<?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%">Tonje Lossius Husum</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%">En studie av synet på etiske utfordringer relatert til arbeid med bruk av tvang hos ansatte i psykiske helsetjenester</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Etikk</style></keyword><keyword><style  face="normal" font="default" size="100%">helsepersonell</style></keyword><keyword><style  face="normal" font="default" size="100%">psykiske helsetjenester</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><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Senter for medisinsk etikk ved universitetet i Oslo har gjennomført en nettbasert spørreundersøkelse av helsepersonells erfaringer med etiske utfordringer, tvang og krenkelser innen psykiske helsetjenester. Denne artikkelen presenterer en analyse av svarene som ble gitt på et åpent spørsmål om hva helsepersonell erfarte som etisk utfordrende i arbeidet relatert til bruk av tvang. Totalt 439 ansatte med ulik yrkesbakgrunn beskrev en eller flere etiske utfordringer. Svarene ble analysert med manifest innholdsanalyse og rangert etter hvor ofte de ble nevnt. Følgende etiske utfordringene ble nevnt oftest: 1. Tvil og usikkerhet angående bruk av formell tvang, 2. Andre former for restriksjoner, 3. Tvangsmedisinering, 4. Uenighet mellom berørte parter, 5. Utfordringer relatert til utføring av tvangstiltak, 6. Organisatoriske faktorer og mangelfulle ressurser, 7. Overdreven bruk av makt, maktmisbruk og uegnet personell. Studien bidrar med ny kunnskap om hva helsepersonell innen psykiske helsetjenester opplever som etisk utfordrende i sammenheng med bruk av tvang.&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%">Tonje Lossius Husum</style></author></authors><secondary-authors><author><style face="normal" font="default" size="100%">Elisa Legernes</style></author></secondary-authors><tertiary-authors><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author></tertiary-authors></contributors><titles><title><style face="normal" font="default" size="100%">&quot;A plea for recognition&quot; Users' experience of humiliation during mental health care</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of Law and Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Humiliation</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Health</style></keyword><keyword><style  face="normal" font="default" size="100%">Qualitative research</style></keyword><keyword><style  face="normal" font="default" size="100%">User experience</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.ncbi.nlm.nih.gov/pubmed/30616849</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;Background&lt;/div&gt;&lt;div&gt;Studies reveal that users of mental health care services sometimes experience humiliation during care. These experiences may influence the users&amp;#39; recovery process and treatment satisfaction.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Method&lt;/div&gt;&lt;div&gt;Thirteen informants with experience in mental health services were recruited for semi-structured interviews. Informants were recruited through collaboration with users&amp;#39; organisations. Modified text condensation was used for analysis of the qualitative data.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Results&lt;/div&gt;&lt;div&gt;Users&amp;#39; experiences with humiliation in mental health care were sorted into three main themes. These are themes related to different perspectives between staff and users; themes related to violence of user autonomy; and experiences related to staff attitudes.&lt;/div&gt;&lt;div&gt;&amp;nbsp;&lt;/div&gt;&lt;div&gt;Discussion&lt;/div&gt;&lt;div&gt;The service users in this study spoke about many different kinds of experiences with humiliation during care. It was a main finding that the feeling of not being recognized for one&amp;#39;s own perception of the situation was experienced as a humiliation. This study is a contribution to a better understanding of the humiliation process between staff and users in mental health care services. The findings may be used to improve interaction between staff and users, improve quality of care and to prevent such experiences.&lt;/div&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%">Olaf Gjerløw Aasland</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Reidun Førde</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%">Store forskjeller i holdninger til tvang blant fagfolk i psykiatrien</style></title><secondary-title><style face="normal" font="default" size="100%">Tidsskrift for Den Norske Laegeforening</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Holdninger</style></keyword><keyword><style  face="normal" font="default" size="100%">Psykiater</style></keyword><keyword><style  face="normal" font="default" size="100%">Psykolog</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><pub-dates><date><style  face="normal" font="default" size="100%">04/2018</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://tidsskriftet.no/2018/05/debatt/store-forskjeller-i-holdninger-til-tvang-blant-fagfolk-i-psykiatrien</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">138</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Som et ledd i myndighetenes forsøk på å redusere bruk av tvang i psykisk helsevern fikk Senter for medisinsk etikk ved Universitetet i Oslo i 2011&amp;nbsp;midler til et bredt anlagt prosjekt. Formålet var å bidra til mer kunnskap om etiske utfordringer ved bruk av tvang og hvordan slike best kan håndteres. Et sentralt delprosjekt for å redusere tvangsbruk var å prøve ut og evaluere etiske refleksjonsgrupper på avdelingsnivå (&lt;a href=&quot;https://tidsskriftet.no/2018/05/debatt/store-forskjeller-i-holdninger-til-tvang-blant-fagfolk-i-psykiatrien#ref1&quot;&gt;1&lt;/a&gt;).