Dissertations / Theses on the topic 'Forensic psychiatric nursing Victoria'
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Robinson, David Keith. "Developing clinical quality indicators in psychiatric nursing." Thesis, Anglia Ruskin University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.259517.
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Dickens, Geoff. "Nursing in secure and forensic psychiatry : contexts, contributions and concepts." Thesis, University of Northampton, 2011. http://nectar.northampton.ac.uk/8854/.
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Prince, Anne Patricia. "Practice nurses educational needs in mental health : a descriptive exploratory survey : a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1029.
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Davies, Lesley. "Vicarious traumatization : the impact of nursing upon nurses : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Nursing (Clinical) /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1227.
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Bergqvist, Caroline, and Sofia Tingberg. "En fråga med dolda svar : en registerstudie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9411.
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Background: Since 2008 there is a law stating that patients who do not require institutional forensic psychiatric care may be moved to non-institutional forensic care, with special conditions. RättspsyK is a national quality register where all of the 25 forensic care units in Sweden collect information about their patients and their care. Previous analysis showed that a considerable amount of patients continue to receive institutional forensic psychiatric care despite they are assessed and found ready to move onto non-institutional forensic care. Aim: The objective of this study was to identify factors affecting why patients were still in institutional forensic care despite assessed to be ready for non-institutional forensic care.Method: First, yearly assessment of each patient between 2009 and 2014 was drawn from the RättspsyK register. Answers to the specific question, Question 10, were analyzed with descriptive statistics and were planned to be used in regression analyses as dependent variable. Result: 1900 patients were included. During analyses the fact that answers to this question were not trustable was found, therefore no exact prevalence of inpatients kept in institutional forensic care despite assessed ready for non-institutional care could be determined. Other information revealed that lack of housing and lack of collaboration were the most frequent reasons for this phenomenon. Conclusion: The present study could not give answer to the original question, but pointed out avalidity problem in the Swedish Forensic Psychiatry Register. The result calls for caution and for the need of validation of RättspsyK register.
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Engel, Alexander Adolf. "Die afbakening van die rol en funksies van die forensiese psigiatriese verpleegpraktisyn in 'n geselekteerde forensiese psigiatriese eenheid in die Wes-Kaap." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53366.
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Thesis (MCur)--Stellenbosch University, 2003.ENGLISH ABSTRACT: No clear description exists in S.A. of the role and functions of a forensic psychiatric nurse. The researcher conducted a research project based on more than 20 years of practice experience to define and describe the role and functions of the forensic nurse practitioner. A non-experimental descriptive study was done. Questionnaires and checklists were compiled to determine the perceptions of forensic psychiatric patients/clients (n =24) and nursing staff (n = 15) .The nursing activities in a selected forensic psychiatric unit was evaluated through nonparticipative observation. Results indicated that: • Patients experienced their environment as isolated and has a need for better support by the nursing staff; • Nursing staff indicated their need for more specific training in forensic psychiatric nursing; and • A need exists for specific protocols and procedures to guide his/her practice. The recommendations are made that: • A special training program for forensic psychiatric nursing needs to be planned and implemented; and • Procedures and guidelines must be established to guide the practice of the nurse practitioner.
