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An Interview Study of Professional Carers’ Experiences of Supporting Patient Participation in a Maximum Security Forensic Psychiatric Setting

Söderberg, Andreas ; Wallinius, Märta LU and Hörberg, Ulrica (2020) In Issues in Mental Health Nursing 41(3). p.201-210
Abstract

Patient participation in forensic psychiatric settings seems to be complex by nature, and previous studies show that patients rate their participation as lower in this context compared to general psychiatric contexts. Studies on caregivers’ perspective could provide a clearer picture of the components and possibilities of patient participation in forensic psychiatry. The aim of the study is to describe carers’ experiences in supporting patient participation in a maximum security forensic psychiatric care setting. Twelve psychiatric caregivers were interviewed about how they support patients’ participation. The result shows that a complexity of patient participation emerges as a difficult act of balancing the paradoxical role of caring... (More)

Patient participation in forensic psychiatric settings seems to be complex by nature, and previous studies show that patients rate their participation as lower in this context compared to general psychiatric contexts. Studies on caregivers’ perspective could provide a clearer picture of the components and possibilities of patient participation in forensic psychiatry. The aim of the study is to describe carers’ experiences in supporting patient participation in a maximum security forensic psychiatric care setting. Twelve psychiatric caregivers were interviewed about how they support patients’ participation. The result shows that a complexity of patient participation emerges as a difficult act of balancing the paradoxical role of caring for the patient’s interests and development, while simultaneously representing and adhering to the rules and regulations of the system in which one is employed. In conclusion, it is suggested that participation is comprehended as an umbrella term and that focus is directed to conceptualising what caregivers can do in order to create positive patient-carer relationships, as well as what constitutes such a relationship.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Issues in Mental Health Nursing
volume
41
issue
3
pages
10 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85075585931
  • pmid:31765239
ISSN
0161-2840
DOI
10.1080/01612840.2019.1658833
language
English
LU publication?
yes
id
bba4708c-fe50-4806-9ee9-b2d811345ce6
date added to LUP
2019-12-10 12:16:25
date last changed
2024-06-12 05:17:00
@article{bba4708c-fe50-4806-9ee9-b2d811345ce6,
  abstract     = {{<p>Patient participation in forensic psychiatric settings seems to be complex by nature, and previous studies show that patients rate their participation as lower in this context compared to general psychiatric contexts. Studies on caregivers’ perspective could provide a clearer picture of the components and possibilities of patient participation in forensic psychiatry. The aim of the study is to describe carers’ experiences in supporting patient participation in a maximum security forensic psychiatric care setting. Twelve psychiatric caregivers were interviewed about how they support patients’ participation. The result shows that a complexity of patient participation emerges as a difficult act of balancing the paradoxical role of caring for the patient’s interests and development, while simultaneously representing and adhering to the rules and regulations of the system in which one is employed. In conclusion, it is suggested that participation is comprehended as an umbrella term and that focus is directed to conceptualising what caregivers can do in order to create positive patient-carer relationships, as well as what constitutes such a relationship.</p>}},
  author       = {{Söderberg, Andreas and Wallinius, Märta and Hörberg, Ulrica}},
  issn         = {{0161-2840}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{201--210}},
  publisher    = {{Taylor & Francis}},
  series       = {{Issues in Mental Health Nursing}},
  title        = {{An Interview Study of Professional Carers’ Experiences of Supporting Patient Participation in a Maximum Security Forensic Psychiatric Setting}},
  url          = {{http://dx.doi.org/10.1080/01612840.2019.1658833}},
  doi          = {{10.1080/01612840.2019.1658833}},
  volume       = {{41}},
  year         = {{2020}},
}