Evidence map›Paper›PMID 40755295›Full record

ArticleJournal of psychiatric and mental health nursing2025

Formal Coercion and the Moral Division of Labor: Moving Beyond Role Conflicts in Psychiatric Nursing.

Pierre Pariseau-Legault, Guillaume Ouellet, Emmanuelle Bernheim, Marie-Hélène Goulet, Jean-Daniel Jacob, Lisandre Labrecque-Lebeau, Dave Holmes

Abstract read
In one paragraph

Article 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.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Pierre Pariseau-LegaultNursing Sciences Department, Université du Québec en Outaouais, St-Jerome, Quebec, Canada.
Guillaume OuelletCentre de Recherche de Montréal sur les Inégalités Sociales, les Discriminations et les Pratiques Alternatives de Citoyenneté (CREMIS), Montreal, Quebec, Canada.
Emmanuelle BernheimFaculty of Law, Civil Law Section, University of Ottawa, Ottawa, Ontario, Canada.
Marie-Hélène GouletFaculty of Nursing, Université de Montreal, Montreal, Quebec, Canada.
Jean-Daniel JacobSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Lisandre Labrecque-LebeauCentre de Recherche de Montréal sur les Inégalités Sociales, les Discriminations et les Pratiques Alternatives de Citoyenneté (CREMIS), Montreal, Quebec, Canada.
Dave HolmesSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.

Funding

Social Sciences and Humanities Research Council of Canada
6 · The paper itself

Abstract

introductionPsychiatric nurses are actively involved in involuntary hospitalisations and treatments. However, the scientific literature lacks insights into strategies used to navigate roles and institutional expectations in this regard.

aimTo achieve a deeper understanding of practices that support the exercise of individual rights in psychiatry during involuntary hospitalisations and treatments.

methodA situational analysis was conducted. Nineteen (n = 19) mental health workers participated in a semi-structured interview and completed a socio-demographic questionnaire. Case law review (n = 126) and non-participant observations (n = 70 h) were also conducted.

resultsThe moral division of labour is a central element in mental health interventions, organising four types of practices: socio-legal assistance, support for exercising rights, intersectoral coordination and ignorance and trivialisation. DISCUSSION: Our findings reveal that nursing care is predominantly medicalised, confining nurses to a subordinate role. They also indicate marginal practices focused on socio-legal assistance and human rights support. Intersectoral coordination, though crucial, remains an invisible aspect of nursing practice. IMPLICATIONS FOR PRACTICE: There remains a significant lack of awareness about human rights issues in psychiatry. This research underscores the importance of considering professional hierarchies, organisational expectations and legal awareness to address role conflicts in psychiatric care. RELEVANCE STATEMENT: This research highlights the need to study nurses' agency, offering insights into how they interpret and apply psychiatric laws. Such research could deepen knowledge on human rights issues in psychiatry or, at minimum, promote greater recognition of these concerns. Social policy implications are also notable, underscoring the need for integrated socio-legal assistance during involuntary treatments to support patients navigating complex systems and exercising their rights. Finally, the findings point to the importance of examining professional hierarchies, organisational expectations and legal awareness in developing practices that address the emotional, educational and intersectoral aspects of psychiatric coercion.

Indexed as

CoercionNurse's RolePsychiatric NursingAdultFemaleHuman RightsHumansMaleMiddle AgedQualitative ResearchRole Conflictinvoluntary hospitalizationinvoluntary treatmentmental healthpsychiatryqualitative research

Identifiers

PMID40755295
PMCPMC12418141

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.