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  • 1.
    Blomberg, Anders
    et al.
    Kristianstad University, School of Health and Society.
    Stefaniak, Sonya
    Kristianstad University, School of Health and Society.
    Sjuksköterskors upplevelser av etiska dilemman inom sluten psykiatrisk vård2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: All medical care performed in Sweden is optional, even in the psychiatric care. Although the care can sometimes be coercive by law and therefore against the patients will. When the nurse limits the autonomy of a patient by coercive measures the nurse may experience it as it ethically difficult even if it is for the best interest of the patient. Purpose: The purpose of the literature study is to highlight nurses experiences when performing coercive measures against patients with psycothic diseases in psychiatric closed care, from an ethical perspective. Method: A literature study with ten qualitative studies was processed and analyzed by the authors. From the analysis the authors were able to make categories out from the finds in most of the articles. Result: When performing coercive measures the nurses experienced ethical dilemmas. By relation, purpose and reflection the nurses experienced that the autonomy of the patients could be respected and treated better. Discussion: By using the categories from the result as a basis the ethical experiences of performing coercive measures were discussed. A main concept that described the relationship between nurse and patient was paternalism. The HSL and LPT- laws were discussed and put in conflict against eachother.

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