<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Anne-Marthe Rustad Indregard</style></author><author><style face="normal" font="default" size="100%">Hans Martin Nussle</style></author><author><style face="normal" font="default" size="100%">Milada Hagan</style></author><author><style face="normal" font="default" size="100%">Per Olav Vandvik</style></author><author><style face="normal" font="default" size="100%">Martin Teli</style></author><author><style face="normal" font="default" size="100%">Jakov Gather</style></author><author><style face="normal" font="default" size="100%">Nikolaj Kunøe</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Open-door policy versus treatment-as-usual in urban psychiatric inpatient wards: a pragmatic, randomised controlled, non-inferiority trial in Norway</style></title><secondary-title><style face="normal" font="default" size="100%">Lancet Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2024</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2024</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://pubmed.ncbi.nlm.nih.gov/38460529/</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h2&gt;Abstract&lt;/h2&gt;&lt;p&gt;&lt;strong&gt;Background:&amp;nbsp;&lt;/strong&gt;Open-door policy is a recommended framework to reduce coercion in psychiatric wards. However, existing observational data might not fully capture potential increases in harm and use of coercion associated with open-door policies. In this first randomised controlled trial, we compared coercive practices in open-door policy and treatment-as-usual wards in an urban hospital setting. We hypothesised that the open-door policy would be non-inferior to treatment-as-usual on the proportion of patients exposed to coercive measures.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&amp;nbsp;&lt;/strong&gt;We conducted a pragmatic, randomised controlled, non-inferiority trial comparing two open-door policy wards and three treatment-as-usual acute psychiatric wards at Lovisenberg Diaconal Hospital in Oslo, Norway. An exemption from the consent requirements enabled inclusion and random allocation of all patients admitted to these wards using an open list (2:3 ratio) administrated by a team of ward nurses. The primary outcome was the proportion of patient stays with one or more coercive measures, including involuntary medication, isolation or seclusion, and physical and mechanical restraints. The non-inferiority margin was set to 15%. Primary and safety analyses were assessed using the intention-to-treat population. The trial is registered with ISRCTN registry and is complete, ISRCTN16876467.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings:&amp;nbsp;&lt;/strong&gt;Between Feb 10, 2021, and Feb 1, 2022, we randomly assigned 556 patients to either open-door policy wards (n=245; mean age 41&amp;middot;6 [SD 14&amp;middot;5] years; 119 [49%] male; 126 [51%] female; and 180 [73%] admitted to the ward involuntarily) or treatment-as-usual wards (n=311; mean age 41&amp;middot;6 [4&amp;middot;3] years; 172 [55%] male and 138 [45%] female; 233 [75%] admitted involuntarily). Data on race and ethnicity were not collected. The open-door policy was non-inferior to treatment-as-usual on all outcomes: the proportion of patient stays with exposure to coercion was 65 (26&amp;middot;5%) in open-door policy wards and 104 (33&amp;middot;4%) in treatment-as-usual wards (risk difference 6&amp;middot;9%; 95% CI -0&amp;middot;7 to 14&amp;middot;5), with a similar trend for specific measures of coercion. Reported incidents of violence against staff were 0&amp;middot;15 per patient stay in open-door policy wards and 0&amp;middot;18 in treatment-as-usual wards. There were no suicides during the randomised controlled trial period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interpretation:&amp;nbsp;&lt;/strong&gt;The open-door policy could be safely implemented without increased use of coercive measures. Our findings underscore the need for more reliable and relevant randomised trials to investigate how a complex intervention, such as open-door policy, can be efficiently implemented across health-care systems and contexts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Funding:&amp;nbsp;&lt;/strong&gt;South-Eastern Norway Regional Health Authority and The Research Council of Norway.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Fagfellevurdert artikkel</style></work-type><section><style face="normal" font="default" size="100%">330</style></section></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Jūratė Šaltytė Benth</style></author><author><style face="normal" font="default" size="100%">Tore Hofstad</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The relationship between area levels of involuntary psychiatric care and patient outcomes: a longitudinal national register study from Norway</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Psychiatry (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Alvorlige psykiske lidelser</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Compulsion</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary care</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental health legislation</style></keyword><keyword><style  face="normal" font="default" size="100%">Psykisk helse-lovgivning</style></keyword><keyword><style  face="normal" font="default" size="100%">Register study</style></keyword><keyword><style  face="normal" font="default" size="100%">Registerstudie</style></keyword><keyword><style  face="normal" font="default" size="100%">Severe mental disorders</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangstiltak</style></keyword><keyword><style  face="normal" font="default" size="100%">Ufrivillig omsorg</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">02/2023</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://link.springer.com/article/10.1186/s12888-023-04584-4</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">23</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Background&lt;/h3&gt;&lt;p&gt;Mental health legislation permits involuntary care of patients with severe mental disorders who meet set legal criteria. The Norwegian Mental Health Act assumes this will improve health and reduce risk of deterioration and death. Professionals have warned against potentially adverse effects of recent initiatives to heighten involuntary care thresholds, but no studies have investigated whether high thresholds have adverse effects.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Aim&lt;/h3&gt;&lt;p&gt;To test the hypothesis that areas with lower levels of involuntary care show higher levels of morbidity and mortality in their severe mental disorder populations over time compared to areas with higher levels. Data availability precluded analyses of the effect on health and safety of others.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;Using national data, we calculated standardized (by age, sex, and urbanicity) involuntary care ratios across Community Mental Health Center areas in Norway. For patients diagnosed with severe mental disorders (ICD10 F20-31), we tested whether lower area ratios in 2015 was associated with 1) case fatality over four years, 2) an increase in inpatient days, and 3) time to first episode of involuntary care over the following two years. We also assessed 4) whether area ratios in 2015 predicted an increase in the number of patients diagnosed with F20-31 in the subsequent two years and whether 5) standardized involuntary care area ratios in 2014&amp;ndash;2017 predicted an increase in the standardized suicide ratios in 2014&amp;ndash;2018. Analyses were prespecified (ClinicalTrials.gov NCT04655287).&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;We found no adverse effects on patients&amp;rsquo; health in areas with lower standardized involuntary care ratios. The standardization variables age, sex, and urbanicity explained 70.5% of the variance in raw rates of involuntary care.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Lower standardized involuntary care ratios are not associated with adverse effects for patients with severe mental disorders in Norway. This finding merits further research of the way involuntary care works.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>27</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">David Stewart</style></author><author><style face="normal" font="default" size="100%">Kim Ryan</style></author><author><style face="normal" font="default" size="100%">Madeline A. Naegle</style></author><author><style face="normal" font="default" size="100%">Sarah Flogen</style></author><author><style face="normal" font="default" size="100%">Frances Hughes</style></author><author><style face="normal" font="default" size="100%">James Buchan</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Global Mental Health nursing workforce: Time to prioritize and invest in mental health and wellbeing</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Forebygging</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Health</style></keyword><keyword><style  face="normal" font="default" size="100%">mental helse</style></keyword><keyword><style  face="normal" font="default" size="100%">nursing</style></keyword><keyword><style  face="normal" font="default" size="100%">psykiatrisk sykepleie</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleie</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.icn.ch/sites/default/files/inline-files/ICN_Mental_Health_Workforce_report_EN_web.pdf</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">the International Council of Nurses</style></publisher><isbn><style face="normal" font="default" size="100%">978-92-95124-04-2 </style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Rapporten&amp;nbsp;&lt;a href=&quot;https://www.icn.ch/sites/default/files/inline-files/ICN_Mental_Health_Workforce_report_EN_web.pdf&quot;&gt;Mental Health Workforce report&lt;/a&gt;&amp;nbsp;ble nylig lagt frem av ICN. I følge rapporten står verden foran store utfordringer, spesielt når det kommer til mangel på sykepleierkompetanse innen psykisk helse og rus.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Annet</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Georg Høyer</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Ekaterina Sharashova</style></author><author><style face="normal" font="default" size="100%">Tone Breines Simonsen</style></author><author><style face="normal" font="default" size="100%">Anne Høye</style></author><author><style face="normal" font="default" size="100%">Henriette Riley</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry study</style></title><secondary-title><style face="normal" font="default" size="100%">BJPsych Open</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">community treatment orders</style></keyword><keyword><style  face="normal" font="default" size="100%">CTO</style></keyword><keyword><style  face="normal" font="default" size="100%">Effekt</style></keyword><keyword><style  face="normal" font="default" size="100%">impact</style></keyword><keyword><style  face="normal" font="default" size="100%">legislation</style></keyword><keyword><style  face="normal" font="default" size="100%">lov</style></keyword><keyword><style  face="normal" font="default" size="100%">lovendring</style></keyword><keyword><style  face="normal" font="default" size="100%">TUD</style></keyword><keyword><style  face="normal" font="default" size="100%">tvungent vern uten døgnopphold</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">01/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.cambridge.org/core/journals/bjpsych-open/article/impact-of-introducing-capacitybased-mental-health-legislation-on-the-use-of-community-treatment-orders-in-norway-case-registry-study/8C1302C4705F3887004051947463A7F6</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">8</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background&lt;/p&gt;&lt;p&gt;In 2017, a capacity-based criterion was added to the Norwegian Mental Health Act, stating that those with capacity to consent to treatment cannot be subjected to involuntary care unless there is risk to themselves or others. This was expected to reduce incidence and prevalence rates, and the duration of episodes of involuntary care, in particular regarding community treatment orders (CTOs).