&lt;/p&gt;&lt;p&gt;I samarbeid med Legeforskningsinstituttet (LEFO) var et annet delprosjekt å gjennomføre en nasjonal spørreundersøkelse blant de fem vanligste yrkesgruppene i psykisk helsevern og rusvern; psykiatere, psykologer, sykepleiere, andre fagutdannede og hjelpeyrker, bl.a. for å kartlegge yrkesmessige forskjeller. Et av målene var å undersøke holdninger til tvang. Den første artikkelen fra dette delprosjektet er nylig publisert (&lt;a href=&quot;https://tidsskriftet.no/2018/05/debatt/store-forskjeller-i-holdninger-til-tvang-blant-fagfolk-i-psykiatrien#ref2&quot;&gt;2&lt;/a&gt;), og vi ønsker her å dele resultatene med en bredere offentlighet.&lt;/p&gt;&lt;p&gt;Via aktuelle fagorganisasjoner ble det sendt elektroniske spørreskjemaer til alle medlemmer som arbeidet med psykisk helse eller rus, til sammen 15 576 i hele landet. Med denne indirekte utsendelsen var det ikke mulig å purre, og svarprosenten var 7,5 (1 160/15 576). I spørreskjemaet var det seks kliniske situasjoner hvor bruk av tvang kunne være aktuelt (&lt;a href=&quot;https://tidsskriftet.no/2018/05/debatt/store-forskjeller-i-holdninger-til-tvang-blant-fagfolk-i-psykiatrien#box1&quot;&gt;ramme 1&lt;/a&gt;). I hver vignett var det foreslått 3&amp;ndash;5 handlingsalternativer, der minst ett innebar bruk av tvang. På to av vignettene (D og E) var noen av alternativene ulovlige, men dette var ikke nevnt i spørreskjemaet.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">9</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>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>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%">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%">Bert Molewijk</style></author><author><style face="normal" font="default" size="100%">Almar Kok</style></author><author><style face="normal" font="default" size="100%">Tonje Husum</style></author><author><style face="normal" font="default" size="100%">Reidar Pedersen</style></author><author><style face="normal" font="default" size="100%">Olaf Aasland</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Staff’s normative attitudes towards coercion: the role of moral doubt and professional context—a cross-sectional survey study</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Medical Ethics</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%">1</style></number><volume><style face="normal" font="default" size="100%">18</style></volume><pages><style face="normal" font="default" size="100%">37</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Etikk, 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%">Marthe Kirkesæther Brun</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</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%">Tvangsmedisinering i psykisk helsevern – en systematisk litteraturgjennomgang</style></title><secondary-title><style face="normal" font="default" size="100%">Psykologtidsskriftet</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Tvangsmedisinering</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%">http://www.psykologtidsskriftet.no/index.php?seks_id=480571&amp;a=3</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">2</style></number><volume><style face="normal" font="default" size="100%">54</style></volume><pages><style face="normal" font="default" size="100%">side 186-195</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsmedisinering</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 Syse</style></author><author><style face="normal" font="default" size="100%">Reidun Førde</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%">Clinical ethics committees – also for mental health care? The Norwegian experience</style></title><secondary-title><style face="normal" font="default" size="100%">Clinical Ethics</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year></dates><number><style face="normal" font="default" size="100%">2-3</style></number><volume><style face="normal" font="default" size="100%">11</style></volume><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>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%">Elisabeth Gjerberg</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</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%">Ethical challenges when using coercion 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%">2016</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://nej.sagepub.com/content/early/2016/02/29/0969733016629770</style></url></web-urls></urls><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>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Ingvild Stokke Engerdahl</style></author><author><style face="normal" font="default" size="100%">Albert Moljewijk</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%">Etiske utfordringer ved bruk av tvang i psykisk helsevern: når lovverk møter praksis</style></title><secondary-title><style face="normal" font="default" size="100%">Tidsskrift for Norsk psykologforeningTidsskrift 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://www.psykologtidsskriftet.no/index.php?seks_id=457512&amp;a=3</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">2</style></number><volume><style face="normal" font="default" size="100%">53</style></volume><pages><style face="normal" font="default" size="100%">102-110</style></pages><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>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>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" 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