Abstract The use of coercion poses a key concern in terms of patients’ rights. To reduce coercive interventions, a change in the attitudes of mental health professionals toward coercion has been proposed. This study examined whether individual and workplace characteristics are associated with attitudes toward coercion. A sample of 110 staff members of a large psychiatric hospital working on open or closed wards completed a survey that included measures of issues such as attitudes toward coercion (Staff Attitude to Coercion Scale [SACS]), recovery orientation (RAQ-7), and individual and workplace characteristics. We also assessed ward characteristics from routine medical data. Associations were determined by correlations and regression analysis. Overall, 73.6% of the professionals were critical of the use of coercion, whereas 5.5% had positive attitudes toward coercive measures. Participants with more optimistic recovery expectations, other than nurses, and those working on open wards held more critical attitudes toward coercion (p < 0.05). Wards characterized by less coercive measures, lower bed occupancy, fewer involuntary admissions and substance-use disorders were associated with more critical attitudes (p < 0.05). We conclude that training of mental health professionals—especially nurses and those who work on closed wards—in recovery orientation may help promote critical attitudes toward coercion and may reduce coercive measures.

中文翻译：

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乐观的康复期望与心理健康专业人员对强迫的批判态度有关

摘要强制使用是患者权利方面的关键问题。为了减少强制干预，已提议改变精神卫生专业人员对强迫的态度。这项研究检查了个人和工作场所的特征是否与对强迫的态度有关。一家大型精神病医院的110名工作人员在开放式或封闭式病房中进行的抽样调查完成了一项调查，其中包括对胁迫的态度（员工对强迫症的态度量表[SACS]），康复方向（RAQ-7）和个人和工作场所的特征。我们还根据常规医学数据评估了病房特征。通过相关性和回归分析确定关联。总体而言，有73.6％的专业人员对使用胁迫持批评态度，而5人则对此持批评态度。5％的人对强制措施持积极态度。除了护士以外，对康复期望更为乐观的参与者以及在开放病房工作的参与者对胁迫的态度更为挑剔（p <0.05）。以强制措施较少，床位占用较低，非自愿入院和药物滥用障碍较少为特征的病房与更挑剔的态度相关（p <0.05）。我们得出的结论是，对精神卫生专业人员（尤其是护士和在封闭病房工作的人员）进行康复指导培训可能有助于提高对强迫的批判态度，并可能减少强制措施。病房的强制措施较少，床位占用率较低，非自愿入院和药物滥用障碍较少，这些病患的态度更为挑剔（p <0.05）。我们得出的结论是，对精神卫生专业人员（尤其是护士和在封闭病房工作的人员）进行康复指导培训可能有助于提高对强迫的批判态度，并可能减少强制措施。病房的强制措施较少，床位占用率较低，非自愿入院和药物滥用障碍较少，这些病患的态度更为挑剔（p <0.05）。我们得出的结论是，对精神卫生专业人员（尤其是护士和在封闭病房工作的人员）进行康复指导培训可能有助于提高对强迫的批判态度，并可能减少强制措施。