AFRIKAANSE OPSOMMING: Daar bestaan in S.A. geen duidelike omskrywing van die rol en funksies van die forensiese psigiatriese verpleegkundige nie. Die navorser het gegrond op meer as 20 jaar praktykervaring 'n navorsingsprojek gedoen om die rol en funksies van die verpleegpraktisyn te definieer en te omskryf. 'n Nie-eksperimentele, beskrywende studie is gedoen. Vraelyste en kontrolelyste is opgestel om die persepsies van forensiese psigiatriese pasiënte/kliënte (n=24) en verpleegpersoneel (n=15) te bepaal. Die verpleegaktiwiteite in 'n geselekteerde forensiese psigiatriese eenheid is deur nie-deelnemende observasie geëvalueer. Resultate het daarop gedui dat: • Pasiënte hulle omgewing as geïsoleerd ervaar en het 'n behoefte aan beter ondersteuning deur die verpleegpersoneel; • Verpleegpersoneel het aangedui dat hulle 'n behoefte het aan spesifieke opleiding in forensiese psigiatriese verpJeging;en • Daar 'n behoefte is aan spesifieke protokolle en prosedures om sy/haar praktyk te rig . Die aanbevelings word gemaak dat: • 'n Spesiale opleidingsprogram vir forensiese psigiatriese verpleging beplan en geïmplementeer word; en • Prosedures en riglyne daargestel moet word om die praktyk van die verpleegpraktisyn te rig.
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Carnell, Heidi. "Forensic nursing staff and aggressive challenging behaviour : the influence of psychiatric diagnosis on causal attributions, explanations and therapeutic optimism." Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/31207.
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Objectives: The aim of the current study was to investigate whether forensic nursing staff who worked with different patient groups (i.e. learning disability, mental illness, or personality disorder): made different causal attributions for an episode of aggressive challenging behaviour; drew on different causal models to explain the behaviour; reported different levels of optimism regarding the efficacy of therapeutic intervention for the behaviour; and reported different beliefs about the future risk of the behaviour.;Design and Method: A between-subjects design was employed. Eighty-eight nursing staff working within one of three Directorates in a high security hospital, read a vignette depicting an episode of aggressive challenging behaviour and completed a self-report questionnaire. Participants were required to make causal attributions along Weiner's (1980) dimensions of controllability, locus and stability and to provide causal explanations in accordance with five models of challenging behaviour (Hastings, 1997b). Participants also rated their therapeutic optimism and beliefs about future risk of the challenging behaviour occurring. Data were analysed using non-parametric tests of difference (Kruskal-Wallis test) and association (Spearman's Rank Order Correlation).;Results: Overall, the three participant groups did not make significantly different causal attributions, report different levels of therapeutic optimism, or different beliefs about future risk. Participants who worked with patients with a personality disorder were significantly more likely than participants who worked with patients with learning disabilities to consider an emotional causal model when seeking to explain the behaviour. All three participant groups held concurrent explanations for the behaviour. Participants cited psychological interventions as being useful in reducing the behaviour, but mainly referred to reactive physical strategies with commenting on their training.;Conclusions: Clinical implications of the current study are explored and suggestions made concerning the role of forensic nursing staff and clinical psychologists in addressing aggressive challenging behaviour. Directions for future research are suggested.
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Murtagh, Lynley. "The impacts of working with people experiencing suicidal ideation : mental health nurses describe their experience : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." Researcharchive @Victoria, 2008. http://hdl.handle.net/10063/881.
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Forsgren, Emma, and Natalia Wodniok. ""Man känner igen missbrukets ansikte efter ett tag..." : En kvalitativ studie om kompetens och bemötande av patienter som är drogpåverkade på rättspsykiatriska avdelningar." Thesis, Högskolan Väst, Avdelningen for hälsopromotion och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-11094.
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Background. Research shows that 91.2% of inpatients at forensic psychiatric wards have a history of drug use and a third of those patients use drugs frequently. To be able to confront and address patients with substance abuse on the ward, the working staff needs to have adequate competence concerning the ability to understand who the patients are. Aim. The aim of this study was to explore how the working staff use their competence when interacting with patients who are influenced by drugs on forensic psychiatric wards. Method. The study was conducted in the western parts of Sweden and at three forensic psychiatric wards. The study was designed after a qualitative design and based on an empirical approach with interviews. The data was collected by interviewing a total of six informants through semi-structured interviews. The interviews were analysed using a qualitative content analysis. Results. The result ended up in eight themes, showing that informants in this study used their competence to recognize substance abuse, to help the patients navigating around potential dangers and create a caring relation. Further they trusted their experience, but all informants requested further education. Conclusion. The informants in this study expressed that they had good strategies in terms of supporting and rehabilitating patients with substance abuse. All informants requested further education about preventing relapse, knowledge about drug abuse and knowing how to work after a relapse.