&lt;/p&gt;&lt;p&gt;Aims&lt;/p&gt;&lt;p&gt;The aim was to investigate whether the capacity-based criterion had the expected impact on the use of CTOs.&lt;/p&gt;&lt;p&gt;Method&lt;/p&gt;&lt;p&gt;This retrospective case register study included two catchment areas serving 16% of the Norwegian population (aged &amp;ge;18). In total, 760 patients subject to 921 CTOs between 1 January 2015 and 31 December 2019 were included to compare the use of CTOs 2 years before and 2 years after the legal reform.&lt;/p&gt;&lt;p&gt;Results&lt;/p&gt;&lt;p&gt;CTO incidence rates and duration did not change after the reform, whereas prevalence rates were significantly reduced. This was explained by a sharp increase in termination of CTOs in the year of the reform, after which it reduced and settled on a slightly higher leven than before the reform. We found an unexpected significant increase in the use of involuntary treatment orders for patients on CTOs after the reform.&lt;/p&gt;&lt;p&gt;Conclusions&lt;/p&gt;&lt;p&gt;The expected impact on CTO use of introducing a capacity-based criterion in the Norwegian Mental Health Act was not confirmed by our study. Given the existing challenges related to defining and assessing decision-making capacity, studies examining the validity of capacity assessments and their impact on the use of coercion in clinical practice are urgently needed.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><label><style face="normal" font="default" size="100%">tud</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Nikolaj Kunøe</style></author><author><style face="normal" font="default" size="100%">Hans Martin Nussle</style></author><author><style face="normal" font="default" size="100%">Anne-Marthe Indregard</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Protocol for the Lovisenberg Open Acute Door Study (LOADS): a pragmatic randomised controlled trial to compare safety and coercion between open-door policy and usual-care services in acute psychiatric inpatients</style></title><secondary-title><style face="normal" font="default" size="100%">BMJ open</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">adult psychiatry; medical ethics; organisation of health services; schizophrenia &amp; psychotic disorders; suicide &amp; self-harm</style></keyword><keyword><style  face="normal" font="default" size="100%">åpen dør</style></keyword><keyword><style  face="normal" font="default" size="100%">LOADS</style></keyword><keyword><style  face="normal" font="default" size="100%">Lovisenberg</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">02/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8852761/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">16</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Introduction:&amp;nbsp;&lt;/strong&gt;The reduction of coercion in psychiatry is a high priority for both the WHO and many member countries. Open-door policy (ODP) is a service model for psychiatric ward treatment that prioritises collaborative and motivational measures to better achieve acute psychiatric safety - and treatment objectives. Keeping the ward main door open is one such measure. Evidence on the impact of ODP on coercion and violent events is mixed, and only one randomised controlled trial (RCT) has previously compared ODP to standard practice. The main objectives of the Lovisenberg Open Acute Door Study (LOADS) are to implement and evaluate a Nordic version of ODP for acute psychiatric inpatient services. The evaluation is designed as a pragmatic RCT with treatment-as-usual (TAU) control followed by a 4-year observational period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and analysis:&amp;nbsp;&lt;/strong&gt;In this 12-month pragmatic randomised trial, all patients referred to acute ward care will be randomly allocated to either TAU or ODP wards. The primary outcome is the proportion of patient stays with one or more coercive measures. Secondary outcomes include adverse events involving patients and/or staff, substance use and users&amp;#39; experiences of the treatment environment and of coercion. The main hypothesis is that ODP services will not be inferior to state-of-the art psychiatric treatment. ODP and TAU wards are determined via ward-level randomisation. Following conclusion of the RCT, a longitudinal observational phase begins designed to monitor any long-term effects of ODP.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Ethics and dissemination:&amp;nbsp;&lt;/strong&gt;The trial has been approved by the Regional Committees for Medical and Health Research Ethics (REC) in Norway (REC South East #29238), who granted LOADS exemption from consent requirements for all eligible, admitted patients. Data are considered highly sensitive but can be made available on request. Results will be published in peer-reviewed journals and presented at scientific conferences and meetings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration number:&amp;nbsp;&lt;/strong&gt;ISRCTN16876467.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Protocol version:&amp;nbsp;&lt;/strong&gt;1.4, 21 December 2021.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords:&amp;nbsp;&lt;/strong&gt;adult psychiatry; medical ethics; organisation of health services; schizophrenia &amp;amp; psychotic disorders; suicide &amp;amp; self-harm.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">12</style></issue><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Irene Wormdahl</style></author><author><style face="normal" font="default" size="100%">Trond Hatling</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Sloveig Kjus</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Dorte Brodersen</style></author><author><style face="normal" font="default" size="100%">Signe Dahl Christensen</style></author><author><style face="normal" font="default" size="100%">Petter Sundt Nyborg</style></author><author><style face="normal" font="default" size="100%">Torstein Borch Skolseng</style></author><author><style face="normal" font="default" size="100%">Eva Irene Ødegård</style></author><author><style face="normal" font="default" size="100%">Anna Margrethe Andersen</style></author><author><style face="normal" font="default" size="100%">Espen Gundersen</style></author><author><style face="normal" font="default" size="100%">Rise, Marit B.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The ReCoN intervention: a co-created comprehensive intervention for primary mental health care aiming to prevent involuntary admissions</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary admission</style></keyword><keyword><style  face="normal" font="default" size="100%">Primary mental health care</style></keyword><keyword><style  face="normal" font="default" size="100%">primærhelsetjenesten</style></keyword><keyword><style  face="normal" font="default" size="100%">Reducing</style></keyword><keyword><style  face="normal" font="default" size="100%">reduction</style></keyword><keyword><style  face="normal" font="default" size="100%">reduksjon</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08302-w</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">22</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Background&lt;/h3&gt;&lt;p&gt;Reducing involuntary psychiatric admissions is a global concern. In Norway, the rate of involuntary admissions was 199 per 100,000 people 16&amp;thinsp;years and older in 2020. Individuals&amp;rsquo; paths towards involuntary psychiatric admissions usually unfold when they live in the community and referrals to such admissions are often initiated by primary health care professionals. Interventions at the primary health care level can therefore have the potential to prevent such admissions. Interventions developed specifically for this care level are, however, lacking. To enhance the quality and development of services in a way that meets stakeholders&amp;rsquo; needs and facilitates implementation to practice, involving both persons with lived experience and service providers in developing such interventions is requested.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Aim&lt;/h3&gt;&lt;p&gt;To develop a comprehensive intervention for primary mental health care aiming to prevent involuntary admissions of adults.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;This study had an action research approach with a participatory research design. Dialogue conferences with multiple stakeholders in five Norwegian municipalities, inductive thematic analysis of data material from the conferences, and a series of feedback meetings were conducted.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;The co-creation process resulted in the development of the ReCoN (Reducing Coercion in Norway) intervention. This is a comprehensive intervention that includes six strategy areas: [1] Management, [2] Involving Persons with Lived Experience and Family Carers, [3] Competence Development, [4] Collaboration across Primary and Specialist Care Levels, [5] Collaboration within the Primary Care Level, and [6] Tailoring Individual Services. Each strategy area has two to four action areas with specified measures that constitute the practical actions or tasks that are believed to collectively impact the need for involuntary admissions.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Conclusions&lt;/h3&gt;&lt;p&gt;The ReCoN intervention has the potential for application to both national and international mental health services. The co-creation process with the full range of stakeholders ensures face validity, acceptability, and relevance. The effectiveness of the ReCoN intervention is currently being tested in a cluster randomised controlled trial. Given positive effects, the ReCoN intervention may impact individuals with a severe mental illness at risk of involuntary admissions, as more people may experience empowerment and autonomy instead of coercion in their recovery process.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Introduction of Medication-Free Mental Health Services in Norway: An Analysis of the Framing and Impact of Arguments From Different Standpoints</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Medication-free</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisin</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisinfri</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.frontiersin.org/articles/10.3389/fpsyt.2021.685024/full</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt;&amp;nbsp;Debates about coercive practices have challenged a traditional biomedical hegemony in mental health care. The perspectives of service user organizations have gained considerable ground, such as in the development of the Convention on the Rights of Persons with Disabilities. Such changes are often contested, and might in practice be a result of (implicit) negotiation between stakeholders with different discursive positions. To improve understanding of such processes, and how discursive positions may manifest and interact, we analyzed texts published over a 10 year period related to the introduction of medication-free inpatient services in Norway.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp;We conducted qualitative analyses of 36 policy documents related to the introduction of medication-free services and 75 opinion pieces from a subsequent debate. We examined discursive practices in these texts as expressions of what is perceived as legitimate knowledge upon which to base mental health care from the standpoints of government, user organizations and representatives of the psychiatric profession. We paid particular attention to how standpoints were framed in different discourse surrounding mental health care, and how these interacted and changed during the study period (2008&amp;ndash;2018).