About the project
A study of use of coercion in home health care and the challenging professional, ethical and legal situations that occur when patients resists healthcare.
The study will elucidate who patients that receive coercive healthcare are, and how they are described in decision documents of coercion. What happens when patients resists care, and what are health care professionals justification and possible choices of action in these situations.
The first part of the study has a mixed method approach with quantitative and qualitative analysis of decision documents of coercion confer The Patient– and User Rights Act, Chaper 4a, submitted to the 17 County Governors in Norway in 2015 and 2016. The data provides information about health conditions of homedwelling persons receiving coercive health care, if they live alone, with spouse or in assisted living facilities, what type of coercion that is used in home health care, trust building measures, and justification of use of coercion. Correlation between different variables will be examined.
Next, depending on the results and thematics that are found in the material a qualitative follow up study is planned, gathering in depth data from patients and/or health care professionals. The aim is to provide knowledge on both scope and content of regulated use of coercion confer Patient-and User Rights Act, Chapter 4A and descriptions of challenging situations where resistance occurs and coercion sometimes is used. What assessments are done, and what is at stake, from both the patients- and the health care professionals stand point.
Mastergrad i Science of Nursing at Pacific Lutheran University, Tacoma, Washington state, USA
Patient experiences and intervention development (PIFO)