RT Article T1 Justifying Coercion JF Nursing ethics VO 12 IS 4 SP 370 OP 380 A1 Vuckovich, Paula K A1 Artinian, Barbara M LA English PB Sage YR 2005 UL https://www.ixtheo.de/Record/1779443854 AB A grounded theory study of psychiatric nurses’ experiences of administering medication to involuntary psychiatric patients revealed a basic social process of justifying coercion. Although the 17 nurses interviewed all reported success at avoiding the use of coercion, each had an individual approach to using the nurse-patient relationship to do this. However, all the nurses used the same process to reconcile themselves to using coercion when it became necessary. This has three stages: assessment of need; negotiation; and justifying and taking coercive action. Two critical junctures - decision to engage and impasse - determine the progression from one stage to the next. The process of justifying coercion allows a nurse to engage in behavior generally disapproved of while retaining a self-image of a ‘good’ nurse. K1 psychotropic medication K1 psychiatric nursing K1 Mental Illness K1 involuntary hospitalization K1 Ethics K1 Coercion DO 10.1191/0969733005ne802oa