<?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%">Tore Hofstad</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Bjørn Morten Hofmann</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Geographical variation in compulsory hospitalisation – ethical challenges</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%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Beneficence</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Ethical analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Etisk analyse</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary hospitalisation</style></keyword><keyword><style  face="normal" font="default" size="100%">Justice</style></keyword><keyword><style  face="normal" font="default" size="100%">Non-maleficence</style></keyword><keyword><style  face="normal" font="default" size="100%">Rettferdighet</style></keyword><keyword><style  face="normal" font="default" size="100%">Right care</style></keyword><keyword><style  face="normal" font="default" size="100%">Riktig omsorg</style></keyword><keyword><style  face="normal" font="default" size="100%">Service delivery variation</style></keyword><keyword><style  face="normal" font="default" size="100%">small area analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Småområdestatistikk</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Ufrivillig sykehusinnleggelse</style></keyword><keyword><style  face="normal" font="default" size="100%">Variasjon i tjenesteleveranse</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%">12/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://link.springer.com/article/10.1186/s12913-022-08798-2</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;Compulsory hospitalisation in mental health care restricts patients&amp;rsquo; liberty and is experienced as harmful by many. Such hospitalisations continue to be used due to their assumed benefit, despite limited scientific evidence. Observed geographical variation in compulsory hospitalisation raises concern that rates are higher and lower than necessary in some areas.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Methods/discussion&lt;/h3&gt;&lt;p&gt;We present a specific normative ethical analysis of how geographical variation in compulsory hospitalisation challenges four core principles of health care ethics. We then consider the theoretical possibility of a &amp;ldquo;right&amp;rdquo;, or appropriate, level of compulsory hospitalisation, as a general norm for assessing the moral divergence, i.e., too little, or too much. Finally, we discuss implications of our analysis and how they can inform the future direction of mental health services.&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%">Nina Camilla Wergeland</style></author><author><style face="normal" font="default" size="100%">Åshild Fause</style></author><author><style face="normal" font="default" size="100%">Astrid Karine Weber</style></author><author><style face="normal" font="default" size="100%">Anett Beatrix Osnes Fause</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%">Increased autonomy with capacity‑based mental health legislation in Norway: a qualitative study of patient experiences of having come off a community treatment order</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%">Autonomi</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%">pasientopplevelse</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykke</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykkekompetanse</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%">04/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987267/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">7</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;Background:&amp;nbsp;&lt;/strong&gt;Capacity-based mental health legislation was introduced in Norway on 1 September 2017. The aim was to increase the autonomy of patients with severe mental illness and to bring mental health care in line with human rights. The aim of this study is to explore patient experiences of how far the new legislation has enabled them to be involved in decisions on their treatment after they were assessed as capable of giving consent and had their community treatment order (CTO) revoked due to the change in the legislation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method:&amp;nbsp;&lt;/strong&gt;Individual in-depth interviews were conducted from September 2019 to March 2020 with twelve people with experience as CTO patients. Interviews were transcribed and analysed using thematic analysis inspired by hermeneutics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&amp;nbsp;&lt;/strong&gt;Almost all interviewees were receiving the same health care over two years after their CTO was terminated. Following the new legislation, they found it easier to be involved in treatment decisions when off a CTO than they had done in periods without a CTO before the amendment. Being assessed as having capacity to consent had enhanced their autonomy, their dialogues and their feeling of being respected in encounters with health care personnel. However, several participants felt insecure