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Mental Health Nurses’ Experiences of Risk Assessments for Care Planning in Forensic Psychiatry

Nyman, Marielle LU ; Hofvander, Björn LU ; Nilsson, Thomas LU and Wijk, Helle LU (2020) In International Journal of Forensic Mental Health 19(2). p.103-113
Abstract

The risk of patients committing violence implies major challenges throughout the care process in forensic psychiatry and brings risk assessments to the fore. The aim was to explore nurses’ experiences of risk assessments for their care planning and risk management in forensic psychiatry. Data were collected through focus groups with 15 nurses. The qualitative content analysis followed a deductive approach guided by the person-centered philosophy. When exploring nurses’ reasoning on risk assessment, units related to person-centered principles were identified. The findings showed that nurses made great efforts to confirm the unique person behind the patient, even when challenged by patients’ life histories of violence. They also regarded... (More)

The risk of patients committing violence implies major challenges throughout the care process in forensic psychiatry and brings risk assessments to the fore. The aim was to explore nurses’ experiences of risk assessments for their care planning and risk management in forensic psychiatry. Data were collected through focus groups with 15 nurses. The qualitative content analysis followed a deductive approach guided by the person-centered philosophy. When exploring nurses’ reasoning on risk assessment, units related to person-centered principles were identified. The findings showed that nurses made great efforts to confirm the unique person behind the patient, even when challenged by patients’ life histories of violence. They also regarded therapeutic alliance as crucial, although this needed to be balanced between caring and restricting actions. A fruitful strategy to preserve therapeutic alliance may be to increase the use of a structured focus on protective factors in treatment plans towards promoting recovery-oriented policies and practices.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
care planning, forensic psychiatry, Person-centered care, qualitative content analysis, risk assessment
in
International Journal of Forensic Mental Health
volume
19
issue
2
pages
11 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85070521765
ISSN
1499-9013
DOI
10.1080/14999013.2019.1646356
language
English
LU publication?
yes
id
768851c6-1e2d-47aa-9a3e-22a66846f079
date added to LUP
2019-08-23 13:25:22
date last changed
2020-12-29 04:18:06
@article{768851c6-1e2d-47aa-9a3e-22a66846f079,
  abstract     = {<p>The risk of patients committing violence implies major challenges throughout the care process in forensic psychiatry and brings risk assessments to the fore. The aim was to explore nurses’ experiences of risk assessments for their care planning and risk management in forensic psychiatry. Data were collected through focus groups with 15 nurses. The qualitative content analysis followed a deductive approach guided by the person-centered philosophy. When exploring nurses’ reasoning on risk assessment, units related to person-centered principles were identified. The findings showed that nurses made great efforts to confirm the unique person behind the patient, even when challenged by patients’ life histories of violence. They also regarded therapeutic alliance as crucial, although this needed to be balanced between caring and restricting actions. A fruitful strategy to preserve therapeutic alliance may be to increase the use of a structured focus on protective factors in treatment plans towards promoting recovery-oriented policies and practices.</p>},
  author       = {Nyman, Marielle and Hofvander, Björn and Nilsson, Thomas and Wijk, Helle},
  issn         = {1499-9013},
  language     = {eng},
  number       = {2},
  pages        = {103--113},
  publisher    = {Taylor & Francis},
  series       = {International Journal of Forensic Mental Health},
  title        = {Mental Health Nurses’ Experiences of Risk Assessments for Care Planning in Forensic Psychiatry},
  url          = {http://dx.doi.org/10.1080/14999013.2019.1646356},
  doi          = {10.1080/14999013.2019.1646356},
  volume       = {19},
  year         = {2020},
}