Investigating the Associations between Patient-Reported Quality of Care and Perceived Coercion: A Norwegian Cross-Sectional Study
Open accessAbstract
Patient perspectives on the quality of care received are fundamental to mental health care. This study aimed to investigate the association between patient-reported mental health care quality, perceived coercion, and various demographic, clinical, and ward-related factors. Using a cross-sectional design, data were collected from 169 patients in Norwegian mental health wards using the quality in psychiatric care-inpatient (QPC-IP) instrument and experienced coercion scale (ECS). The analysis revealed a consistent pattern in which patients with higher perceived coercion consistently rated lower quality on all QPC-IP dimensions. The significant findings of the multiple regression models further supported this association. Beyond coercion, the factors influencing quality ratings include self-reported treatment results, participation in treatment planning, and knowledge of complaint procedures. Emphasizing the pivotal role of coercion in enhancing mental health care quality, these findings contribute to a nuanced understanding of patient experiences and underscore the importance of patient participation in mental health care improvement efforts.
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- Authors
- Fossum, S. Ø., Moen, Ø. L., Gonzalez, M. T., Schröder, A., & Skundberg-Kletthagen, H.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway
- Corresponding author
- Fossum, Siri Ødegaard
- ORCID
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2024-07-08
- Volume
- 45
- Issue
- 8
- Pages
- 784-793
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W4400413866
- Cited by
- 5
- References
- 58
- Citations by year
- 2026: 3 · 2025: 2
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Issues in Mental Health Nursing (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- perceived coercion, quality of care, mental health services, psychiatric inpatient care, patient perspectives, patient participation, treatment planning, grievance procedures
- MeSH terms
- Adult, Aged, Mental Disorders, Coercion, Cross-Sectional Studies, Female, Humans, Male, Mental Health Services, Middle Aged, Norway, Quality of Health Care, Patient Satisfaction, Young Adult
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