in such encounters and some still felt passive and lacking in initiative due to their previous experiences of coercion. They were worried about becoming acutely ill and again being subjected to involuntary treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&amp;nbsp;&lt;/strong&gt;The introduction of capacity-based mental health legislation seems to have fulfilled the intention that treatment and care should, as far as possible, be provided in accordance with patients&amp;#39; wishes. Systematic assessment of capacity to consent seems to increase the focus on patients&amp;#39; condition, level of functioning and opinions in care and treatment. Stricter requirements for health care providers to find solutions in cooperation with patients seem to lead to new forms of collaboration between patients and health care personnel, where patients have become more active participants in their own treatment and receive help to make more informed choices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords:&amp;nbsp;&lt;/strong&gt;Autonomy; Capacity to consent; Coercion; Community treatment order; Outpatient commitment; Patient experiences; Self-determination; The Mental Health Care Act.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">22</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%">Dahlberg, Jørgen</style></author><author><style face="normal" font="default" size="100%">Øverstad, Siri</style></author><author><style face="normal" font="default" size="100%">Dahl, Vegard</style></author><author><style face="normal" font="default" size="100%">Coman, Alina</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Autonomy and consent assessment for electroconvulsive therapy (ECT). A retrospective study of medical records</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%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Consent</style></keyword><keyword><style  face="normal" font="default" size="100%">ECT</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykke</style></keyword><keyword><style  face="normal" font="default" size="100%">Samtykkekompetanse</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://www.sciencedirect.com/science/article/pii/S0160252721000455?via%3Dihub</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">77</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;The Norwegian Mental Health Act allows involuntary treatment for patients who lack consent capacity, however&lt;br /&gt;it allows only administration of pharmaceutical treatment and nutrition and not ECT. In lack of specific regulations,&lt;br /&gt;the legal access to ECT without valid consent has been grounded on the general rule of necessity in the&lt;br /&gt;Norwegian Penal code. This restriction and lack of legal regulation has implications for patients&amp;#39; rights and legal&lt;br /&gt;security.&lt;br /&gt;The study&amp;#39;s aim was to assess the documented consent provided by patients for electroconvulsive therapy&lt;br /&gt;(ECT), whether ECT was administered without valid consent or under coercion, and the documented reasons, and&lt;br /&gt;ultimately compare practice with the legal requirements. We analysed systematically all the relevant medical&lt;br /&gt;records for hospitalised patients and outpatients receiving ECT during 2011&amp;ndash;2016. We categorized data from&lt;br /&gt;these two groups into seven defined categories describing the attitude and quality of the consents to the ECT (or&lt;br /&gt;lack thereof).&lt;br /&gt;378 patients received 498 ECT series&amp;acute;. The noted consents varied from treatment based on request (54 treatments),&lt;br /&gt;consent upon recommendation (209 treatments), consent after hesitation (88 treatments), consent&lt;br /&gt;presumed or noted without specification (114 treatments), to no consent (21 treatments) whereof the majority&lt;br /&gt;with documented coercion applied (19 treatments). All cases of ECT without consent referred to a &amp;ldquo;plea of necessity&amp;rdquo;.&lt;br /&gt;The remaining treatments (12) lacked notifications specifying the consent (or attitude) expressed.&lt;br /&gt;Specific notes on the patient&amp;#39;s capacity to consent for the respective ECT were generally lacking.&lt;br /&gt;This study indicates a large spread in patients&amp;acute; acceptance and valid consent to ECT. The main reason for&lt;br /&gt;administering ECT without consent and/or against patients&amp;#39; will was for life-saving reasons. Such treatments&lt;br /&gt;were justified legal under a plea of necessity in the Penal Code or lacked noted legal justification. The legal&lt;br /&gt;vacuum for ECT without a valid consent needs to be addressed as this kind of disputed treatment is used in some&lt;br /&gt;cases.