thereof in the unit, forms of formal and informal coercion, and the positive or negative impact of rules on the unit. The quantitative data revealed a low perception of formal coercion among the users.
Individuals had different views of what it meant to be treated well, but all agreed on the importance of communication and the need to feel respected. Informal coercion was the most frequent type of coercion identified, but users were often unaware of its existence.
Knowledge of how IMSPRU users experience the treatment received from nursing staff and how they perceive coercive situations will help to lay the foundations of a system of care oriented towards good treatment and noncoercive practices.
强制手段会影响精神卫生服务使用者的就医体验，并可能阻碍他们的康复进程，因此了解其在以康复为导向的环境中的认知方式至关重要。
描述并衡量使用者对强制手段的体验，探索他们对在中等住院时长的精神病康复病房（IMSPRU）接受的治疗的认知。
本研究有75名服务使用者参与，采用了混合方法。20名参与者接受了半结构化访谈，并完成了关于强制手段的定量测量，另外55名服务使用者仅完成了定量测量。使用强制体验量表来衡量对强制手段的认知。
定性数据的内容分析产生了两个主要主题：在IMSPRU接受的治疗以及强制体验。参与者区分了良好治疗与虐待或不公平治疗。在IMSPRU的强制体验包括在病房内的自由感或缺乏自由感、正式和非正式的强制形式，以及病房规则的积极或消极影响。定量数据显示使用者对正式强制手段的认知较低。
个体对得到良好治疗的含义有不同看法，但都认同沟通的重要性以及被尊重的必要性。非正式强制手段是最常被识别出的强制类型，但使用者往往并未意识到其存在。
了解IMSPRU使用者如何体验从护理人员那里接受的治疗，以及他们如何看待强制情况，将有助于奠定一个以良好治疗和非强制做法为导向的护理体系的基础。
