title: The ethics of coercive treatment of people with dementia.
abstract: The aim of the present study was to describe how registered nurses in nursing homes ensure legal security, good and safe nursing care and uphold the dignity of nursing home residents with severe dementia without violating residents' integrity. Semi-structured interviews were conducted with 10 charge nurses in a county in central Sweden. The transcribed interviews were examined using manifest and latent content analyses. The manifest analysis identified actual local routines involving coercive treatment and registered nurses' descriptions of complications and alternative measures. The latent analysis resulted in three themes describing nursing strategies: one with coercive treatment, one with coercive treatment under specific circumstances and one to prevent coercive treatment. Interpretations of legal terms regarding coercive treatment and inadequate gerontological nursing training and understaffing seem to preserve the use of coercive treatment.
authors: Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
authors: Eva
authors: E
authors: Lejman
authors: Margareta
authors: M
authors: Westerbotn
authors: Ulrika
authors: U
authors: Pöder
authors: Barbro
authors: B
authors: Wadensten
mesh_terms: D000328:Adult; D003068:Coercion; D003704:Dementia / Q000451:nursing*; D005851:Geriatric Nursing / Q000193:education / Q000941:ethics* / Q000592:standards; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009735:Nursing Homes / Q000331:legislation & jurisprudence / Q000592:standards; D009740:Nursing Staff / Q000523:psychology*; D028701:Patient Rights; D028743:Professional Misconduct; D036301:Qualitative Research; D012149:Restraint, Physical / Q000941:ethics* / Q000523:psychology; D012308:Risk Management / Q000592:standards*; D064694:Rural Nursing; D013548:Sweden
keywords: Constraint; dementia; nursing home; older people; physical restraints