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;&amp;nbsp;The analysis shows how elements from the discourse promoted by service user organizations&amp;mdash;most notably the legitimacy of personal experiences as a legitimate source of knowledge&amp;mdash;entered the mainstream by being incorporated into public policy. Strong reactions to this shift, firmly based in biomedical discourse, endorsed evidence-based medicine as the authoritative source of knowledge to ensure quality care, although accepting patient involvement. Involuntary medication, and how best to help those with non-response to antipsychotic medication represented a point at which discursive positions seemed irreconcilable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt;&amp;nbsp;The relative authorities of different sources of knowledge remain an area of contention, and especially in determining how best to help patients who do not benefit from antipsychotics. Future non-inferiority trials of medication-free services may go some way to break this discursive deadlock.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">annet</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hofstad, Tore</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Ose, Solveig O.</style></author><author><style face="normal" font="default" size="100%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Husum, Tonje L.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Measuring the level of compulsory hospitalisation in mental health care: The performance of different measures across areas and over time</style></title><secondary-title><style face="normal" font="default" size="100%">Int J Methods Psychiatr Res</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">compulsory hospitalisation</style></keyword><keyword><style  face="normal" font="default" size="100%">geografisk variasjon</style></keyword><keyword><style  face="normal" font="default" size="100%">geographic variation</style></keyword><keyword><style  face="normal" font="default" size="100%">measurement</style></keyword><keyword><style  face="normal" font="default" size="100%">small area analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://onlinelibrary.wiley.com/doi/10.1002/mpr.1881</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;section id=&quot;mpr1881-sec-0001&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0001-title&quot;&gt;Objective&lt;/h3&gt;&lt;p&gt;A variety of measures are used for reporting levels of compulsory psychiatric hospitalisation. This complicates comparisons between studies and makes it hard to establish the extent of geographic variation. We aimed to investigate how measures based on events, individuals and duration portray geographical variation differently and perform over time, how they correlate and how well they predict future ranked levels of compulsory hospitalisation.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0002&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0002-title&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;Small-area analysis, correlation analysis and linear regressions of data from a Norwegian health registry containing whole population data from 2014 to 2018.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0003&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0003-title&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;The average compulsory hospitalisation rate per 100,000 inhabitant was 5.6 times higher in the highest area, compared to the lowest, while the difference for the compulsory inpatient rate was 3.2. Population rates based on inpatients correlate strongly with rates of compulsory hospitalisations (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.88) and duration (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.78). 68%&amp;ndash;81% of ranked compulsory hospitalisation rates could be explained by each area&amp;#39;s rank the previous year.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0004&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0004-title&quot;&gt;Conclusion&lt;/h3&gt;&lt;p&gt;There are stable differences in service delivery between catchment areas in Norway. In future research, multiple measures of the level of compulsory hospitalisation should ideally be included when investigating geographical variation. It is important that researchers describe accurately the measure upon which their results are based.&lt;/p&gt;&lt;/section&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Unn Elisabeth Hammervold</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Hildegunn Sagvaag</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident reviews after restraints—Potential and pitfalls. Patients’ experiences and considerations</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Psychiatric and Mental Health Nursing</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Ettersamtaler</style></keyword><keyword><style  face="normal" font="default" size="100%">Post-incident review</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://onlinelibrary-wiley-com.mime.uit.no/doi/full/10.1111/jpm.12776</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 id=&quot;jpm12776-sec-0004-title&quot;&gt;4.1 Introduction&lt;/h3&gt;&lt;section id=&quot;jpm12776-sec-0005&quot;&gt;&lt;p&gt;Post-incident reviews (PIRs), including patients, nurses and other care providers, following incidents of restraints are recommended in mental health services. Few studies have examined patients&amp;rsquo; experiences and considerations concerning PIRs.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0006&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0006-title&quot;&gt;4.2 Aim&lt;/h3&gt;&lt;p&gt;The study aims to explore patients&amp;rsquo; perspectives on PIRs in relation to how they experience participation in PIRs and further view PIRs&amp;rsquo; potential for care improvement and restraint prevention.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0007&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0007-title&quot;&gt;4.3 Method&lt;/h3&gt;&lt;p&gt;We conducted a qualitative study based on individual interviews. Eight current and previous inpatients from two Norwegian mental health services were interviewed.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0008&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0008-title&quot;&gt;4.4 Results&lt;/h3&gt;&lt;p&gt;The patients experienced PIRs as variations on a continuum from being strengthened, developing new coping strategies and processing the restraint event to at the other end of the continuum; PIRs as meaningless, feeling objectified and longing for living communication and closeness.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0009&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0009-title&quot;&gt;4.5 Discussion&lt;/h3&gt;&lt;p&gt;PIRs&amp;rsquo; beneficial potential is extended in the study. The findings highlight however that personal and institutional conditions influence whether patients experience PIRs as an arena for recovery promotion or PIRs as continuation of coercive contexts.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;jpm12776-sec-0010&quot;&gt;&lt;h3 id=&quot;jpm12776-sec-0010-title&quot;&gt;4.6 Implications for practice&lt;/h3&gt;&lt;p&gt;We recommend patients&amp;rsquo; active participation in planning the PIR. PIRs should be conducted in a supportive atmosphere, including trusted persons, emphasizing and acknowledging a dialogical approach.&lt;/p&gt;&lt;/section&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">PhD thesis</style></work-type><label><style face="normal" font="default" size="100%">etikk</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Tore Hofstad</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Solveig Osborg Ose</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Solveig Helene Høymork Kjus</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Service Characteristics and Geographical Variation in Compulsory Hospitalisation: An exploratory random effects within-between analysis of Norwegian municipalities 2015-2018</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Geografisk varasjon</style></keyword><keyword><style  face="normal" font="default" size="100%">tjenestetilbud</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">12/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.frontiersin.org/articles/10.3389/fpsyt.2021.737698/full?</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt;&amp;nbsp;Compulsory hospitalisation in mental healthcare is contested. For ethical and legal reasons, it should only be used as a last resort. Geographical variation could indicate that some areas employ compulsory hospitalisation more frequently than is strictly necessary. Explaining variation in compulsory hospitalisation might contribute to reducing overuse, but research on associations with service characteristics remains patchy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives:&lt;/strong&gt;&amp;nbsp;We aimed to investigate the associations between the levels of compulsory hospitalisation and the characteristics of primary mental health services in Norway between 2015 and 2018 and the amount of variance explained by groups of explanatory variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp;We applied random-effects within&amp;ndash;between Poisson regression of 461 municipalities/city districts, nested within 72 community mental health centre catchment areas (&lt;i&gt;N&lt;/i&gt;&amp;nbsp;= 1,828 municipality-years).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;&amp;nbsp;More general practitioners, mental health nurses, and the total labour-years in municipal mental health and addiction services per population are associated with lower levels of compulsory hospitalisations within the same areas, as measured by both persons (inpatients) and events (hospitalisations). Areas that, on average, have more general practitioners and public housing per population have lower levels of compulsory hospitalisation, while higher levels of compulsory hospitalisation are seen in areas with a longer history of supported employment and the systematic gathering of service users&amp;#39; experiences. In combination, all the variables, including the control variables, could account for 39&amp;ndash;40% of the variation, with 5&amp;ndash;6% related to municipal health services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt;&amp;nbsp;Strengthening primary mental healthcare by increasing the number of general practitioners and mental health workers can reduce the use of compulsory hospitalisation and improve the quality of health services.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Åshild Nordbotten</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Bruk av tvangsmidler ved Psykisk helse- og rusklinikken, UNN HF</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">sivilombudsmannen</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsmidler</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">08/2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://munin.uit.no/bitstream/handle/10037/20999/thesis.pdf?sequence=2&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">UiT - Norges arktiske universitet (Open Access)</style></publisher><pub-location><style face="normal" font="default" size="100%">Tromsø</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Pasienter innlagt i psykisk helsevern kan, på gitte juridiske vilkår, unntas det grunnleggende prinsippet om at all behandling og tiltak skal være frivillig. Dette setter strenge krav til dem som utfører helsetjenestene, og da også til kontroll av bruk av tvang. I 2016 kom det en kritisk rapport fra Sivilombudsmannen om bruk av tvang ved Psykisk Helse- og rusklinikken, UNN HF. Det ble i etterkant satt i gang flere tiltak i klinikken. Målet med denne studien er å undersøke eventuelle forskjeller i bruk av tvangsmidler mellom to ulike registreringsperioder, hhv. før og etter Sivilombudsmannens rapport, samt å kartlegge bruken av tvangsmidler ved PHRK, UNN HF.