Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients’ autonomy. Therefore having ethical judgment is necessary to know when to use paternalism. To take note of patients’ experiences may increase awareness, making care more patient-centered. Aim To describe patients’ experiences of coercive care and coercive interventions in psychiatric care. Method A literature review has been conducted in order to compile what is currently known about the topic at hand. The result is based on ten scientific articles with findings responding to the aim of this study. The articles have been analyzed by identifying similarities and differences that have synthesized to a new whole.   Result The literature review yielded a profound view of patients’ experiences when being in coercive care. Three main themes were found to cover the phenomenon. Those were Coercive Care - limits and possibilities, The care relationship is fundamental and From abuse to life saving. Discussion The result has been discussed using the theory about Care Suffering, as described by Katie Eriksson. This theory is applicable on the context of interest. The findings has also been discussed using earlier studies concerning coercive care, as well as studies emphasizing the perspective of the nurse’s using coercive restraint. Key words Coercive care, coercive interventions, psychiatric care, patients’ experiences.

Bakgrund: Patienter som ofta vårdas inom den psykiatriska slutenvården är patienter med psykotiska störningar, depression och patienter med risk för självmord. Tvångsåtgärder som kan förekomma på en psykiatrisk vårdavdelning kan exempelvis vara bältesläggning, tvångsmedicinering och isolering. För att en sjuksköterska ska kunna vårda dessa patienter behövs såväl kunskap som förståelse. För att axla denna roll behöver sjuksköterskor mer forskning som är fokuserad på patienters erfarenheter. Syfte: Syftet med studien var att beskriva patienters erfarenheter av sluten psykiatrisk tvångsvård samt att beskriva de inkluderade artiklarnas urvalsmetod och undersökningsgrupp. Metod: Litteraturstudien genomfördes med en beskrivande design. Studien innefattas av elva stycken kvalitativa vetenskapliga artiklar som svarar på studiens syfte. Resultat: Fem teman var grunden till beskrivningen av denna litteraturstudie: Betydelsen av relationen till vårdpersonalen, Betydelsen av information, Förståelsen av att vårdas mot sin vilja, Erfarenheter av tvångsåtgärder samt Erfarenheter av vårdmiljön. Resultatet avslutas med en beskrivning av artiklarnas urvalsmetod och urvalsgrupp. Slutsats: Patienter beskrev både bra och dåliga erfarenheter av sluten psykiatrisk tvångsvård. Viktiga aspekter som framgick enligt patienterna var: God information, god relation till vårdpersonal, förståelse samt en god vårdmiljö. Det är av stor vikt att sjuksköterskan har god kunskap om patienters erfarenheter för att kunna ge så god omvårdnad som möjligt. / Background: Patient who is treated in a locked psychiatric coercive care unit is patient with psychotic disorders, depression and patients with risk for suicide. Coercive measures that may be present in a psychiatric ward could be, for example medical restraint, forced medication and isolation. For a nurse to be able to care this patients who is in a need for good care it´s important with knowledge and understanding. To handle this role, nurses need more research and focus at the experiences of patients. Purpose: The aim of this study was to describe patient´s experience of a locked psychiatric coercive care unit. Present the selected articles' selection method and study group. Method: This is a literature study with a descriptive design. In this study eleven articles of qualitative approach are included to answer to the purpose of this study. Results: The result is based on five themes: Significance of relationship with health professionals, Significance of information, Understandning of being cared against their own will, Experience of being cared under coercion and Experience of the care environment. The last part om the result descibe the selctions method and the of the study group of the article. Conclusion: Patients described both good and bad experiences of locked psychiatric care. According to the patient important aspects was: Good information, Good Relationships with the health professionals and understanding, God care environment. It´s of great importance that the nurses have good knowledge about patients experience to be able to give such good nursing care as possible.