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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

Söderberg, Andreas ; Wallinius, Märta LU ; Munthe, Christian ; Hörberg, Ulrica and Rask, Mikael LU (2025) In Journal of Psychiatric and Mental Health Nursing 32(2). p.263-275
Abstract

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 Quality in 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... (More)

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 Quality in 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.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
forensic psychiatry, mental health settings, quantitative methodology
in
Journal of Psychiatric and Mental Health Nursing
volume
32
issue
2
pages
263 - 275
publisher
Wiley-Blackwell
external identifiers
  • scopus:86000431808
  • pmid:39277822
  • scopus:85204089680
ISSN
1351-0126
DOI
10.1111/jpm.13105
language
English
LU publication?
yes
id
e6b55d17-5b97-46fb-be31-329830982246
date added to LUP
2024-11-27 13:26:14
date last changed
2025-07-10 21:03:55
@article{e6b55d17-5b97-46fb-be31-329830982246,
  abstract     = {{<p>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 Quality in 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.</p>}},
  author       = {{Söderberg, Andreas and Wallinius, Märta and Munthe, Christian and Hörberg, Ulrica and Rask, Mikael}},
  issn         = {{1351-0126}},
  keywords     = {{forensic psychiatry; mental health settings; quantitative methodology}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{263--275}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of Psychiatric and Mental Health Nursing}},
  title        = {{Self-Reported Perceptions of Patients and Staff on Participation and Verbal and Social Interactions in High-Security Forensic Psychiatric Care in Sweden}},
  url          = {{http://dx.doi.org/10.1111/jpm.13105}},
  doi          = {{10.1111/jpm.13105}},
  volume       = {{32}},
  year         = {{2025}},
}