'I know what I need to recover': Patients' experiences and perceptions of forensic psychiatric inpatient care
'I know what I need to recover': Patients' experiences and perceptions of forensic psychiatric inpatient care
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DOI：
10.1111/inm.12667
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发表时间：
2019-10-23
影响因子：
5.6
通讯作者：
Gabrielsson, Sebastian
中科院分区：
文献类型：
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作者：
Marklund, Lisa;Wahlroos, Terese;Gabrielsson, Sebastian
病人认为法医精神病护理不充分，因为他们没有被视为个人，也没有参与自己的护理。摘要本研究旨在探讨精神科住院病患对司法精神科照护之经验与认知。对11名住院患者进行了半结构化访谈。一个定性的内容分析导致了一个反复出现的主题，“我知道我需要恢复”，和三个主要类别：“需要在一个微薄的存在意义”，“需要成为一个人在一个客观的背景下”，和“需要在一个有限的生活赋权”。参与者体验和感知法医护理主要是单调的，预先确定的，不适应他们作为个人，迫使他们战斗和适应通过它，而不是失去自己。由于护理的内容和结构，工作人员在很大程度上忽视或反对感知的需求。研究结果表明，需要反思的做法和病人的参与，以发展和保持以人为本，以恢复为导向的护理实践。这项研究增加了以前的研究显示，在法医精神病住院治疗的病人被倾听和参与他们的护理的重要性。本研究按照COPLAN指南进行报告。
Patients find forensic psychiatric care inadequate in that they are not treated as individuals and not involved in their own care. The purpose of this study was to describe patients' experiences and perceptions of forensic psychiatric inpatient care. Semi-structured interviews were conducted with 11 inpatients. A qualitative content analysis resulted in a recurring theme, 'I know what I need to recover', and three main categories: 'A need for meaning in a meagre existence', 'A need to be a person in an impersonal context', and 'A need for empowerment in a restricted life'. Participants experienced and perceived forensic care as predominantly monotonous, predetermined, and not adapted to them as individuals, forcing them to fight and adapt to get through it and not lose themselves. Perceived needs were largely ignored or opposed by staff due to the content and structure of care. Findings suggest a need for reflective practices and patient involvement in order to develop and maintain a person-centred and recovery-oriented nursing practice. The study adds to previous research showing the importance of patients in forensic psychiatric inpatient care being listened to and involved in their care. The study is reported in accordance with the COREQ guidelines.