&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>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Kamilla Øyangen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Bruk av tvangsmidler i pyskisk helsevern</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion measures</style></keyword><keyword><style  face="normal" font="default" size="100%">makt</style></keyword><keyword><style  face="normal" font="default" size="100%">power</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Psykiatri</style></keyword><keyword><style  face="normal" font="default" size="100%">relasjoner</style></keyword><keyword><style  face="normal" font="default" size="100%">relations</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsmidler</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%">09/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://ntnuopen.ntnu.no/ntnu-xmlui/bitstream/handle/11250/2782990/no.ntnu%3ainspera%3a81643445%3a42298445.pdf?sequence=1&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">NTNU, Institutt for samfunnsmedisin og 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;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Bruk av tvangsmidler i psykiatrien har en stor påvirkning på pasientene, som oftest medfører negative effekter. Tvangsmidler blir ofte tatt i bruk med forebyggende effekt og ikke som behandling. Dette er et innviklet og kontroversielt tema som omhandler både lovverk, kompetanse og etikk. Det er avgjørende å vite hvordan sykepleiere kan bidra til å redusere og ivareta pasienten under hele forløpet for å unngå dårlige utfall.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Hensikt&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Hensikten i denne studien er å undersøke i hvilke situasjoner unødvendig tvang blir tatt i bruk og hvordan man kan bidra til å redusere det, samt hvordan bruk av tvangsmidler påvirker de ulike partene.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Metode&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Litteraturstudie med systematisk søk er benyttet som metode. Strukturerte søk ble gjennomført i databaser som Swemed+, psychInfo og medline. Bacheloroppgaven er basert på åtte forskningsartikler og allerede eksisterende litteratur.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Resultat&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Funn fra de utvalgte artiklene belyser hvordan tvangsmiddelbruk kan reduseres og ivareta pasienten gjennom en terapeutisk relasjon med omsorg, holdninger og verdier og ved å være oppmerksom på maktbegrepet.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Konklusjon&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Små og store tiltak fra sykepleiere kan bidra til å redusere tvangsmiddelbruken. Dette innebærer økt kunnskap, både gjennom teori og praksis og ved å fokusere på pasientens tidligere erfaringer og opplevelser. Sykepleiere må inkorporere omsorg og respekt i møte med pasienten, og fremme pasientens autonomi.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Background&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;The use of coercive measures in psychiatric institutions has a large impact on patients, which most often has negative effects. Coercive measures are often used with preventive effect and not as treatment. It is a complex topic that deals with legislation, competence, ethics and consists of controversies. It is crucial to know how nurses can help reduce and take care of the patient to get the best possible outcome.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Intention&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;The purpose of this study was to investigate in which situations unnecessary coercion is used and how one can contribute to reducing it, as well as how the use of coercive measures affects the various participations.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Method&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Literature study with systematic search is used as a method. Systematic searches were performed in databases such as Swemed +, psychInfo and medline. The bachelor thesis is based on eight research articles and already existing literature.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Results&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Findings from the selected articles shed light on how the use of coercive measures can be reduced and take care of the patient through a therapeutic relationship with care, attitudes and values and by being aware of the concept of power.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Conclusion&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Small and larger changes from nurses can help reduce the use of coercive measures. This involves increased knowledge, both through theory and practice, and by focusing on the patient&amp;#39;s previous experiences. Nurses must incorporate care and respect in meeting the patient and promote autonomy.