Development of Human Rights-Based Practices in Psychiatry From People Living With Mental Health Problems Lived Experiences During Involuntary Hospitalization or Treatment An Interpretative Phenomenological Analysis Research Protocol

Main Article Content

David Pelosse
https://orcid.org/0000-0003-3206-9486
Pierre Pariseau-Legault
https://orcid.org/0000-0001-9833-0187

Abstract

Introduction: Worldwide, there is an increased use of coercion in psychiatry, particularly through involuntary hospitalization or treatment. Like many other Canadian provinces, Quebec is no exception. However, the therapeutic outcomes of these measures are questioned when compared to voluntary care. Given the infringement of human rights and freedoms, coercion in psychiatry has been contested by many organizations, including the World Health Organization (2021). Human rights-based practices have been recognized as an important nursing role in Quebec. However, these practices are often informal and poorly documented in scientific literature.


Objective: This article presents the research protocol of an interpretative phenomenological study that aims to understand the lived experiences of coercion and human rights-based practices in psychiatry from the perspectives of people living with mental health problems.


Methods: This qualitative study uses an interpretative phenomenological analysis design developed by Smith et al. (2009). In depth, one-on-one interviews along with socio-demographic questionnaire will be conducted with approximately 10 participants. Data analysis will follow an iterative and hermeneutic emergence coding process.


Discussion and conclusion: By centering human rights-based practices to the lived experiences of people living with mental health problems who encountered coercion, this study will highlight contributing and limiting factors to the recognition of human rights in nursing practices. This study will also promote the development of nursing knowledge and practices that can significantly contribute to individuals’ recovery process.

Article Details

How to Cite
Pelosse, D., & Pariseau-Legault, P. (2022). Development of Human Rights-Based Practices in Psychiatry From People Living With Mental Health Problems Lived Experiences During Involuntary Hospitalization or Treatment: An Interpretative Phenomenological Analysis Research Protocol. Science of Nursing and Health Practices, 5(1), 103–113. https://doi.org/10.7202/1090532ar
Section
Research protocol articles

References

Anadón, M. (2006). La recherche dite « qualitative » : de la dynamique de son évolution aux acquis indéniables et aux questionnements présents. Recherches qualitatives, 26(1), 5-31. http://www.recherche-qualitative.qc.ca/documents/files/revue/edition_reguliere/numero26(1)/manadon_ch.pdf

Antoine, P. et Smith, J. A. (2017). Saisir l’expérience : présentation de l’analyse phénoménologique interprétative comme méthodologie qualitative en psychologie. Psychologie française, 62(4), 373-385. https://doi.org/10.1016/j.psfr.2016.04.001

Bowen, G. A. (2019). Sensitizing concepts. Dans P. Atkinson, S. Delamont, A. Cernat, J. W. Sakshaug et R. A. Williams (dir.), SAGE Reasearch Methods Foundations. SAGE Publications. https://doi.org/10.4135/9781526421036788357

Conseil de recherches en sciences humaines, Conseil de recherches en sciences naturelles et en génie du Canada et Instituts de recherche en santé du Canada. (2018). Énoncé de politique des trois conseils : Éthique de la recherche avec des êtres humains. https://ethique.gc.ca/fra/home.html

Corring, D., O'Reilly, R. et Sommerdyk, C. (2017). A systematic review of the views and experiences of subjects of community treatment orders. International journal of law and psychiatry, 52, 74-80. https://doi.org/10.1016/j.ijlp.2017.03.002

Creswell, J. W. et Poth, C. N. (2018). Qualitative inquiry & research design: choosing among five approaches (4e éd.). SAGE Publications.

Darawsheh, W. (2014). Reflexivity in research: Promoting rigour, reliability and validity in qualitative research. International Journal of Therapy and Rehabilitation, 21(12), 560-568. https://doi.org/10.12968/ijtr.2014.21.12.560

Doedens, P., Vermeulen, J., Boyette, L.-L., Latour, C. et de Haan, L. (2020). Influence of nursing staff attitudes and characteristics on the use of coercive measures in acute mental health services - A systematic review. Journal of psychiatric and mental health nursing, 27(4), 446-459. https://doi.org/10.1111/jpm.12586

Fatania, V., De Boos, D., Tickle, A. et Connelly, D. (2019). How do inpatient psychiatric nurses make sense of and respond to behaviours in dementia? An Interpretative Phenomenological Analysis. Aging & Mental Health, 23(9), 1156-1163. https://doi.org/10.1080/13607863.2018.1479835

Fortin, M.-F. et Gagnon, J. (2016). Fondements et étapes du processus de recherche : méthodes quantitatives et qualitatives (3e éd.). Chenelière éducation.