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Hörberg, Ulrica. "Att vårdas eller fostras. Det rättspsykiatriska vårdandet och traditionens grepp." Doctoral thesis, Växjö universitet, Institutionen för vårdvetenskap och socialt arbete, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-1943.
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To be sentenced to care in the forensic psychiatric services can be seen as one of the most comprehensive encroachments society can make on a person's life and being, as it entails a limitation of the individual's freedom but with no time limit. The aim of this dissertation is to describe caring in forensic psychiatry based on how it is experienced by those who perform the caring and by those are cared for in a maximum secure unit. A reflective lifeworld approach, based on phenomenological philosophy, has been applied. The data has been collected in interviews that have been analyzed by use of a meaning analysis searching for the essence of the phenomenon. The results of the research are presented in two empirical studies and a general structure based on the empirical findings. The dissertation also contains an excursus, a philosophical intermediate chapter containing further analysis of the results of the studies. The results show how the forensic psychiatric care is experienced as being non-caring by the patients with only small "pockets" of good care. Caring consists of corrective techniques that are unreflected and contradictory, where the conditions are determined by the caregivers and the ward culture. The correcting takes place through the modification of the patients' behaviour with the aim of the patients having to adapt themselves to the terms of the care provision. This care results in the patients trying, by use of different strategies, to adapt them-selves to the demands of the caregivers in order to gain privileges. At the same time the patients long to get away from the care system and are lacking real, meaningful and close relationships. To be the subject of care entails struggling against an approaching overwhelming sense of resignation and to care entails experiencing both power and powerlessness in performing the care. A destructive power struggle is being waged within forensic psychiatric care that suppresses the caring potential and true caring is thus elusive. The characteristics of forensic psychiatric care, based on the results of the research, are clarified in the dissertation's excursus. These include the corrective and disciplinary nature of forensic psychiatric care, its power and how this is materialized in care situations as well as the influence of tradition on current forensic psychiatric care in the light of the work of the French philosopher Michel Foucault. The dissertation shows that if the caring potential is to be able to be developed and form a caring nucleus for forensic psychiatric care then education levels need to be further developed. A caring culture and caring environment is needed where true caring can gain a foothold. In order for this to become a possibility the current caring culture and environment must be clarified, questioned and examined. The prevalent fundamental ideas in forensic psychiatric care have to be "jeopardized" and challenged by new scientifically based ideas on what constitutes true caring in this context.
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Berg, Sascha, and Maria Pakou. "Delaktighet i rättspsykiatrisk vård : En kulturanalys av meningsskapande sammanhang." Thesis, Linköpings universitet, Avdelningen för omvårdnad och reproduktiv hälsa, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-171444.
