ReviewJournal of psychiatric and mental health nursing2025
The Impact of Coercive Measures on the Therapeutic Relationship Between Patients and Nurses in the Acute Psychiatric Care. An Integrative Review.
Review in Journal of psychiatric and mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe reduction of coercion requires a stable therapeutic relationship. It is generally assumed that coercive measures have a negative effect on the therapeutic relationship, but little is known about the specific impact. QUESTION: What is the impact of coercive measures in acute psychiatric care on the therapeutic relationship between nurses and patients?
methodAn integrative review and a thematic analysis were undertaken.
resultsTheme 1, labelled 'Destructive effects', encompasses three subthemes: 'Loss of trust', 'Power imbalance' and 'Engagement reduction' and highlights the negative impact on the therapeutic relationship. Theme 2, entitled 'Nursing dilemma', with the subtheme 'Dehumanisation' discusses the inherent conflicts faced by mental health nurses. Theme 3, 'Reinforcement', suggests potential enhancements in therapeutic relationships. DISCUSSION: Key characteristics of the therapeutic relationship, such as providing support, meeting at eye level, empathy and trust, can suffer damage from coercive measures and diminish a fundamental aspect of psychiatric nursing. Moreover, the absence of a therapeutic relationship can foster behaviours that prompt additional coercive measures, creating a negative cycle with adverse effects for all involved. IMPLICATIONS FOR PRACTICE: Nurses need to be aware of the effects of coercive measures on therapeutic relationships and use coercive measures as a last resort.
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Registered trials
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