&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%">tvangsmidler</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%">Oda Martine Leirvik</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">En undersøkelse av hvordan psykiatriske pasienter ønsker å bli ivaretatt gjennom bruk av mekaniske tvangsmidler i psykisk helsevern En litteraturstudie basert på pasienters egne erfaringer, hentet fra nyere forskning</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">care</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">mechanical restraint</style></keyword><keyword><style  face="normal" font="default" size="100%">Mekaniske tvangsmidler</style></keyword><keyword><style  face="normal" font="default" size="100%">mental health care</style></keyword><keyword><style  face="normal" font="default" size="100%">omsorg</style></keyword><keyword><style  face="normal" font="default" size="100%">pasientopplevelse</style></keyword><keyword><style  face="normal" font="default" size="100%">patient experience</style></keyword><keyword><style  face="normal" font="default" size="100%">Psykisk helsevern</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://ntnuopen.ntnu.no/ntnu-xmlui/bitstream/handle/11250/2783458/no.ntnu%3ainspera%3a81471222%3a34436998.pdf?sequence=1&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">NTNU, Institutt for psykisk helse</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Vernepleiere kan med loven i hånden bruke mekaniske tvangsmidler overfor pasienter i tvungent psykisk helsevern om det ikke er noen annen utvei. Pasienter som opplever bruken av mekaniske tvangsmidler, er allerede sårbare og kjenner på et stort tap av autonomi når de blir utsatt for disse. Oppgavens hensikt er å undersøke hvordan psykiatriske pasienter ønsker å bli ivaretatt gjennom en opplevelse med mekaniske tvangsmidler. En vernepleier har en sentral rolle i utøvelse av tvang, samt ved ivaretakelse av pasienten gjennom hele prosessen. Metoden er litteraturstudie, og problemstillingen belyses ved hjelp av seks utvalgte forskningsartikler av nyere dato. Resultatene fra denne bacheloroppgaven tyder på at vernepleierens væremåte, tilstedeværelse og kommunikasjon er viktige faktorer for ivaretakelse under mekanisk tvang. Å ivareta pasientens rettigheter kommer også frem som viktig for å føle på omsorg fra vernepleieren i en situasjon med mekaniske tvangsmidler.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;English summary:&lt;/p&gt;&lt;p&gt;Social educators can, with the law in hand, use mechanical coercive measures against patients in compulsory mental health care if there is no other way out. Patients who experience the use of mechanical coercive measures are already vulnerable and feel a great loss of autonomy when they are exposed to these. The purpose of the thesis is to investigate how psychiatric patients want to be cared for through an experience with mechanical coercive measures. A social educator has a central role in the exercise of coercion, as well as in caring for the patient throughout the process. The method is a literature study, and the problem is elucidated with the help of six selected research articles of recent date. The results from this bachelor thesis indicate that the social educator&amp;#39;s manner, presence and communication are important factors for care under mechanical coercion. Protecting the patient&amp;#39;s rights also emerges as important for feeling cared for by the social educator in a situation with mechanical coercive measures.&lt;/p&gt;</style></abstract><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>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Ola Trygve Polden</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Hvordan skape en terapeutisk allianse til en pasient i psykose innlagt på tvang i akuttpsykiatrien?</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">acute psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">akuttpsykiatri</style></keyword><keyword><style  face="normal" font="default" size="100%">authenticity</style></keyword><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">ekthet</style></keyword><keyword><style  face="normal" font="default" size="100%">psychosis</style></keyword><keyword><style  face="normal" font="default" size="100%">psykose</style></keyword><keyword><style  face="normal" font="default" size="100%">respect</style></keyword><keyword><style  face="normal" font="default" size="100%">respekt</style></keyword><keyword><style  face="normal" font="default" size="100%">Terapeutisk allianse</style></keyword><keyword><style  face="normal" font="default" size="100%">Therapeutic alliance</style></keyword><keyword><style  face="normal" font="default" size="100%">tillitt</style></keyword><keyword><style  face="normal" font="default" size="100%">trust</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%">2021</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://ntnuopen.ntnu.no/ntnu-xmlui/bitstream/handle/11250/2783486/no.ntnu%3ainspera%3a81471222%3a5122356.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 psykisk helse</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Tittel: Hvordan skape en terapeutisk allianse til en pasient i psykose innlagt på tvang i akuttpsykiatrien?&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Hensikt: Finne svar på hvordan man kan skape en terapeutisk allianse til en pasient i psykose innlagt på tvang i akuttpsykiatrien.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Metode: Utført en litteraturstudie, hvor jeg har funnet relevant teori og forskning for å hjelpe meg med å besvare min problemstilling. Har i tillegg nevnt egne erfaringer i fra praksisstudier.