Gerber, L. (2018). Understanding the nurse's role as a patient advocate. Nursing, 48(4), 55-58. https://doi.org/10.1097/01.NURSE.0000531007.02224.65

Goulet, M.-H., Pariseau-Legault, P., Côté, C., Klein, A. et Crocker, A. G. (2019). Multiple stakeholders’ perspectives of involuntary treatment orders: A meta-synthesis of the qualitative evidence toward an exploratory model. The International Journal of Forensic Mental Health, 19(1), 18-32. https://doi.org/10.1080/14999013.2019.1619000

Gray, J., Grove, S. K., Sutherland, S. et Burns, N. (2017). Burns and Grove's the practice of nursing research: appraisal, synthesis, and generation of evidence (8e éd.). Elsevier.

Gyollai, D. (2020). Getting into it in the wrong way: Interpretative phenomenological analysis and the hermeneutic circle. Nursing Philosophy, 21(2), e12294. https://doi.org/10.1111/nup.12294

Hawsawi, T., Power, T., Zugai, J. et Jackson, D. (2020). Nurses' and consumers' shared experiences of seclusion and restraint: A qualitative literature review. International journal of mental health nursing, 29(5), 831-845. https://doi.org/10.1111/inm.12716

Hem, M. H., Gjerberg, E., Husum, T. L. et Pedersen, R. (2018). Ethical challenges when using coercion in mental healthcare: A systematic literature review. Nursing Ethics, 25(1), 92-110. https://doi.org/10.1177/0969733016629770

Hunt, I. M., Webb, R. T., Turnbull, P., Graney, J., Ibrahim, S., Shaw, J., Kapur, N. et Appleby, L. (2021). Suicide rates among patients subject to community treatment orders in England during 2009–2018. BJPsych open, 7(6), e180. https://doi.org/10.1192/bjo.2021.1021

Jackson, C., Vaughan, D. R. et Brown, L. (2018). Discovering lived experiences through descriptive phenomenology. International Journal of Contemporary Hospitality Management, 30(11), 3309-3325. https://doi.org/10.1108/IJCHM-10-2017-0707

Jacques, M.-C. et Morin, P. (2019). Accompagner la personne vivant avec la schizophrénie. Institut universitaire de première ligne en santé et services sociaux. https://numerique.banq.qc.ca/patrimoine/details/52327/3737936?docpos=3

Jordan, J. T. et McNiel, D. E. (2019). Perceived coercion during admission into psychiatric hospitalization increases risk of suicide attempts after discharge. Suicide and Life-Threatening Behavior, 50(1), 180-188. https://doi.org/10.1111/sltb.12560

Kluijtmans, M., de Haan, E., Akkerman, S. et van Tartwijk, J. (2017). Professional identity in clinician-scientists: brokers between care and science. Medical education, 51(6), 645-655. https://doi.org/10.1111/medu.13241

Larkin, M., Shaw, R. et Flowers, P. (2019). Multiperspectival designs and processes in interpretative phenomenological analysis research. Qualitative Research in Psychology, 16(2), 182-198. https://doi.org/10.1080/14780887.2018.1540655

LégisQuébec. (2021a, 1er novembre). Code civil du Québec, RLRQ c CCQ-1991. http://legisquebec.gouv.qc.ca/fr/showdoc/cs/CCQ-1991

LégisQuébec. (2021b, 1er novembre). Loi sur la protection des personnes dont l’état mental présente un danger pour elles-mêmes ou pour autrui, RLRQ c P-38.001. http://legisquebec.gouv.qc.ca/fr/showdoc/cs/p-38.001

LégisQuébec. (2021c, 1er novembre). Loi sur les services de santé et les services sociaux, c S-4.2. http://legisquebec.gouv.qc.ca/fr/showdoc/cs/s-4.2

Lincoln, Y. S. et Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.

Macgregor, A., Brown, M. et Stavert, J. (2019). Are mental health tribunals operating in accordance with international human rights standards? A systematic review of the international literature. Health & Social Care in the Community, 27(4), e494-e513. https://doi.org/10.1111/hsc.12749

Ministère de la Santé et des Services sociaux du Québec. (2018). Cadre de référence en matière d'application de la Loi sur la protection des personnes dont l'état mental présente un danger pour elles-mêmes ou pour autrui - Garde en établissement de santé et de services sociaux. https://publications.msss.gouv.qc.ca/msss/fichiers/2017/17-917-07W.pdf

Ministère de la Santé et des Services sociaux du Québec. (2022). S’unir pour un mieux-être collectif - Plan d'action interministériel en santé mentale 2022-2026. https://publications.msss.gouv.qc.ca/msss/fichiers/2021/21-914-14W.pdf

Mjøsund, N. H., Eriksson, M., Espnes, G. A., Haaland-Øverby, M., Jensen, S. L., Norheim, I., Kjus, S. H., Portaasen, I. L. et Vinje, H. F. (2017). Service user involvement enhanced the research quality in a study using interpretative phenomenological analysis - the power of multiple perspectives. Journal of advanced nursing, 73(1), 265-278. https://doi.org/10.1111/jan.13093