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Bakgrund: Begreppet personcentrerad har internationellt blivit vedertaget inom omvårdnadsvetenskap och används för att beskriva en vårdform där vården utgår från ett partnerskap med patienten. Engagemang, trygghet, tillit, att vara delaktig i planeringen av vården och en vårdande relation upplevs vara viktiga komponenter som främjar delaktigheten. För att öka förståelsen om delaktighetens och personcentreringens syfte inom den rättspsykiatriska vårdkontexten krävs studier som beskriver de mångfacetterade begreppen ur vårdarens och patientens perspektiv. Syfte: Att förstå upplevelser av delaktighet och personcentrerad vård hos patienter och personal på en rättspsykiatrisk avdelning och diskutera hur delaktighet kan möjliggöras. Design: Studien är en kulturanalys och ansatsen är hermeneutisk. Metod: Enskilda halvstrukturerade intervjuer med fyra vårdare och fyra patienter på en rättspsykiatrisk avdelning i Mellansverige genomfördes. Intervjuerna har bearbetats utifrån en kulturanalytisk hermeneutisk arbetsmodell i sju faser. Interna dokument från sjukhuset analyserades avseende delaktighet. Resultat: Oklarheter gällande vårdprocessen och rättspsykiatrins strukturer som är inte fullkomligt tydliga inverkar på upplevelsen av delaktighet. Konklusion: Personal och patienter har olika uppfattningar om strukturernas funktion. Personalen anser att patienternas delaktighet är en förutsättning för vårdprocessen. Patienter uttrycker osäkerhet kring vad som förväntas av dem. Identitet och tolkning av den egna rollen kan påverka delaktigheten hos patienter inom rättspsykiatri.Background: The concept of person-centered care is internationally accepted in nursing science and describes a form of care with an active patient included in all aspects of care. Commitment, trust, and involvement in the planning of care and a caring relationship are perceived to promote participation. To increase understanding person-centering in the forensic psychiatric care context, studies on the multifaceted concepts from carers’ and patients’ perspectives are required. Aim: To understand experiences of participation and person-centered care among patients and staff in a forensic psychiatric ward and discuss how participation can be promoted. Method: Individual semi-structured interviews with four carers and four patients in a forensic psychiatric hospital in Central Sweden were conducted. A seven-phase cultural analysis model was used. Internal documents were analyzed for statements about participation. Design: The study is a cultural analysis with a hermeneutic approach. Result: Unclear care process and structures of forensic care affect the experience of participation. Conclusion: The perceptions of the function of the structures differ. Staff believe that patient participation is a prerequisite for the care process. Patients express uncertainty about what is expected of them. Identity and interpretation of one's own role can influence the participation of patients in forensic psychiatry.
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Tina, Hosseini, and Linnea Moberg. "Att främja patienters delaktighet inom rättspsykiatrisk vård : En allmän litteraturöversikt." Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4035.
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Background: Forensic psychiatric care is a non-voluntary care form for people with severe mental disorders and criminal backgrounds. These patients have a restricted autonomy based on predetermined guidelines regulating this careform. The legislation governing forensic psychiatry confines the patient's power to influence the decision making concerning their treatment plan. Enabling patient involvement in this non-voluntary careform can be challenging for healthcare staff. Aim:To identify how patient involvement can be encouraged within forensic psychiatry. Method: A literature overview proceeding from eleven scientific qualitative articles that were analysed using thematic analysis method. Result: The patients stated that they wanted a greater influence over their care form. Furthermore, they lifted the importance of being informed about their treatment plan and medications by the caregivers to increase their involvement. Patients and healthcare staff relations are characterized by honesty and constitute a central role in patient involvement encouragement. Conclusion: Based on the literature study’s result the authors identified two key factors that affect the patients' experience of their involvement negatively, these factors were lack of information and exclusion from treatment conferences. Further research through qualitative studies should be carried out focusing on the working and non-working methods regarding the promotion of forensic psychiatric patients' involvement.Bakgrund: Rättspsykiatrisk vård är en ofrivillig vårdform som personer med en allvarlig psykiatrisk störning som begår ett brott kan dömas till. Patienter inom rättspsykiatrisk vård har en begränsad autonomi vilket grundar sig i förutbestämda riktlinjer som styr denna vårdform. Att möjliggöra patientens delaktighet inom rättspsykiatrisk vård kan vara en utmaning för vårdpersonalen då vården inte utgår från samtycke. Syfte: Att identifiera hur patienters delaktighet kan främjas inom den rättspsykiatriska vården. Metod: En litteraturöversikt som utgick från elva vetenskapliga artiklar med kvalitativ ansats. Artiklarna som inkluderades analyserades med tematisk innehållsanalys. Resultat: Patienterna uppgav att de ville ha större inflytande över den vård de erhöll. Vidare lyfte de vikten av att vårdpersonal gav dem information kring deras behandling och medicinering för att främja deras delaktighet i vården. Vårdrelationen mellan patienter och vårdpersonal präglas av ärlighet och utgör en central roll vid främjande av patienters delaktighet. Slutsats: Utifrån litteraturstudiens resultat identifierade författarparet att två nyckelfaktorer som visades påverka patienternas upplevelse av delaktighet negativt var brist på information och exkludering från behandlingskonferenser. Fortsatt forskning genom kvalitativa studier bör utföras med fokus på de arbetsmetoder som fungerat och inte fungerat gällande främjandet av rättspsykiatriska patienters delaktighet.
