Ethical challenges for nurses delivering coercive interventions in community mental health settings: A scoping review.

Article


Haines, Stephen, Stanton, Robert, Anderson, Carina and Welsh, Anthony. 2024. "Ethical challenges for nurses delivering coercive interventions in community mental health settings: A scoping review. " International Journal of Mental Health Nursing. https://doi.org/10.1111/inm.13290
Article Title

Ethical challenges for nurses delivering coercive interventions in community mental health settings: A scoping review.

ERA Journal ID14085
Article CategoryArticle
AuthorsHaines, Stephen, Stanton, Robert, Anderson, Carina and Welsh, Anthony
Journal TitleInternational Journal of Mental Health Nursing
Number of Pages10
Year2024
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1324-3780
1445-8330
1447-0349
Digital Object Identifier (DOI)https://doi.org/10.1111/inm.13290
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/inm.13290
Abstract

The number of Australians subject to coercive interventions in community mental health services continues to increase. This is in the context of a growing awareness of the harms from coercion, increasing concerns about potential breaches of human rights and an ongoing uncertainty regarding the clinical benefits of community treatment orders, the primary instrument of legislated coercion in community mental health services. Nurses in community mental health services are on the frontline with regard to coercion. They police the requirements of the community treatment order, administer medication to people in community settings without their consent and facilitate re-hospitalisation if indicated. Coercive practice contradicts the person-centred, recovery-oriented and trauma-informed care principles that inform contemporary mental health nursing. This contradiction may generate ethical challenges for nurses and result in ethical distress. The aim of this scoping review was to map the research literature on how nurses in community mental health settings recognise and manage the harm associated with the administration of coercive interventions and consider the ethical challenges that may arise within this practice. The search strategy yielded 562 studies with author consensus determining a total of three articles as meeting the inclusion criteria. The resulting literature identified three themes: (1) maintaining the therapeutic relationship, (2) promoting autonomy and (3) using subtle forms of control. This review demonstrated that there is minimal research that has considered the ethical challenges related to the use of coercion by nurses in community mental health settings.

Keywordsbioethics; coercion; community mental health centres; mental health; psychiatric nursing.
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420504. Mental health nursing
Byline AffiliationsCentral Queensland University
School of Nursing and Midwifery
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