Delimitando la coerción y los cuidados enfermeros en salud mental: Una aproximación cualitativa

Abstract

BACKGROUND: Increasingly coercive culture in mental health care clearly comes out in a multitude of interventions. It is necessary to take into consideration the contributions of mental health professionals to evaluate and determine strategic factors to facilitate a paradigm shift. AIM: Analysis of group discourse based on the opinions, experiences and perceptions of nurses about coercion and its limits, with professional values in the field of mental health care. METHODS: Descriptive study from a qualitative approach with the participation of eleven nurses involved in the teaching- learning process about specialises in mental health. Data collection was done through the focus group technique and textual content has been subjected to thematic analysis. RESULTS: The thematic categories identified are: "Coercion: context of discovery and context of justification", "Human care, vulnerability and coercion in mental health" and "Strengths and weaknesses of professional care". CONCLUSION: Values and emerging attitudes of nurses specialized in mental health are based on aid relationships. The own nurse identity is the result of this practice and the integral management of care is the main feature. Nursing care contributes to the practical achievement of human rights. Contractual care implies the refusal to participate in compulsory or coercive practices, trying to understand the complexity of care under a logic of law.