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Self‐Reported Perceptions of Patients and Staff on Participation and Verbal and Social Interactions in High‐Security Forensic Psychiatric Care in Sweden
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-7304-4771
Lund University, Sweden.ORCID iD: 0000-0003-0530-9560
University of Gothenburg, Sweden.ORCID iD: 0000-0003-0761-960X
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-8115-5359
Show others and affiliations
2024 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850Article in journal (Refereed) Epub ahead of print
Abstract [en]

Introduction: Studies suggest that experiences of patient participation, as described by both patients and staff, are associated with a significant caring relationship of high quality.

Aim: This study aimed to investigate staffs' and patients' self-reported perceptions on participation and the frequency and importance of verbal and social interactions in high security forensic psychiatry.

Method: The questionnaire Verbal and Social Interactions (VSI) was used together with the subscale Participation from Qualityin Psychiatric Care (QPC). The study was conducted at a large forensic psychiatric clinic in Sweden.

Results: Staff and patients rated the frequency of VSI differently while reporting the same perceived degree of patient participation. All categories of VSI were significantly correlated with perceived level of participation with medium or small effect size for the patients.

Discussion: Patients' perceived participation seems to depend on verbal and social interaction within the specific categories ‘Showing interest in the patients’ feelings, experiences, and behavior’ and ‘Helping the patients establish structure and routines in their everyday life’. There was, however, a negative association for the latter.

Implications for Practice: The results give a better understanding of what kind of interactions that affect patients' perceived level of participation.

Relevance Statement: Patient participant is a prioritised area for development in forensic psychiatry. The study contributes to a better understanding of what types of interactions that affect the perceived level of participation, while at the same time, it shows important similarities and differences between patient and staff perspectives

Place, publisher, year, edition, pages
John Wiley & Sons, 2024.
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-132735DOI: 10.1111/jpm.13105ISI: 001312376600001Scopus ID: 2-s2.0-85204089680OAI: oai:DiVA.org:lnu-132735DiVA, id: diva2:1900603
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2024-09-24 Created: 2024-09-24 Last updated: 2024-11-28
In thesis
1. Patientdelaktighet i rättspsykiatrisk vård: Vårdprocess och vårdvardag
Open this publication in new window or tab >>Patientdelaktighet i rättspsykiatrisk vård: Vårdprocess och vårdvardag
2024 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Purpose: The overall purpose of this dissertation is to describe how patient participation can be understood in the context of high-security care in forensic psychiatry, where individuals are subjected to compulsory care.

Design and method: The dissertation is primarily based on a phenomenological foundation, employing a reflective lifeworld approach. Three studies were conducted using interviews, and one study utilized questionnaires with descriptive and comparative statistics.

Main result: In many ways, both patients and staff share a consensus regarding patient participation in forensic psychiatric care. From their respective perspectives, similar obstacles and challenges are described, while good care and the experience of participation are strongly linked to what occurs within the caring relationship. However, it cannot be ignored that participation is not solely about good treatment and meaningful relationships. Forensic psychiatric care is carried out under compulsion within a legal system that is difficult for patients to understand and may be perceived as unjust. Participation must therefore be understood from a broader perspective than just everyday care, as everyday care is part of a larger care process.

Conclusions: Caregivers and patients associate patient participation in a high-security forensic psychiatric environment with significant caring relationships. A strong caring relationship seems to partially compensate for many situations characterized by non-participation. The studies suggest that staff need support in understanding the complexities of forensic psychiatry in order to better support patients throughout the care process. Therefore, a clinical implication is to help caregivers understand the forensic psychiatric system themselves so that they can explain it to patients and engage in discussions about jurisprudence related to forensic care.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2024. p. 85
Series
Linnaeus University Dissertations ; 545
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-133033 (URN)10.15626/LUD.545.2024 (DOI)9789180822091 (ISBN)9789180822107 (ISBN)
Public defence
2024-11-08, Newton, hus C, Växjö, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2024-10-18 Created: 2024-10-17 Last updated: 2024-10-24Bibliographically approved

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Söderberg, AndreasHörberg, UlricaRask, Mikael

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