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Violations and Abusive Events as Experienced by Staff Within Adult Psychiatric Care: A National Cross-Sectional Survey

Levinsson, Henrik LU ; Fredriksson Tham, Katarina ; Straht, Maja and Wolgast, Martin LU (2023) In Ethical Human Psychology and Psychiatry
Abstract
Background
Previous research has emphasized the high prevalence and far-reaching consequences of violations of ethical principles in patient care.

Aim
To study the extent of violations perceived by healthcare professionals in Swedish adult psychiatric care.

Methods
Online survey among 2,538 mental health professionals. A revised version of Transgressions of Ethical Principles in Health Care Questionnaire was used.

Results
Events that could be perceived as abusive occur to a large extent. Respondents reported 96% observation and 84% self-involvement in at least one abusive event during the past 12 months and were considered unethical by 43% upon observation and by 34% upon self-involvement.... (More)
Background
Previous research has emphasized the high prevalence and far-reaching consequences of violations of ethical principles in patient care.

Aim
To study the extent of violations perceived by healthcare professionals in Swedish adult psychiatric care.

Methods
Online survey among 2,538 mental health professionals. A revised version of Transgressions of Ethical Principles in Health Care Questionnaire was used.

Results
Events that could be perceived as abusive occur to a large extent. Respondents reported 96% observation and 84% self-involvement in at least one abusive event during the past 12 months and were considered unethical by 43% upon observation and by 34% upon self-involvement. Respondents who work in inpatient care report both more observations and more of their own involvement in abusive events compared to outpatient care.

Conclusions
The findings indicate the importance of actively working with and preventing violations and abusive events, and could motivate healthcare professionals to talk about alternative ways of acting in certain situations. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Ethical Human Psychology and Psychiatry
publisher
Springer
external identifiers
  • scopus:85159321456
ISSN
1938-9000
DOI
10.1891/EHPP.2022-0012
project
Bemötandebrister i vuxenpsykiatrisk vård
language
English
LU publication?
yes
id
7d4fa27e-eeb7-4464-858c-1e453975900e
date added to LUP
2023-04-03 14:59:41
date last changed
2023-08-11 13:28:24
@article{7d4fa27e-eeb7-4464-858c-1e453975900e,
  abstract     = {{Background<br/>Previous research has emphasized the high prevalence and far-reaching consequences of violations of ethical principles in patient care.<br/><br/>Aim<br/>To study the extent of violations perceived by healthcare professionals in Swedish adult psychiatric care.<br/><br/>Methods<br/>Online survey among 2,538 mental health professionals. A revised version of Transgressions of Ethical Principles in Health Care Questionnaire was used.<br/><br/>Results<br/>Events that could be perceived as abusive occur to a large extent. Respondents reported 96% observation and 84% self-involvement in at least one abusive event during the past 12 months and were considered unethical by 43% upon observation and by 34% upon self-involvement. Respondents who work in inpatient care report both more observations and more of their own involvement in abusive events compared to outpatient care.<br/><br/>Conclusions<br/>The findings indicate the importance of actively working with and preventing violations and abusive events, and could motivate healthcare professionals to talk about alternative ways of acting in certain situations.}},
  author       = {{Levinsson, Henrik and Fredriksson Tham, Katarina and Straht, Maja and Wolgast, Martin}},
  issn         = {{1938-9000}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{Ethical Human Psychology and Psychiatry}},
  title        = {{Violations and Abusive Events as Experienced by Staff Within Adult Psychiatric Care: A National Cross-Sectional Survey}},
  url          = {{http://dx.doi.org/10.1891/EHPP.2022-0012}},
  doi          = {{10.1891/EHPP.2022-0012}},
  year         = {{2023}},
}