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Mastergradsoppgave</style></work-type><label><style face="normal" font="default" size="100%">tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hammervold, U.E.</style></author><author><style face="normal" font="default" size="100%">Norvoll, R</style></author><author><style face="normal" font="default" size="100%">Vevatne, K.</style></author><author><style face="normal" font="default" size="100%">Saagvaag, H.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident reviews-a gift to the Ward or just another procedure? Care providers' experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Ettersamtaler</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsbehandling</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsmidler</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05370-8</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">20</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Public guidelines in many western countries recommend post-incident reviews (PIRs) with patients after restraint use in mental health care. PIRs are one of several elements of seclusion and restraint reduction in internationally used programmes. PIRs may improve restraint prevention, patients&amp;#39; recovery processes and care providers&amp;#39; ethical mindfulness. The knowledge base on PIRs is, however, vague. This qualitative study explores professional care providers&amp;#39; experiences and considerations regarding PIRs that included patients after restraint use in a Norwegian context.&lt;/p&gt;&lt;h4&gt;METHODS:&lt;/h4&gt;&lt;p&gt;Within a phenomenological hermeneutical framework, 19 multidisciplinary care providers were interviewed about their experiences and views regarding PIRs that included patients after restraint events. The interviews were performed over the period 2015-2016. Data analysis followed a data-driven stepwise approach in line with thematic content analysis. A group of two patient consultants in mental health services, and one patient&amp;#39;s next of kin, contributed with input regarding the interview guide and analysis process.&lt;/p&gt;&lt;h4&gt;RESULTS:&lt;/h4&gt;&lt;p&gt;Care providers experienced PIRs as having the potential to improve the quality of care through a) knowledge of other perspectives and solutions; b) increased ethical and professional awareness; and c) emotional and relational processing. However, the care providers considered that PIRs&amp;#39; potential could be further exploited as they struggled to get hold on the patients&amp;#39; voices in the encounter. The care providers considered that issue to be attributable to the patients&amp;#39; conditions, the care providers&amp;#39; safety and skills and the characteristics of institutional and cultural conditions.&lt;/p&gt;&lt;h4&gt;CONCLUSION:&lt;/h4&gt;&lt;p&gt;Human care philosophies and a framework of care ethics seem to be preconditions for promoting patients&amp;#39; active participation in PIRs after restraints. Patients&amp;#39; voices strengthen PIRs&amp;#39; potential to improve care and may also contribute to restraint prevention. To minimise the power imbalance in PIRs, patients&amp;#39; vulnerability, dependency and perceived dignity must be recognised. Patients&amp;#39; individual needs and preferences should be assessed and mapped when planning PIRs, particularly regarding location, time and preferred participants. Care providers must receive training to strengthen their confidence in conducting PIRs in the best possible way. Patients&amp;#39; experiences with PIRs should be explored, especially if participation by trusted family members, peers or advocates may support the patients in PIRs.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">499</style></issue><label><style face="normal" font="default" size="100%">Tvangsbehandling, Tvangsinnleggelse, Tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Patricia S. Mann-Poll</style></author><author><style face="normal" font="default" size="100%">Eric O. Noorthoorn</style></author><author><style face="normal" font="default" size="100%">Annet Smit</style></author><author><style face="normal" font="default" size="100%">Giel J. M. Hutschemaekers</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Three Pathways of Seclusion Reduction Programs to Sustainability: Ten Years Follow Up in Psychiatry</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Inpatient psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Program evaluation</style></keyword><keyword><style  face="normal" font="default" size="100%">seclusion and restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Sustainability</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://link.springer.com/article/10.1007/s11126-020-09738-1#article-info</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;From 2004 onwards, above 50 seclusion reduction programs (SRP) were developed, implemented and evaluated in the Netherlands. However, little is known about their sustainability, as to which extent obtained reduction could be maintained. This study monitored three programs over ten years seeking to identify important factors contributing to this. We reviewed documents of three SRPs that received governmental funding to reduce seclusion. Next, we interviewed key figures from each institute, to investigate the SRP documents and their implementation in practice. We monitored the number of seclusion events and the number of seclusion days with the Argus rating scale over ten years in three separate phases: 2008&amp;ndash;2010, 2011&amp;ndash;2014 and 2015&amp;ndash;2017. As we were interested in sustainability after the governmental funding ended in 2012, our focus was on the last phase. Although in different rate, all mental health institutes showed some decline in seclusion events during and immediately after the SRP. After end of funding one institute showed numbers going up and down. The second showed an increase in number of seclusion days. The third institute displayed a sustained and continuous reduction in use of seclusion, even several years after the received funding. This institute was the only one with an ongoing institutional SRP after the governmental funding. To sustain accomplished seclusion reduction, a continuous effort is needed for institutional awareness of the use of seclusion, even after successful implementation of SRPs. If not, successful SRPs implemented in psychiatry will easily relapse in traditional use of seclusion.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Elin Håkonsen Martinsen</style></author><author><style face="normal" font="default" size="100%">Bente M Weimand</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Does coercion matter? Supporting young next-of-kin in mental health care</style></title><secondary-title><style face="normal" font="default" size="100%">Nursing Ethics</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Health</style></keyword><keyword><style  face="normal" font="default" size="100%">next-of-kin</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">09/2019</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">2019</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;BACKGROUND: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Coercion can cause harm to both the patient and the patient&amp;#39;s family. Few studies have examined how the coercive treatment of a close relative might affect young next-of-kin.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;RESEARCH QUESTIONS: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;We aimed to investigate the views and experiences of health professionals being responsible for supporting young next-of-kin to patients in mental health care (children-responsible staff) in relation to the needs of these young next-of-kin in coercive situations and to identify ethical challenges.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;RESEARCH DESIGN: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;We conducted a qualitative study based on semistructured, focus group interviews and an individual interview.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;PARTICIPANTS AND RESEARCH CONTEXT: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;We held three focus group interviews with six to seven children-responsible staff in each group (a total of 20 participants) and one individual interview with a family therapist. The participants were recruited from three hospital trusts in the eastern part of Norway.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;ETHICAL CONSIDERATIONS: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;The study was approved by the National Data Protection Official for Research and based on informed consent and confidentiality.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;FINDINGS: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Coercion was not a theme among the participants in relation to their work with young next-of-kin, and there was much uncertainty related to whether these young people need special support to deal with the coercive treatment of their close relative. Despite the uncertainty, the study indicated a need for more information and emotional support among the youth.&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;DISCUSSION: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;Few studies have addressed the potential impact of coercive treatment of a close family member on young next-of-kin. The findings were consistent with existing research but highlighted disagreement and uncertainty among the children-responsible staff about to what extent the young next-of-kin should visit and whether they should enter the ward unit or not. We identified ethical challenges for the children-responsible staff related to the principle of not inflicting harm (&lt;i&gt;nonmaleficence&lt;/i&gt;).&lt;/p&gt;&lt;h4&gt;&lt;span style=&quot;font-size:11.0pt&quot;&gt;CONCLUSION: &lt;/span&gt;&lt;/h4&gt;&lt;p&gt;&lt;span style=&quot;font-size:10.0pt&quot;&gt;&lt;span style=&quot;font-family:&amp;quot;Calibri&amp;quot;,sans-serif&quot;&gt;From the perspective of children-responsible staff, it appears that the coercive treatment of a close family member entails a need for extra support of young relatives both in relation to information and the facilitation of visits, but more systematic knowledge about these issues is needed.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">Sep 9:969733019871681</style></issue><label><style face="normal" font="default" size="100%">Tvangsmidler, Tvangsinnleggelse, Tvangsbehandling, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Henriette Riley</style></author><author><style face="normal" font="default" size="100%">Ekaterina Sharashova</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Tore Buer Christensen</style></author><author><style face="normal" font="default" size="100%">Ann-Torunn Andersen Austegard</style></author><author><style face="normal" font="default" size="100%">Maria Løvsletten</style></author><author><style face="normal" font="default" size="100%">Bjørn Lau</style></author><author><style face="normal" font="default" size="100%">Georg Høyer</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Out-patient commitment order use in Norway: incidence and prevalence rates, duration and use of mental health services from the Norwegian Outpatient Commitment Study</style></title><secondary-title><style face="normal" font="default" size="100%">BJPsych Open</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Community Treatment Order</style></keyword><keyword><style  face="normal" font="default" size="100%">OCT</style></keyword><keyword><style  face="normal" font="default" size="100%">Outpatient commitment</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">09/2019</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.sciencedirect.com/science/article/abs/pii/S0160252718301900</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 id=&quot;sec_a1title&quot;&gt;Background&lt;/h3&gt;&lt;p id=&quot;__p1&quot;&gt;Norway authorised out-patient commitment in 1961, but there is a lack of representative and complete data on the use of out-patient commitment orders.