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- W4225272988 abstract "<h3>Background</h3> Voluntary and informed consent is a fundamental principle of healthcare provision. However, health care laws in some countries allow for exceptions from the consent requirement when patients are not competent to consent or pose a danger to themselves or others. In these cases, the use of coercion may be an alternative to voluntary health care. Ambulance personnel are confronted with patients who need healthcare but refuse it and/or refuse to cooperate. To what extent coercion is used by ambulance personnel in these situations or what constitutes coercion in a pre-hospital setting has not previously been explored. This study therefore examines (i) ambulance personnel’s perceptions of coercion, (ii) their experience of the use of coercion, (iii) situations in which they have used coercion, and (iv) forms of coercion they have used. <h3>Method</h3> We conducted focus group interviews with a group of ambulance personnel from a large Norwegian ambulance service. Digital recordings of the interviews were transcribed verbatim and the transcripts were analysed using Systemic Text Condensation. <h3>Results</h3> Informants primarily interpreted and described coercion as the use of physical force. Other types of coercion as persuasion, pragmatic force, pharmacological coercion and securing during transport were described. <h3>Conclusion</h3> The different methods of force/coercion are mainly used in situations where the ambulance personnel consider that healthcare is necessary but the patients refuses. The findings indicate that adherence to emergency law, a duty to help, the welfare of the patient and insecurity or fear promote the use of coercion among ambulance personnel. Insecurity and fear seem to be rooted in: 1) an experienced contradiction between the ambulance service’s guidelines and the legislation, 2) fear of breaching guidelines and leaving patients behind because of lack of support from management, and 3) fear of charges of misconduct. The difficulty of applying the law in real-life situations and assessing competence is also a contributory factor. <h3>Conflict of interest</h3> None. <h3>Funding</h3> None." @default.
- W4225272988 created "2022-05-04" @default.
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- W4225272988 date "2022-05-01" @default.
- W4225272988 modified "2023-09-26" @default.
- W4225272988 title "345 The use of coercion in the ambulance service – a qualitative study of a large urban ambulance service" @default.
- W4225272988 doi "https://doi.org/10.1136/bmjopen-2022-ems.42" @default.
- W4225272988 hasPublicationYear "2022" @default.
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