Involving patients in forensic mental health care

让病人参与他们的护理，赋予他们权力并尊重他们的意见，是改善精神卫生保健的一个重要方面。先前的研究试图了解患者对参与精神卫生保健的看法，以及护士对患者选择护理计划的看法。然而，很少注意到病人参与法医精神卫生保健。这可能是因为他们是精神错乱的罪犯，必须住院治疗，似乎很难建立融洽的关系。尽管法医精神卫生保健很复杂，但研究人员最近对患者对其护理的看法表现出了兴趣。目前尚不清楚的是，精神卫生护士和病人对日本法医精神卫生单位的病人参与的看法。本研究的目的是探讨护士和住院病人对法医精神卫生单位病人参与的看法。研究设计：本研究采用解释学现象学研究方法，探讨人们对患者参与的看法。这项分析的发现揭示了五个主要问题。分别是：(1)护士对患者参与的理解；(2)人们对法医精神卫生护理中患者选择的看法；(3)法医精神卫生单位患者参与的护理策略；(4)患者参与护理计划的体验；(5)患者参与背景下患者与护士之间的人际关系。

Involving patients in their care, empowering them and respecting their views are a part of grovel concern in the improvement of mental health care. Previousstudies have attempted to understand patients’ views of engagement with mental health care and nurses’ views of patient choice in care planning. However, little attention has been given to patient involvement in forensic mental health care. This might be because they are mentally disordered offenders, compulsory hospitalised and seem to be difficult people to develop rapport. Despite the complexes in forensic mental health care, researchers have recently shown an interest in patients’ perspectives of their care. What is not yet clear is mental health nurses’ and patients’ views of patient involvementin Japanese forensic mental health units. The aim of the study was to explore nurses’ and in-patients’ views of patient involvement in forensic mental health units. The study design: the study employed a hermeneutic phenomenological research approach to explore people’s views of patient involvement. The findings of this analysis revealed five main things. These were (1) meaning of patient involvement from nurses’ perspective, (2) people’s views of patient choice in forensic mental health care, (3) nursing strategies for patient involvement in a forensic mental health unit, (4) patient experience of involvement in care planning, and (5) interpersonal relations between patients and nurses in the context of patient involvement.