&lt;/p&gt;&lt;h3 id=&quot;sec_a2title&quot;&gt;Aims&lt;/h3&gt;&lt;p id=&quot;__p2&quot;&gt;To establish the incidence and prevalence rates on the use of out-patient commitment in Norway, and how these vary across service areas. Further, to study variations in out-patient commitment across service areas, and use of in-patient services before and after implementation of out-patient commitment orders. Finally, to identify determinants for the duration of out-patient commitment orders and time to readmission.&lt;/p&gt;&lt;h3 id=&quot;sec_a3title&quot;&gt;Method&lt;/h3&gt;&lt;p id=&quot;__p3&quot;&gt;Retrospective case register study based on medical files of all patients with an out-patient commitment order in 2008&amp;ndash;2012 in six catchment areas in Norway, covering one-third of the Norwegian population aged 18 years or more. For a subsample of patients, we recorded use of in-patient care 3 years before and after their first-ever out-patient commitment.&lt;/p&gt;&lt;h3 id=&quot;sec_a4title&quot;&gt;Results&lt;/h3&gt;&lt;p id=&quot;__p4&quot;&gt;Annual incidence varied between 20.7 and 28.4, and prevalence between 36.5 and 48.9, per 100 000 population aged 18 years or above. Rates differed significantly between catchment areas. Mean out-patient commitment duration was 727 days (s.d. = 889). Use of in-patient care decreased significantly in the 3 years after out-patient commitment compared with the 3 years before. Use of antipsychotic medication through the whole out-patient commitment period and fewer in-patient episodes in the 3 years before out-patient commitment predicted longer time to readmission.&lt;/p&gt;&lt;h3 id=&quot;sec_a5title&quot;&gt;Conclusions&lt;/h3&gt;&lt;p id=&quot;__p5&quot;&gt;Mechanisms behind the pronounced variations in use of out-patient commitment between sites call for further studies. Use of in-patient care was significantly reduced in the 3 years after a first-ever out-patient commitment order was made.&lt;/p&gt;&lt;h3 id=&quot;sec_a6title&quot;&gt;Declaration of interest&lt;/h3&gt;&lt;p id=&quot;__p6&quot;&gt;None.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">Sep; 5(5): e75</style></issue><label><style face="normal" font="default" size="100%">TUD</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Unn E. Hammervold</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Randi W. Aas</style></author><author><style face="normal" font="default" size="100%">Hildegunn Sagvaag</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Post-incident review after restraint in mental health care -a potential for knowledge development, recovery promotion and restraint prevention. A scoping review.</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Debriefing</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental</style></keyword><keyword><style  face="normal" font="default" size="100%">Post-incident review</style></keyword><keyword><style  face="normal" font="default" size="100%">Recovery-oriented care</style></keyword><keyword><style  face="normal" font="default" size="100%">Reflection</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraint reduction</style></keyword><keyword><style  face="normal" font="default" size="100%">Restraints</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year><pub-dates><date><style  face="normal" font="default" size="100%">04/2019</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480590/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">19</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 id=&quot;__sec1title&quot;&gt;Background&lt;/h3&gt;&lt;p id=&quot;Par1&quot;&gt;Use of physical restraint is a common practice in mental healthcare, but is controversial due to risk of physical and psychological harm to patients and creating ethical dilemmas for care providers. Post-incident review (PIR), that involve patient and care providers after restraints, have been deployed to prevent harm and to reduce restraint use. However, this intervention has an unclear scientific knowledge base. Thus, the aim of this scoping review was to explore the current knowledge of PIR and to assess to what extent PIR can minimize restraint-related use and harm, support care providers in handling professional and ethical dilemmas, and improve the quality of care in mental healthcare.&lt;/p&gt;&lt;h3 id=&quot;__sec2title&quot;&gt;Methods&lt;/h3&gt;&lt;p id=&quot;Par2&quot;&gt;Systematic searches in the MEDLINE, PsychInfo, Cinahl, Sociological Abstracts and Web of Science databases were carried out. The search terms were derived from the population, intervention and settings.&lt;/p&gt;&lt;h3 id=&quot;__sec3title&quot;&gt;Results&lt;/h3&gt;&lt;p id=&quot;Par3&quot;&gt;Twelve studies were included, six quantitative, four qualitative and two mixed methods. The studies were from Sweden, United Kingdom, Canada and United States. The studies&amp;rsquo; design and quality varied, and PIR s&amp;rsquo; were conducted differently. Five studies explored PIR s&amp;rsquo; as a separate intervention after restraint use, in the other studies, PIR s&amp;rsquo; were described as one of several components in restraint reduction programs. Outcomes seemed promising, but no significant outcome were related to using PIR alone. Patients and care providers reported PIR to: 1) be an opportunity to review restraint events, they would not have had otherwise, and 2) promote patients&amp;rsquo; personal recovery processes, and 3) stimulate professional reflection on organizational development and care.&lt;/p&gt;&lt;h3 id=&quot;__sec4title&quot;&gt;Conclusion&lt;/h3&gt;&lt;p id=&quot;Par4&quot;&gt;Scientific literature directly addressing PIR s&amp;rsquo; after restraint use is lacking. However, results indicate that PIR may contribute to more professional and ethical practice regarding restraint promotion and the way restraint is executed. The practice of PIR varied, so a specific manual cannot be recommended. More research on PIR use and consequences is needed, especially PIR&amp;rsquo;s potential to contribute to restraint prevention in mental healthcare.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">235</style></issue><label><style face="normal" font="default" size="100%">Tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>13</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hanna Christine Julie Mantila</style></author><author><style face="normal" font="default" size="100%">Therese Johnson</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Jan Hammer</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Utforsket pasienters opplevelse av tvang</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Akutt psykisk helsevern</style></keyword><keyword><style  face="normal" font="default" size="100%">Erfaringskunnskap</style></keyword><keyword><style  face="normal" font="default" size="100%">Experience Coercion Scale</style></keyword><keyword><style  face="normal" font="default" size="100%">Opplevd tvang</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2019</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://static.sykepleien.no/sites/default/files/pdf-export/pdf-export-78900.pdf?c=1570608629</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;I 2018 gjennomførte vi et prosjekt ved Blakstad sykehus hvor vi intervjuet pasienter om deres opplevelser av tvang i akutt psykisk helsevern. I samtalene kom det frem informasjon som er klinisk nyttig og kan brukes i forbedringsarbeid. Deltakerne ga i tillegg uttrykk for at samtalene gjorde at de følte seg sett og tatt på alvor.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsbehandling, Tvangsinnleggelse, Tvangsmidler, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Peter de Loof</style></author><author><style face="normal" font="default" size="100%">Henk Nijman</style></author><author><style face="normal" font="default" size="100%">Robert Didden</style></author><author><style face="normal" font="default" size="100%">Petri Embregts</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Burnout symptoms in forensic psychiatric nurses and their associations with personality, emotional intelligence and client aggression: A cross-sectional study</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Psychiatric and Mental Health Nursing</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">aggresjon</style></keyword><keyword><style  face="normal" font="default" size="100%">aggression</style></keyword><keyword><style  face="normal" font="default" size="100%">assessment</style></keyword><keyword><style  face="normal" font="default" size="100%">forensic</style></keyword><keyword><style  face="normal" font="default" size="100%">health technology</style></keyword><keyword><style  face="normal" font="default" size="100%">occupational mental health</style></keyword><keyword><style  face="normal" font="default" size="100%">social support</style></keyword><keyword><style  face="normal" font="default" size="100%">sosial støtte</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://pubmed.ncbi.nlm.nih.gov/30199590/</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Introduction Aggressive behaviour of forensic clients is associated with burnout symptoms in nursing staff. The role of staff characteristics as moderators is unclear. Aim We explored the association between type and severity of aggressive behaviour as experienced by nursing staff and staff&amp;#39;s burnout symptoms. In addition, the moderating roles of personality characteristics and emotional intelligence (EI) were studied. Moreover, the usefulness of ambulatory skin conductance assessments in detecting arousal related to burnout symptoms was studied. Method A total of 114 forensic nursing staff members filled out questionnaires and wore an ambulatory device. Results Experiencing physical aggression was positively associated with staff&amp;#39;s burnout symptoms. Stress management skills, a subscale of EI, but not personality, moderated this relationship. Skin conductance was not associated with burnout symptoms. Remarkably, the association between aggression and burnout symptoms was highest for staff reporting a higher number of stress management skills. Discussion Longitudinal research is necessary to establish causality between client aggression and staff burnout symptoms. In addition, further research is necessary on the validity of the aggression measure used in the current study. Implication for practice Nursing staff who experience physical aggression frequently should receive social support for this, and staff who report high stress management skills should be monitored more carefully after having been confronted with aggression.