BACKGROUND The World Health Organization describes the perpetuation of human rights violations against people with mental health problems as a global emergency. Despite this observation, recent studies suggest that coercive measures, such as seclusion, restraints, involuntary hospitalization, or involuntary treatment, are steadily or increasingly being used without proof of their effectiveness. In nursing, several literature reviews have focused on understanding nurses' perspectives on the use of seclusion and restraints. Although many studies describe the ethical dilemmas faced by nurses in this context, to this date, their perspectives on patient's rights when a broad variety of coercive measures are used are not well understood. The aim of this review is to produce a qualitative synthesis of how human rights are actually integrated into psychiatric and mental health nursing practice in the context of coercive work. METHODS Noblit and Hare's meta-ethnographic approach will be used to conduct this systematic review. The search will be conducted in CINAHL, Medline, PsycINFO, ERIC, and Scopus databases, using the PICo model (Population, phenomenon of Interest, Context) and a combination of keywords and descriptors. It will be complemented by a manual search of non-indexed articles, gray literature, and other applicable data sources, such as human rights related documents. Qualitative and mixed-method study designs will be included in this review. Empirical and peer-reviewed articles published between 2008 and 2019 will be selected. Articles will be evaluated independently by two reviewers to determine their inclusion against eligibility criteria. The quality of the selected papers will then be independently evaluated by two reviewers, using the Joanna Briggs Institute's Checklist for Qualitative Research. Data extraction and content analysis will focus on first- and second-order constructs, that is, the extraction of research participants' narratives and their interpretation. DISCUSSION This review will provide a synthesis of how psychiatric and mental health nurses integrate human rights principles into their practice, as well as it will identify research gaps in this area. The results of this review will then provide qualitative evidence to better understand how nurses can contribute to the recognition, protection, and advocate for human rights in a psychiatric context. SYSTEMATIC REVIEW REGISTRATION PROSPERO, CRD42019116862.

中文翻译：

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精神病学中使用强迫症时护士对人权的看法：定性证据的系统评价方案。

背景技术世界卫生组织将对患有精神健康问题的人的侵犯人权行为永久化描述为全球紧急情况。尽管有这种观察，最近的研究表明，在没有证据表明其有效性的情况下，诸如隔离，约束，非自愿住院或非自愿治疗等强制性措施正在稳步或越来越多地被使用。在护理方面，一些文献综述集中在理解护士对隔离和约束使用的观点。尽管许多研究描述了在这种情况下护士面临的道德困境，但迄今为止，人们对使用多种强制措施时他们对患者权利的看法尚不甚了解。这次审查的目的是对在强制性工作中如何将人权真正纳入精神病和精神卫生护理实践中进行定性综合。方法将使用Noblit和Hare的元民族志方法进行这项系统的综述。将使用PICo模型（人口，兴趣现象，上下文）以及关键字和描述符的组合在CINAHL，Medline，PsycINFO，ERIC和Scopus数据库中进行搜索。手动搜索未编入索引的文章，灰色文献以及其他适用的数据源（例如与人权相关的文件）将对它进行补充。定性和混合方法研究设计将包括在本评价中。将选择在2008年至2019年之间发表的经验性和同行评审的文章。文章将由两名审阅者进行独立评估，以确定其是否符合资格标准。然后，两名审稿人将使用Joanna Briggs Institute的定性研究核对表对所选论文的质量进行独立评估。数据提取和内容分析将侧重于一阶和二阶结构，即研究参与者的叙述及其解释的提取。讨论本综述将综合介绍精神科和精神卫生护士如何将人权原则纳入其实践中，并找出该领域的研究空白。审查结果将提供定性证据，以更好地了解护士如何为识别，保护，并在精神病学领域倡导人权。系统审查注册PROSPERO，CRD42019116862。