Moroz, N., Moroz, I. et D’Angelo, M. S. (2020). Mental health services in Canada: Barriers and cost-effective solutions to increase access. Healthcare Management Forum, 33(6), 282-287. https://doi.org/10.1177/0840470420933911

Newton-Howes, G., Cook-Deegan, R., Majumder, M. A. et McGuire, A. L. (2019). Do Community Treatment Orders in Psychiatry Stand Up to Principalism: Considerations Reflected through the Prism of the Convention on the Rights of Persons with Disabilities. Journal of Law, Medicine & Ethics, 47(1), 126-133. https://doi.org/10.1177/1073110519840492

Noble, H. et Smith, J. (2015). Issues of validity and reliability in qualitative research. Evidence-based nursing, 18(2), 34-35. https://doi.org/10.1136/eb-2015-102054

O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A. et Cook, D. A. (2014). Standards for Reporting Qualitative Research: A Synthesis of Recommendations. Academic Medicine, 89(9), 1245-125. https://doi.org/10.1097/acm.0000000000000388

Organisation mondiale de la Santé. (2021). Guidance on community mental health services: Promoting person-centered and rights-based approaches. https://www.who.int/publications/i/item/9789240025707

Pariseau-Legault, P., Goulet, M.-H. et Crocker, A. G. (2019). Une analyse critique des effets de l’autorisation judiciaire de soins sur la dynamique relationnelle entre la personne visée et ses systèmes de soutien. Aporia, 11(1), 41-55. http://dx.doi.org/10.18192/aporia.v11i1.4496

Pariseau-Legault, P., Vallée-Ouimet, S., Jacob, J. D. et Goulet, M.-H. (2020). Intégration des droits humains dans la pratique du personnel infirmier faisant usage de coercition en santé mentale : recension systématique des écrits et méta-ethnographie. Recherche en soins infirmiers, 142, 53-76. https://doi.org/10.3917/rsi.142.0053

Protecteur du citoyen. (2011). Les difficultés d’application de la Loi sur la protection des personnes dont l’état mental présente un danger pour elles-mêmes ou pour autrui (L.R.Q., c.P-38.001). https://protecteurducitoyen.qc.ca/fr/enquetes/rapports-speciaux/les-difficultes-d-application-de-la-loi-sur-la-protection-des-personnes-dont-l-etat-mental-presente-un-danger-pour-elles-memes-ou-pour-autrui-l-r-q-c-p-38-001-

Robinson, O. C. (2014). Sampling in Interview-Based Qualitative Research: A Theoretical and Practical Guide. Qualitative Research in Psychology, 11(1), 25-41. https://doi.org/10.1080/14780887.2013.801543

Rugkåsa, J. et Burns, T. (2017). Community treatment orders: Are they useful? BJPsych Advances, 23(4), 222-230. https://doi.org/10.1192/apt.bp.115.015743

Sashidharan, S. P., Mezzina, R. et Puras, D. (2019). Reducing coercion in mental healthcare. Epidemiology and psychiatric sciences, 28(6), 605-612. https://doi.org/10.1017/S2045796019000350

Savoie-Zajc, L. (2019). Les pratiques des chercheurs liées au soutien de la rigueur dans leur recherche : une analyse d’articles de Recherches qualitatives parus entre 2010 et 2017. Recherches qualitatives, 38(1), 32-52. https://doi.org/10.7202/1059646ar

Seed, T., Fox, J. R. E. et Berry, K. (2016). The experience of involuntary detention in acute psychiatric care. A review and synthesis of qualitative studies. International Journal of Nursing Studies, 61, 82-94. https://doi.org/10.1016/j.ijnurstu.2016.05.014

Smith, J. A. (2011). Evaluating the contribution of interpretative phenomenological analysis. Health Psychology Review, 5(1), 9-27. https://doi.org/10.1080/17437199.2010.510659

Smith, J. A., Flowers, P. et Larkin, M. (2009). Interpretative phenomenological analysis: theory, method and research (1ère éd.). SAGE Publications.

Smith, J. A. et Osborn, M. (2003). Interpretative phenomenological analysis. Dans J. A. Smith (dir.), Qualitative psychology: a practical guide to research methods (p. 51-80). SAGE Publications.

Sugiura, K., Mahomed, F., Saxena, S. et Patel, V. (2020). An end to coercion: rights and decision-making in mental health care. Bulletin of the World Health Organization, 98(1), 52-58. https://doi.org/10.2471/BLT.19.234906

Sylvain, H. (2008). Le devis constructiviste : une méthodologie de choix en sciences infirmières. L’Infirmière clinicienne, 5, 1-11. https://revue-infirmiereclinicienne.uqar.ca/Parutions/pdf/InfirmiereClinicienne-vol5no1-Sylvain.pdf

Wyder, M., Bland, R. et Crompton, D. (2016). The importance of safety, agency and control during involuntary mental health admissions. Journal of Mental Health, 25(4), 338-342. https://doi.org/10.3109/09638237.2015.1124388