Direct coercion – challenges for nursing practice

Abstract Introduction. Direct coercion is a part of medical intervention in which the patient’s autonomy as a basic human right is limited. In clinical practice, there are situations in which the use of coercion is indeed necessary to protect the patient and his/her environment against the effects of growing aggression. A very important element of action in such cases is to ensure the safety of both the patient through professional care, and of the personel executing the coercive measure. Aim. The aim of this thesis is to analyze the legal scope and applicability of coercive measures in nursing practice. Method. The exegesis of a legal text was used, which allows to present the legal conditions and rules of conduct in case of using direct coercion in psychiatric institutions and non-psychiatric units. Conclusions. Regardless of the type of institution, the decision to use direct coercion should be carefully considered in terms of both the patient’s good and safety. This is a unique operation. It should be done in accordance with legal guidelines in this regard, what significantly determines the employees’ safety.