How to increase quality of care during coercive admission? A review of literature.

Susanne van den Hooff, A Goossensen

Research output: Contribution to journalArticleAcademicpeer-review

24 Citations (Scopus)


Abstract BACKGROUND: Involuntary admission is still raising in numbers and as a procedure a widely discussed subject from ethical point of view. A common dilemma is the tension between individual freedom and the need to protect the patient. Patients who are coerced during the admission process often report negative feelings or trauma. Finding out quality issues remains a challenge for providing good care during coercive admission. AIM: This study aims to explore themes from patients' and professionals' perspectives within scientific literature on involuntary admission. METHODS: A literature review of English articles using Academic Search Elite, Cinahl, Medline, PubMed and Social Science Journals for the period 1995-2012 was conducted. Additional studies were identified using the National Centre for Biotechnology Information (NCBI). Search terms included involuntary, hospitalisation, ethical, admission, nursing home, coercion and factor. Finally, twenty-two articles were included and analysed out of 1216. RESULTS AND CONCLUSION: Articles were divided between those describing themes from patients' perspective and articles describing themes from professionals' perspective. Findings show that most experiences of patients can be traced back to one core experience: not being listened to or listened to. When patients experience being listened to genuinely, they feel more respected as a human being. The challenge for the professional carer seems to explicitly pay attention and stay in touch with the patients' emotional struggles while making the necessarily decision to admit the patient to prevent harm. Quality of care during coercive admission improves when professionals are able to do justice to both inside and outside perspectives simultaneously.
Original languageEnglish
Pages (from-to)425-434
Number of pages10
JournalScandinavian Journal of Caring Sciences
Issue number3
Publication statusPublished - 2013
Externally publishedYes


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