&lt;/p&gt;</style></abstract><section><style face="normal" font="default" size="100%">506-516</style></section><label><style face="normal" font="default" size="100%">Risikovurdering</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>32</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Patients' experience of Coercion in Mental Health Care</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><isbn><style face="normal" font="default" size="100%">9788283772289</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>6</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Bjørn Henning Østenstad</style></author><author><style face="normal" font="default" size="100%">Caroline Adolphsen</style></author><author><style face="normal" font="default" size="100%">Eva Naur</style></author><author><style face="normal" font="default" size="100%">Henriette Sinding Aasen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Selvbestemmelse og tvang i helse- og omsorgstjenesten</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Helsehjelp</style></keyword><keyword><style  face="normal" font="default" size="100%">Motstand</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykke</style></keyword><keyword><style  face="normal" font="default" size="100%">Selvbestemmelse</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bibsys-almaprimo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=BIBSYS_ILS71556463300002201&amp;context=U&amp;vid=UBTO&amp;lang=no_NO&amp;search_scope=default_scope</style></url></web-urls></urls><edition><style face="normal" font="default" size="100%">1</style></edition><publisher><style face="normal" font="default" size="100%">Fagbokforlaget</style></publisher><pub-location><style face="normal" font="default" size="100%">Bergen</style></pub-location><pages><style face="normal" font="default" size="100%">302</style></pages><isbn><style face="normal" font="default" size="100%">978-82-450-1982-7</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Retten til å bestemme over egen kropp er et grunnleggende utgangspunkt både i nasjonal lovgivning og etter menneskerettighetene. Det gjelder også i møte med helsepersonell som tilbyr helsehjelp av god kvalitet og ut fra de beste formål. Men hvor langt rekker dette synspunktet? Når må det likevel kunne gripes inn og gis hjelp uten samtykke, eventuelt under motstand? I ni artikler drøftes ulike sider ved denne problematikken, som er særlig aktuell overfor enkeltpersoner med psykisk funksjonssvikt. Blant temaene som drøftes, er forholdet til internasjonale menneskerettigheter, forståelsen av ulike tvangsbegreper, forsvarlighet, involvering av pårørende, tvangsmedisinering i psykisk helsevern og rettssikkerhet for barn. Boken er et samarbeid mellom norske og danske rettsforskere, og inneholder både prinsipielle drøftinger og avklaring av mer konkrete problemstillinger.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Etikk</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Olav Nyttingnes</style></author><author><style face="normal" font="default" size="100%">Tone Breines Simonsen</style></author><author><style face="normal" font="default" size="100%">Jūratė Šaltytė Benth</style></author><author><style face="normal" font="default" size="100%">Bjørn Lau</style></author><author><style face="normal" font="default" size="100%">Henriette Riley</style></author><author><style face="normal" font="default" size="100%">Maria Løvsletteng</style></author><author><style face="normal" font="default" size="100%">Tore Buer Christensen</style></author><author><style face="normal" font="default" size="100%">Ann-Torunn Andersen Austegard</style></author><author><style face="normal" font="default" size="100%">Georg Høyer</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The use of outpatient commitment in Norway: Who are the patients and what does it involve?</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Community psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Community Treatment Order</style></keyword><keyword><style  face="normal" font="default" size="100%">Outpatient commitment</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.sciencedirect.com/science/article/pii/S0160252718301900</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;div&gt;Purpose&lt;/div&gt;&lt;div&gt;Despite one of the longest histories of using Outpatient Commitment (OC), little is known about the use in the Norwegian context. Reporting from the Norwegian Outpatient Commitment Study, this article aims to: establish the profile of the OC population in Norway; ascertain the legal justification for the use of OC and what OC involves for patients; investigate possible associations between selected patient and service characteristics and duration of OC, and; explore potential differences based on gender or rurality.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Methods&lt;/div&gt;&lt;div&gt;A retrospective multi-site study, extracting data from the medical records of all patients on OC in six large regional hospitals in 2008&amp;ndash;12, with detailed investigation over 36 months of the subsample of patients on first ever OC-order in 2008&amp;ndash;09. We use descriptive statistics to establish the profile of the OC population and the legal justification for and the content of OC, and logistic regression to examine factors associated with duration of OC over 36 months.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Results&lt;/div&gt;&lt;div&gt;1414 patients were on OC over the 5 years, and 274 had their first OC in 2008&amp;ndash;09. The sample included more men than woman, and three-quarters were diagnosed with schizophrenia. They had long service histories, including involuntary admissions. The legal justification for all OC-orders was the need for treatment, and 18% were additionally justified by dangerousness. The option to initiate OC directly from the community was not used in any of the 274 first ever OC-orders. While 98% of patients were prescribed psychotropic medication, under half had an Involuntary Treatment Order, which under the Norwegian OC regime is required in addition to the OC-order to oblige patients to accept treatment (usually medication). 60% of patients had &amp;ge;2 clinical contacts monthly. There were some gender differences in descriptive analyses with men generally being worse off, but no clear pattern in terms of rurality. Patients in the sample had been on OC between one week and 20 years. The median duration of OC over 36 months was 365 days. Three factors contributed to longer duration: the use of the dangerousness criterion; a diagnosis of schizophrenia disorder, and; considerable problems with substance abuse.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Conclusion&lt;/div&gt;&lt;div&gt;The characteristics of the OC population in Norway are very similar to that reported in other jurisdictions. Medication seems to be the central focus of OC, yet additional Involuntary Treatment Orders are imposed for less than half of patients. While all OC-orders were justified by the need to ensure treatment, risk seems to be a concern for a subgroup of patients who are kept on for longer. How the 2017 amendment to the mental health act, which precludes compulsion for competent patients unless danger is present, will affect OC use, remains to be seen. Further studies should specifically focus on variation in the use of OC, including at the level of individual clinicians.&lt;/div&gt;</style></abstract><label><style face="normal" font="default" size="100%">TUD</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>6</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author><author><style face="normal" font="default" size="100%">Per Nortvedt</style></author><author><style face="normal" font="default" size="100%">Eldbjørg Ribe</style></author><author><style face="normal" font="default" size="100%">David Keeping</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Etikk i psykiske helsetjenester</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><publisher><style face="normal" font="default" size="100%">Gyldendal akademisk</style></publisher><pub-location><style face="normal" font="default" size="100%">Oslo</style></pub-location><isbn><style face="normal" font="default" size="100%">978-82-05-48163-3</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Etikk</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Mikal Nilsen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Faglig skjønn og skjerming. En kvalitativ studie av sykepleieres erfaringer i bruk av faglig skjønn i møte med psykotiske pasienter på psykiatriske akuttposter</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">akuttpost</style></keyword><keyword><style  face="normal" font="default" size="100%">akuttpsykiatri</style></keyword><keyword><style  face="normal" font="default" size="100%">erfaring</style></keyword><keyword><style  face="normal" font="default" size="100%">faglig skjønn</style></keyword><keyword><style  face="normal" font="default" size="100%">psykose</style></keyword><keyword><style  face="normal" font="default" size="100%">psykotisk</style></keyword><keyword><style  face="normal" font="default" size="100%">Skjerming</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleie</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://munin.uit.no/bitstream/handle/10037/11718/thesis.pdf?sequence=1&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">UiT, Det helsevitenskapelige fakultet</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Sammendrag Bakgrunn/hensikt: I den senere tid har det vært fokus på psykiatriske akuttposter i lokale og riksdekkende aviser. Mye av denne kritikken handler om at pasienter opplever det er mye bruk av tvang når de er innlagt. Det å skjerme en pasient fra omgivelsene og de andre pasientene er en form for tvang. Hensikten med denne studien er å bidra med innspill i diskusjonen rundt tvangsbruk i psykiatrien og peke på mulige løsninger for å redusere tvangsbruk gjennom økt fokus på faglig skjønn. Problemstilling: Hvilke erfaringer har sykepleiere med bruk av faglig skjønn i skjermingssituasjoner med psykotiske pasienter på psykiatriske akuttposter? Metode: Studien er kvalitativ. Data ble samlet inn gjennom fire semistrukturerte forskningsintervju. Resultater: Sykepleierene mener kunnskap, følelse av trygghet i jobben, evne til å sette grenser for pasienter og refleksjon over egen praksis er viktig for å utøve faglig skjønn i sitt arbeide. Ikke minst er et handlingsrom fastsatt av ledere og myndigheter avgjørende. Nøkkelord: Faglig skjønn, skjerming, akuttpsykiatri, sykepleier, kunnskap, trygghet, grensesetting, handlingsrom, refleksjon.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Mastergradsoppgave</style></work-type><label><style face="normal" font="default" size="100%">tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>12</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Elin Håkonsen Martinsen</style></author><author><style face="normal" font="default" size="100%">Bente M Weimand</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Hvordan snakke med unge som har sett tvang mot familiemedlemmer?