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Hosseini, Tina, and Linnea Moberg. "Att främja patienters delaktighet inom rättspsykiatrisk vård : En allmän litteraturöversikt." Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4035.
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Background: Forensic psychiatric care is a non-voluntary care form for people with severe mental disorders and criminal backgrounds. These patients have a restricted autonomy based on predetermined guidelines regulating this careform. The legislation governing forensic psychiatry confines the patient's power to influence the decision making concerning their treatment plan. Enabling patient involvement in this non-voluntary careform can be challenging for healthcare staff. Aim:To identify how patient involvement can be encouraged within forensic psychiatry. Method: A literature overview proceeding from eleven scientific qualitative articles that were analysed using thematic analysis method. Result: The patients stated that they wanted a greater influence over their care form. Furthermore, they lifted the importance of being informed about their treatment plan and medications by the caregivers to increase their involvement. Patients and healthcare staff relations are characterized by honesty and constitute a central role in patient involvement encouragement. Conclusion: Based on the literature study’s result the authors identified two key factors that affect the patients' experience of their involvement negatively, these factors were lack of information and exclusion from treatment conferences. Further research through qualitative studies should be carried out focusing on the working and non-working methods regarding the promotion of forensic psychiatric patients' involvement.Bakgrund: Rättspsykiatrisk vård är en ofrivillig vårdform som personer med en allvarlig psykiatrisk störning som begår ett brott kan dömas till. Patienter inom rättspsykiatrisk vård har en begränsad autonomi vilket grundar sig i förutbestämda riktlinjer som styr denna vårdform. Att möjliggöra patientens delaktighet inom rättspsykiatrisk vård kan vara en utmaning för vårdpersonalen då vården inte utgår från samtycke. Syfte: Att identifiera hur patienters delaktighet kan främjas inom den rättspsykiatriska vården. Metod: En litteraturöversikt som utgick från elva vetenskapliga artiklar med kvalitativ ansats. Artiklarna som inkluderades analyserades med tematisk innehållsanalys. Resultat: Patienterna uppgav att de ville ha större inflytande över den vård de erhöll. Vidare lyfte de vikten av att vårdpersonal gav dem information kring deras behandling och medicinering för att främja deras delaktighet i vården. Vårdrelationen mellan patienter och vårdpersonal präglas av ärlighet och utgör en central roll vid främjande av patienters delaktighet. Slutsats: Utifrån litteraturstudiens resultat identifierade författarparet att två nyckelfaktorer som visades påverka patienternas upplevelse av delaktighet negativt var brist på information och exkludering från behandlingskonferenser. Fortsatt forskning genom kvalitativa studier bör utföras med fokus på de arbetsmetoder som fungerat och inte fungerat gällande främjandet av rättspsykiatriska patienters delaktighet.
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Andersson, Liselotte, and Päivi Jakum. "Inte som i Gökboet : sjuksköterskors beskrivningar av omvårdnadsprocessen inom den rättspsykiatriska vården : en kvalitativ studie." Thesis, University West, Department of Nursing, Health and Culture, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-1564.
