Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study

Objectives: The primary objective was to compare the attitude of health-care providers (psychiatrists and nursing staff) and caregivers. Materials and Methods: This prospective, survey-based study used the Staff Attitude to Coercion Scale, Morisky Medication Adherence Rating Scale, Oslo Social Suppo...

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Main Authors: Sneha Kulkarni, M. Uma Sankar, Ravi Kumar Dabbiru, Ramsubba Reddy, Sireesha Srinivasa Rao, Minhajzafar Nasirabadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Telangana Journal of Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/tjp.tjp_4_24
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author Sneha Kulkarni
M. Uma Sankar
Ravi Kumar Dabbiru
Ramsubba Reddy
Sireesha Srinivasa Rao
Minhajzafar Nasirabadi
author_facet Sneha Kulkarni
M. Uma Sankar
Ravi Kumar Dabbiru
Ramsubba Reddy
Sireesha Srinivasa Rao
Minhajzafar Nasirabadi
author_sort Sneha Kulkarni
collection DOAJ
description Objectives: The primary objective was to compare the attitude of health-care providers (psychiatrists and nursing staff) and caregivers. Materials and Methods: This prospective, survey-based study used the Staff Attitude to Coercion Scale, Morisky Medication Adherence Rating Scale, Oslo Social Support Scale, and the Modified Overt Aggression Scale. Results: Participants (326) included psychiatrists (32.51%), staff nurses (35.58%), and caregivers (31.90%). Health-care professionals scored higher in offense and safety subscale (psychiatrists 3.2 and 5.55; nurses 3.12 and 5.65) compared to caregivers (2.46 and 5.10). In coercion as treatment subscale, caregivers scored least (0.78) (psychiatrists 1.15, nurses 1.92). The difference in these subscales was statistically significant (P = 0.001). There was no significant influence of social support and level of education of caregivers on the use of physical restraint. Of 104 patients, 58.65% were brought with physical restraint. Treatment compliance (n = 85) in stabilized patients was 84.7%. Conclusion: According to health-care providers, the use of coercion was offensive; coercion can be reduced by improving the resources and giving more personal time. All groups acknowledged that coercion infringes on patients’ human rights but supported its use when necessary for ensuring patient care and safety in the environment.
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2455-8559
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Telangana Journal of Psychiatry
spelling doaj-art-88de4ce7ab3a46ed986b15eef84763532025-01-07T10:02:21ZengWolters Kluwer Medknow PublicationsTelangana Journal of Psychiatry2772-87062455-85592024-12-0110214315010.4103/tjp.tjp_4_24Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative studySneha KulkarniM. Uma SankarRavi Kumar DabbiruRamsubba ReddySireesha Srinivasa RaoMinhajzafar NasirabadiObjectives: The primary objective was to compare the attitude of health-care providers (psychiatrists and nursing staff) and caregivers. Materials and Methods: This prospective, survey-based study used the Staff Attitude to Coercion Scale, Morisky Medication Adherence Rating Scale, Oslo Social Support Scale, and the Modified Overt Aggression Scale. Results: Participants (326) included psychiatrists (32.51%), staff nurses (35.58%), and caregivers (31.90%). Health-care professionals scored higher in offense and safety subscale (psychiatrists 3.2 and 5.55; nurses 3.12 and 5.65) compared to caregivers (2.46 and 5.10). In coercion as treatment subscale, caregivers scored least (0.78) (psychiatrists 1.15, nurses 1.92). The difference in these subscales was statistically significant (P = 0.001). There was no significant influence of social support and level of education of caregivers on the use of physical restraint. Of 104 patients, 58.65% were brought with physical restraint. Treatment compliance (n = 85) in stabilized patients was 84.7%. Conclusion: According to health-care providers, the use of coercion was offensive; coercion can be reduced by improving the resources and giving more personal time. All groups acknowledged that coercion infringes on patients’ human rights but supported its use when necessary for ensuring patient care and safety in the environment.https://journals.lww.com/10.4103/tjp.tjp_4_24caregiverscoercionpsychiatristsstaff attitude to coercion scale
spellingShingle Sneha Kulkarni
M. Uma Sankar
Ravi Kumar Dabbiru
Ramsubba Reddy
Sireesha Srinivasa Rao
Minhajzafar Nasirabadi
Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
Telangana Journal of Psychiatry
caregivers
coercion
psychiatrists
staff attitude to coercion scale
title Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
title_full Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
title_fullStr Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
title_full_unstemmed Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
title_short Attitude of caregivers, psychiatrists, and nurses toward coercive measures: An observational, survey-based comparative study
title_sort attitude of caregivers psychiatrists and nurses toward coercive measures an observational survey based comparative study
topic caregivers
coercion
psychiatrists
staff attitude to coercion scale
url https://journals.lww.com/10.4103/tjp.tjp_4_24
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