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Resultat: I resultatet fra forskningsartiklene jeg fant var det tre områder som gikk igjen i forskningen og som jeg mente var sentrale for å kunne inngå en terapeutisk allianse til en pasient.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;- Etablere tillitt mellom pasient og helsepersonell&lt;/p&gt;&lt;p&gt;- Pasientens autonomi under tvangsinnleggelse&lt;/p&gt;&lt;p&gt;- Ekthet og respekt i relasjoner, se mennesket utover diagnosen&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Konklusjon: I denne oppgaven kom jeg ikke frem til en tydelig og klar konklusjon på min problemstilling. Det finnes nok ingen fasitsvar på hvordan man kan skape en terapeutisk allianse til en pasient i psykose innlagt på tvang i akuttpsykiatrien. Som helsepersonell bør allikevel det å bygge en relasjon og inngå terapeutiske allianser alltid være noe å strekke seg etter i møte med pasienter.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Abstract&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Title: How to create a therapeutic alliance with a patient in psychosis forcibly admitted to acute psychiatry?&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Purpose: Find answers on how to create a therapeutic alliance for a patient in psychosis admitted to compulsory psychiatric treatment.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Method: Conducted a literature study, where I have found relevant theory and research to help me answer my problem. I have also mentioned my own experiences from practical studies.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Result: In the results from the research articles I found, there were three areas that recurred in the research which I thought were central to being able create a therapetic alliance.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;- Establish trust between patient and healthcare professionals.&lt;/p&gt;&lt;p&gt;- The patient`s autonomy during involuntary hospitalization.&lt;/p&gt;&lt;p&gt;- Authenticity and respect in relationships, see the person beyond the diagnosis.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Conclusion: In this thesis i did not come to a clear and distinct conclusion to my problem. There is probably no definitive answer on how to create a therapeutic alliance to a patient in psychosis who is forcibly admitted to acute psychiatry. However, as a healthcare professional, building a relationship and creating a therapeutic alliance should always be something to strive for in meeting patients.&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>36</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Kiperberg, R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Autonomi og menneskeverd i møte hos tvangsutsatte mennesker</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">Etikk</style></keyword><keyword><style  face="normal" font="default" size="100%">menneskeverd</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%">04/2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://himolde.brage.unit.no/himolde-xmlui/bitstream/handle/11250/2683787/fordypning_kiperberg.pdf?sequence=1</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Høgskolen i Molde</style></publisher><pub-location><style face="normal" font="default" size="100%">Molde</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;Det har i de siste årene innen rus og psykisk helse vært stort fokus på selvbestemmelse, brukermedvirkning og å redusere bruken av tvang. Likevel får flere tusen mennesker hvert år helsehjelp under tvang innen psykisk helsevern. Det er store subjektive forskjeller i opplevelsen av å bli utsatt for tvang. Noen mennesker opplever det å bli utsatt for tvang som traumatisk, krenkende og et angrep på deres menneskeverd. De kjenner på fortvilelse, aggresjon, tristhet og depresjon. Andre opplever tvangen som en slags omsorg og hjelp til å få det bedre. For en skal forstå mennesker sine opplevelser av å bli utsatt for tvang må vi få tilgang til den enkeltes erfaring. Hvordan et menneske opplever et og tilsynelatende samme tvangsvedtak vil variere, dette fordi vi mennesker er subjektive vesener med vår egne indre referanseramme. Tvang og makt er ikke bare aktuelt når det gjelder fare for eget liv og helse, men kan handle like mye om hvordan vi møter klienten i den daglige samhandlingen. Det fremkommer gjennom refleksjonene rundt Lars, at måten miljøterapeuten møter og samhandler på, kan være med å styrke eller svekke opplevelsen av autonomi og menneskeverd. Disse verdiene står ifølge humanistisk perspektiv sterkt og er svært sentrale. Menneskeverdet er en iboende, ukrenkelig og uendelig verdi, som trer i kraft av det å være menneske. Et hvert menneske har autonomi og rett til å bestemme over seg selv. Denne retten frafaller i situasjoner der mennesker oppfattes å ikke være kompetent til å forstå konsekvensen av egne valg, knytt til alvorlig fare for eget liv og helse. En griper da inn i forhold til menneskets frihet, med formål om å ivareta menneske eller unngå at han blir skadet, selv om mennesket motsetter seg dette. Vurdering om bruk av tvang utgjør alltid et etisk dilemma, der en vil forsøke å ivareta mennesket sin autonomi, men samtidig hindre helseskade. For å redusere bruken av tvang og finne andre løsninger må tørre å snakke åpent sammen, inkludere brukeren, pårørende og samarbeide på tvers av tjenestene.