</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><publisher><style face="normal" font="default" size="100%">Dagens Medisin</style></publisher><pub-location><style face="normal" font="default" size="100%">dagensmedisin.no</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Etikk, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Inge Joa</style></author><author><style face="normal" font="default" size="100%">Kjetil Hustoft</style></author><author><style face="normal" font="default" size="100%">Liss Gøril Anda</style></author><author><style face="normal" font="default" size="100%">Kolbjørn Brønnick</style></author><author><style face="normal" font="default" size="100%">Olav Nielssen</style></author><author><style face="normal" font="default" size="100%">Jan Olav Johannessen</style></author><author><style face="normal" font="default" size="100%">Johannes H. Langeveld</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Public attitudes towards involuntary admission and treatment by mental health services in Norway</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of Law and Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><number><style face="normal" font="default" size="100%">November-December 2017</style></number><edition><style face="normal" font="default" size="100%">12.10.2017</style></edition><volume><style face="normal" font="default" size="100%">55</style></volume><pages><style face="normal" font="default" size="100%">1-7</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><issue><style face="normal" font="default" size="100%">November-December 2017</style></issue><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Marit Helene Hem</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Role of Ethics in Reducing and Improving the Quality of Coercion in Mental Health Care</style></title><secondary-title><style face="normal" font="default" size="100%">HEC Forum</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2017</style></year><pub-dates><date><style  face="normal" font="default" size="100%">March 01</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">1</style></number><volume><style face="normal" font="default" size="100%">29</style></volume><pages><style face="normal" font="default" size="100%">59-74</style></pages><isbn><style face="normal" font="default" size="100%">1572-8498</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Coercion in mental health care gives rise to many ethical challenges. Many countries have recently implemented state policy programs or development projects aiming to reduce coercive practices and improve their quality. Few studies have explored the possible role of ethics (i.e., ethical theory, moral deliberation and clinical ethics support) in such initiatives. This study adds to this subject by exploring health professionals&amp;rsquo; descriptions of their ethical challenges and strategies in everyday life to ensure morally justified coercion and best practices. Seven semi-structured telephone interviews were carried out in 2012 with key informants in charge of central development projects and quality-assurance work in mental health services in Norway. No facilities used formal clinical ethics support. However, the informants described five areas in which ethics was of importance: moral concerns as implicit parts of local quality improvement initiatives; moral uneasiness and idealism as a motivational source of change; creating a normative basis for development work; value-based leadership; and increased staff reflexivity on coercive practices. The study shows that coercion entails both individual and institutional ethical aspects. Thus, various kinds of moral deliberation and ethics support could contribute to addressing coercion challenges by offering more systematic ways of dealing with moral concerns. However, more strategic use of implicit and institutional ethics is also needed.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><label><style face="normal" font="default" size="100%">Etikk</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Elin Håkonsen Martinsen</style></author><author><style face="normal" font="default" size="100%">Bente M Weimand</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The silent world of young next of kin in mental healthcare</style></title><secondary-title><style face="normal" font="default" size="100%">Nursing Ethics</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Children of parents with a mental illness,ethics,family ethics,family support,mental healthcare,sibling caregivers</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background:Young next of kin to patients with mental health problems are faced with many challenges. It is important to focus on the special needs of children and adolescents as next of kin to ensure their welfare and prevent harm.Research questions:We aimed to investigate young next of kin&amp;rsquo;s need for information and involvement, to examine the ways they cope with situations involving coercion related to the treatment of their relative, and to identify ethical challenges.Research design:We conducted a qualitative study based on semi-structured, individual interviews.Participants and research context:Seven young next of kin aged 14&amp;ndash;22 years participated in the study. The informants were recruited from a regional hospital trust in Norway.Ethical considerations:The study was approved by the National Data Protection Official for Research and based upon informed consent and confidentiality.Findings:The adolescents wanted more information and described a need for increased interaction with their sick relative at the hospital. They struggled to keep their relationship with their relative intact, and they described communication problems in the family. Coercive treatment was perceived in a negative way.Discussion:The study finds that there are ethical challenges at stake for young next of kin and their families other than those that are often emphasized by traditional healthcare, which often focuses on the individual patient&amp;rsquo;s rights. These challenges are related to the young next of kin&amp;rsquo;s needs for interconnectedness and for the preservation of relationships as well as challenges related to family communication and the need for information.Conclusion:The study finds a need for more family-oriented perspectives in both mental healthcare practices and healthcare ethics.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Exploring the views of people with mental health problems' on the concept of coercion: Towards a broader socio-ethical perspective</style></title><secondary-title><style face="normal" font="default" size="100%">Social Science &amp; Medicine</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2016</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.sciencedirect.com/science/article/pii/S0277953616301332</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">156</style></volume><pages><style face="normal" font="default" size="100%">204-211</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>13</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Dagfinn Bjørgen</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Hvordan forebygge tvang?</style></title><secondary-title><style face="normal" font="default" size="100%">PsykologtidsskriftetPsykologtidsskriftet</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.psykologtidsskriftet.no/index.php?seks_id=455311&amp;a=3</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Reidun Førde</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Marit Helene Hem</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Next of kin’s experiences of involvement during involuntary hospitalization and coercion</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Medical EthicsBMC Medical Ethics</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year><pub-dates><date><style  face="normal" font="default" size="100%">24.11.2016</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">76</style></number><volume><style face="normal" font="default" size="100%">17</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Løvsletten, M.</style></author><author><style face="normal" font="default" size="100%">Haug, E.</style></author><author><style face="normal" font="default" size="100%">Granerud, A.</style></author><author><style face="normal" font="default" size="100%">Nordby, K.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Prevalence and management of patients with outpatient commitment in the mental health services</style></title><secondary-title><style face="normal" font="default" size="100%">Nordic Journal of Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">TUD</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2016</style></year><pub-dates><date><style  face="normal" font="default" size="100%">02/2016</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">70</style></volume><pages><style face="normal" font="default" size="100%">401-406</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background People with mental health problems are mostly treated within the community. The law allows for the use of compulsory mental health care both in hospital and in the community. Various forms of&amp;nbsp;outpatient commitment&amp;nbsp;(OC) have been adopted in much European legislation. To be subjected to OC is a serious intervention in a person&amp;#39;s life. Aim The purpose of this study is to gain knowledge about patients who undergo OC. The study explores the incidence and prevalence of OC in a geographical area, the central characteristics of the sample, and how the framework for follow-up treatment for patients to resolve OC works. Methods The data were collected from a review of electronic patient records. The statistical methods used in this study were descriptive analysis, with frequency analysis and cross-tabulation analysis. Results The main finding in the present study is that the use of OC has increased. An important finding is that most of the patients have a decision made for OC that is justified by the treatment criterion. The present study shows that there is insufficient documentation on statutory responsibilities for follow-up treatment of patients with an OC. Conclusions This study shows that the use of OC has increased. It should be considered whether implemented measures to reduce the use of coercion have the desired effect.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">6</style></issue><section><style face="normal" font="default" size="100%">401</style></section><label><style face="normal" font="default" size="100%">TUD</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Ewa Ness</style></author><author><style face="normal" font="default" size="100%">Ole Steen</style></author><author><style face="normal" font="default" size="100%">Jon G. Reichelt</style></author><author><style face="normal" font="default" size="100%">Fredrik A. Walby</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Reduksjon av tvangsinnleggelser fra legevakt</style></title><secondary-title><style face="normal" font="default" size="100%">Tidsskrift for Norsk Psykologforening</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://bit.ly/2bgbiKD</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">8</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Line Børresen</style></author><author><style face="normal" font="default" size="100%">Kristin Eskerud Nielsen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Relasjonsbygging</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">relasjoner</style></keyword><keyword><style  face="normal" font="default" size="100%">schizofreni</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleie</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://ntnuopen.ntnu.no/ntnu-xmlui/bitstream/handle/11250/2403293/LBoerresen_KENielsen_2016.pdf?sequence=1&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">NTNU, Fakultet for medisin og helsevitenskap, Institutt for helsevitenskap Gjøvik, bachelor i sykepleie</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Bakgrunn:&lt;/p&gt;&lt;p&gt;Personer som lider av schizofreni kan ha liten forståelse for sin lidelse. Dette kan føre til at personen blir innlagt på tvang fordi en kan være til fare for seg selv eller andre. Det kan være utfordrende for sykepleier å fremme relasjon med personer som er innlagt mot sin vilje og som lider av schizofreni. En god relasjon mellom sykepleier og person som er innlagt er en forutsetning for behandlingen. Hensikt: Hensikten med studien er å opparbeide kunnskap om hvordan sykepleiere kan på best mulig måte fremme relasjon med personer som er innlagt på tvang og lider av schizofreni. Metode: I denne studien er det er benyttet litteraturstudie som metode. Det er utført et systematisk litteratursøk etter vitenskapelige forskningsartikler som kan bidra til å belyse studiens tema. Seks artikler er inkludert i denne studien. Resultat: Basert på funnene i de seks vitenskapelige artiklene som ble valgt i denne studien, ble det identifisert seks hovedtemaer som er av stor betydning for å fremme en god relasjon. Disse seks temaene er; å skape tillit, samarbeid, tvang, lidelsen, å bli sett og respekt, empati, nærhet og avstand. Konklusjon: Det er viktig at sykepleiere har kunnskap om hvilke faktorer som kan fremme relasjon med personer som er innlagt på tvang og som samtidig lider av schizofreni. Å skape tillit, fokusere på et samarbeid med personen, vite hvordan bruk av tvang og lidelsen påvirker relasjonen, å se personen bak lidelsen og vise respekt, empati, nærhet og avstand. Sykepleiere bør rette oppmerksomhet mot disse seks identifiserte temaene i denne studien for å kunne fremme relasjon med personer som er innlagt på tvang og samtidig lider av schizofreni.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Background:&lt;/p&gt;&lt;p&gt;Persons suffering from schizophrenia may have lack of understanding on their disorder. Because they can be a danger to themselves or others, can this cause the person to be admitted to involuntary commitment. It can be challenging for nurses to promote good relations with persons who are admitted to involuntary commitment and who suffers from schizophrenia. A good relation between nurses and the person who is admittet to involuntary commitment, is a condition to treatment. Aim: The aim of the study was to acquire knowledge about how of the nurses can in the best possible way promote relation with persons who is admitted to involuntary commitment and suffers from schizophrenia. Method: In this study it was conducted literature study methodology. It is performed a systematic search for scientific research articles that can shed light on the theme of the study. six articles are included in this study. Results: Based on the findings of the six scientific articles that were selected in this study, we identified six major themes that are of major importance to promote the relation. These six themes are; to create trust, cooperation, coercion, the disorder, being seen and respect, empathy, proximity and distance. Conclusion: It is important that nurses have knowledge about factors that can promote relations with persons who are admitted involuntarily and at same time suffer from schizophrenia. To build trust, focus on a partnership with the person, knowing how the use of coercion and the disorder affects the relation, to see the person behind the disease and show respect, empathy, proximity and distance. Nurses should draw attention to these six identified themes in this study to promote relationship with persons admitted to involuntary treatment who at the same time suffers of schizophrenia.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Bacheloroppgave</style></work-type><label><style face="normal" font="default" size="100%">annet</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Marit Helene Hem</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Molewijk, Bert</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Evaluating clinical ethics support in mental healthcare: a systematic literature review</style></title><secondary-title><style face="normal" font="default" size="100%">Nursing Ethics</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><number><style face="normal" font="default" size="100%">4</style></number><edition><style face="normal" font="default" size="100%">4.08.2014</style></edition><volume><style face="normal" font="default" size="100%">22</style></volume><pages><style face="normal" font="default" size="100%">452-66</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><issue><style face="normal" font="default" size="100%">4</style></issue><label><style face="normal" font="default" size="100%">Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Torleif Ruud</style></author><author><style face="normal" font="default" size="100%">Torfinn Hynnekleiv</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Skjerming i akuttpsykiatrien</style></title><secondary-title><style face="normal" font="default" size="100%">Tidsskrift for Den norske legeforening</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://tidsskriftet.no/article/3275621</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>36</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Dagfinn Bjørgen</style></author><author><style face="normal" font="default" size="100%">Aina Storvold</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Alternativer til tvang 1. Sett fra et bruker- og fagperspektiv</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://issuu.com/erfaringskompetanse/docs/alternativer_til_tvang_-_ressurshef/1?e=10136997/6682733</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Nasjonalt senter for erfaringskompetanse innen psykisk helse, Senter for medisinsk etikk, Universitetet i oslo</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmidler, tvangsinnleggelse, Tvangsbehandling, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>36</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Alternativer til tvang 2. Sett fra et fag- og forskningsperspektiv.</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://issuu.com/erfaringskompetanse/docs/alternativer_til_tvang_-_underhefte/1?e=10136997/6682901</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Nasjonalt senter for erfaringskompetanse innen psykisk helse og Senter for medisinsk etikk, Universitetet i oslo</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmidler, Tvangsinnleggelse, Tvangsbehandling, Erfaringsbaserte</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Sebergsen, K.</style></author><author><style face="normal" font="default" size="100%">Norberg, A.</style></author><author><style face="normal" font="default" size="100%">Talseth A.-G.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Being in a process of transition to psychosis, as narrated by adults with psychotic illnesses acutely admitted to hospital</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Psychiatric and Mental Health Nursing</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://onlinelibrary.wiley.com/doi/10.1111/jpm.12158/pdf</style></url></web-urls></urls><pages><style face="normal" font="default" size="100%">1-10</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><work-type><style face="normal" font="default" size="100%">Journal article</style></work-type><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Stokmo, Hege</style></author><author><style face="normal" font="default" size="100%">Ottar Ness</style></author><author><style face="normal" font="default" size="100%">Marit Bor</style></author><author><style face="normal" font="default" size="100%">Mona Sommer</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Helsearbeidernes erfaringer med hvordan krav om modelltrofasthet virker inn på brukermedvirkning i ACT-team</style></title><secondary-title><style face="normal" font="default" size="100%">Idunn</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://www.idunn.no/ts/tph/2014/01/helsearbeidernes_erfaringer_med_hvordan_krav_ommodelltrofa</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">01</style></volume><pages><style face="normal" font="default" size="100%">13-23</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><work-type><style face="normal" font="default" size="100%">Journal article</style></work-type><label><style face="normal" font="default" size="100%">Tvangsbehandling</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Kim-Andre Nestaker Hauklien</style></author><author><style face="normal" font="default" size="100%">Henning Nilsen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Det urolige sinn</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Akutt</style></keyword><keyword><style  face="normal" font="default" size="100%">akuttpsykiatrisk</style></keyword><keyword><style  face="normal" font="default" size="100%">bipolar</style></keyword><keyword><style  face="normal" font="default" size="100%">mani</style></keyword><keyword><style  face="normal" font="default" size="100%">Skjerming</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleie</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleier</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2013</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://brage.inn.no/inn-xmlui/bitstream/handle/11250/133286/Hauklien_Nilsen.pdf?sequence=1&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Høgskolen i Innlandet</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Introduksjon: Oppgaven tar utgangspunkt i sykepleie til mennesker i en alvorlig manisk fase, på en skjermet enhet ved en akuttpsykiatrisk avdeling. Videre omhandler oppgaven hvordan sykepleieren kan unngå å krenke pasientens verdighet under tvangsinnleggelse.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Hensikt: Hensikten med oppgaven å lære mer om hvordan vi kan møte en tvangsinnlagt manisk pasient med verdighet og integritet, samtidig med en faglig forståelse.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Metode: Dette er en litteraturstudie. Det er brukt en utforskende teoretisk tilnærming i henhold til pensumlitteratur, relevant egenvalgt litteratur og forskning.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Resultater: Oppgaven viser at bipolar lidelse og mani kan ha flere omfattende problemområder. Det belyses flere temaer som sykepleieren må ta med seg i møte med den maniske pasienten. Videre viser oppgaven hvordan sykepleieren kan gjøre oppholdet på skjerming best mulig for pasienten, gjennom god kommunikasjon og miljøterapi for å skape en god relasjon. Hvordan sykepleieren løser etiske konflikter er også noe som er en stor del av hele behandlingen, ettersom det kommer frem at dette ofte er et problem i psykisk helsevern, særegent i møte med tvang.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Konklusjon: Det viser seg å være vanskelig for sykepleieren å unngå krenkelse av pasientens verdighet i den akutte fasen. Men sykepleieren må heller fokusere på og hjelpe pasienten til å unngå å krenke seg selv, som følge av handlingene manien kan føre med seg.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Bacheloroppgave</style></work-type><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Svindseth, Marit F.</style></author><author><style face="normal" font="default" size="100%">Nøttestad, Jim A.</style></author><author><style face="normal" font="default" size="100%">Dahl, Alv A.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Perceived humiliation during admission to a psychiatric emergency service and its relation to socio-demography and psychopathology</style></title><secondary-title><style face="normal" font="default" size="100%">BMC PsychiatryBMC Psychiatry</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2013</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-13-217</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">13</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Trygve Nissen</style></author><author><style face="normal" font="default" size="100%">Per Rørvik</style></author><author><style face="normal" font="default" size="100%">Laila Haugslett</style></author><author><style face="normal" font="default" size="100%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Physical Restraint and Near Death of a Psychiatric Patient</style></title><secondary-title><style face="normal" font="default" size="100%">Journal of Forensic Sciences</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2013</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://onlinelibrary.wiley.com/doi/10.1111/j.1556-4029.2012.02290.x/full</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">1</style></number><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmidler</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>6</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Christine Øye</style></author><author><style face="normal" font="default" size="100%">Reidun Norvoll</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Psykisk helsearbeid i et makt- og kontrollperspektiv</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2013</style></year></dates><publisher><style face="normal" font="default" size="100%">Gyldendal Akademisk</style></publisher><pub-location><style face="normal" font="default" size="100%">Reidun Norvoll (red.), Samfunn og psykisk helse. 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