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Bachelor 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>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Emma Børrud</style></author><author><style face="normal" font="default" size="100%">Johanna Johansson</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Tvang i psykisk helsevern</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">kommunikasjon</style></keyword><keyword><style  face="normal" font="default" size="100%">Redusere tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Sykepleier-pasient-relasjon</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://brage.inn.no/inn-xmlui/bitstream/handle/11250/2394699/Boerrud%20og%20Johansson.pdf?sequence=4&amp;isAllowed=y</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Høgskolen i Innlandet, 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;Tvang er et omstridt tema og det medfører ofte etiske dilemmaer for sykepleiere. Det er mulig å redusere bruk av tvang ved at sykepleiere innehar gode kommunikasjonsferdigheter, til enhver tid setter pasienten og pleien i sentrum, er klar over hva lovverket tilsier rundt bruk av tvang, ikke overkjøre pasienten eller bruk av sterk paternalisme, men at pasienten får et tilbud som preges av fagkompetansen til sykepleiere. Sykepleiere må være klar over Empowerment og autonomibegrepet i deres yrkesutøvelse og ha gode holdninger i møte med utagerende pasienter. Tvang kan være nødvendig i visse tilfeller, men det handler om hvordan man utøver det overfor pasienten. Tvang skal ikke utøves som makt overfor pasienter, men for å hindre skade på pasienten selv eller andre når pasienten ikke er i stand til å se det beste for selv seg.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Denne bacheloroppgaven tar utgangspunkt i følgende problemstilling: &amp;laquo;Hvordan kan vi som sykepleiere bidra til å forsøke å unngå bruk av tvang overfor pasienter med psykiske lidelser som har tvangsvedtak?&amp;raquo;. I denne oppgaven anvendes litteraturstudie som metodisk tilnærming. Det vil si at vi innheter pensum- og forskningslitteratur rundt temaet som allerede eksisterer. Denne metodiske tilnærmingen er på forhånd bestemt av Høgskolen i Hedmark og deres retningslinjer for oppgaveskriving preger denne oppgaven. Denne oppgaven er et sekundærstudie.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;I teoridelen presenteres sykepleieteoretiker, lovverk og retningslinjer samt annen teori vi mener er av betydning for problemstillingen. Videre kommer drøfting der vi anvender teori og forskning for å forsøke å besvare den definerte problemstillingen. Deretter kommer konklusjon og alternativ tilnærming.&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>34</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Rødby, Else Marie Tveit</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Tvungent psykisk helsevern : Avveiningen mellom hensynet til enkeltmenneskets rett til å bestemme over eget liv, og samfunnets behov for vern fra psykisk syke som setter andres liv eller helse i fare</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">enkeltmennesket</style></keyword><keyword><style  face="normal" font="default" size="100%">fare</style></keyword><keyword><style  face="normal" font="default" size="100%">helse</style></keyword><keyword><style  face="normal" font="default" size="100%">liv</style></keyword><keyword><style  face="normal" font="default" size="100%">samfunnet</style></keyword><keyword><style  face="normal" font="default" size="100%">Samfunnsvern</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvungent psykisk helsevern</style></keyword><keyword><style  face="normal" font="default" size="100%">vern</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2012</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2013</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.duo.uio.no/bitstream/handle/10852/35543/4/173163.pdf</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">UiO, Det juridiske fakultet</style></publisher><pub-location><style face="normal" font="default" size="100%">Oslo</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;Tema for oppgaven er samfunnsvernet ved etablering av tvungent psykisk helsevern.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Oppgaven dreier seg om forholdet mellom administrativt vedtak om tvungent psykisk helsevern etter psykisk helsevernloven nr. 62 av 2. juli 1999 (forkortet phvl.) &amp;sect; 3-3, og dom på overføring til tvungent psykisk helsevern i Straffeloven nr. 10 av 22. mai 1902 (forkortet strl.) &amp;sect; 39.&lt;/p&gt;&lt;p&gt;Oppgaven belyser avveiningen mellom hensynet til enkeltmenneskets rett til å bestemme over eget liv, og samfunnets behov for vern fra alvorlig psykisk syke som setter andre mennesker i fare.&lt;/p&gt;</style></abstract><work-type><style face="normal" font="default" size="100%">Master thesis</style></work-type><label><style face="normal" font="default" size="100%">etikk</style></label></record></records></xml>