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Forensic psyhiatric care protects the society by giving patients care to diminish risks of serious crimes. In their work the nurses use different care methods to help and support the patient in managing his or her life situation. To clarify how a group of nurses describe the nursing process in forensic psychiatric care. A qualitative study based on interviews. Six nurses were interviewed about their work in four different forensic psychiatric care units. The nursing process in is divided into four categories: evaluation, planning, implementation and assessment. The results are based on the way the interviewed nurses described the essential roles of nurse-patient relationship and structured routines in nursing process. The study also shows some specific difficulties in nursing work, for example the mental dysfunctions of patients, the level of competence among staff and the patients need for social interaction and existence beyond their specific needs.
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Magnusson, Emilie. ""Vi försöker" : Hur sjuksköterskor upplever att patienters delaktighet möjliggörs inom rättspsykiatrisk vård." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-35925.
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Delaktighet är viktig för patientens livskvalité, självkänsla, egenmakt samt känsla av kontroll och inflytande. Patienter inom rättspsykiatrisk vård har en minskad autonomi till följd av de begränsningar som tvångslagarna innebär. Forskning samt litteratur kring patienters delaktighet i den rättspsykiatriska vården är bristfällig och behöver utforskas vidare. Syftet med studien var att belysa hur sjuksköterskor upplever att patienters delaktighet möjliggörs inom den rättspsykiatriska vården. Studien har en omvårdnadsvetenskaplig utgångspunkt och kvalitativa intervjuer med nio sjuksköterskor från rättspsykiatriska avdelningar i södra Sverige har genomförts. I resultatet framkom att sjuksköterskorna upplever att delaktighet är en viktig del i omvårdnaden men att personal och patienter ibland ser olika på begreppet. Delaktigheten finns hela tiden med i arbetet med patienterna men den kan skifta beroende på vilket brott patienten vårdas för dock finns det en framtidstro om att den rättspsykiatriska vården ska fortsätta att utvecklas och att vården i framtiden kommer att bli ännu mer individanpassad. ”Vi försöker” blev det övergripande temat som visar att sjuksköterskorna försöker att få patienterna delaktiga i den rättspsykiatriska vården.Participation is important for the patient's quality of life, self-esteem and sense of control and influence. Patients in forensic psychiatric care have reduced autonomy as a result of the constraints imposed by the compulsion laws. Research and literature on patient participation in forensic psychiatric care are inadequate and need further research. The purpose of the study was to highlight how nurses experience patient participation in forensic psychiatric care. The study has a nursing science starting point and qualitative interviews with nine nurses from forensic psychiatric departments in southern Sweden have been carried out. The results show that nurses feel that participation is an important part of the nursing, but that staff and patients sometimes view the concept differently. Participation is always included in the work with patients, but it may change depending on the custody of the patient, however, there is a belief that the forensic psychiatric care will continue to develop and that future care will be even more individualized.” We are trying” became the overall theme and shows that nurses try to get patients involved in forensic psychiatric care.
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Herrdin, Rebecca, and Maria Falk. "Patienters upplevelse av vården inom rättspsykiatrin : En allmän litteraturöversikt." Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-3785.
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Background: A person with a serious mental disorder who commits a crime can be sentenced to forensic psychiatric care. Forensic psychiatric care is permeated by a high sense of security, while patients are expected to follow a predetermined treatment plan. This restrictive environment, where patients are forcibly cared for during indeterminate time leads to a complex ethical dilemma. Patients are treated for their mental illness whilst the restrictive nature of the care environment deprives them of the opportunity for full autonomy, which can affect their overall experience of the care period. Aim: The aim was to describe patients' experience of their care in forensic psychiatry. Method: A general literature review based on ten scientific articles with a qualitative approach that were analyzed with a content analysis. Results: Three main categories were identified: Being locked up and supervised, The importance of interpersonal encounters and Rehabilitation process in forensic psychiatry. Mentioned main categories were divided into six subcategories. Conclusion: The strict requirements of the forensic psychiatric care form require an adaptation of the admitted patients. Patients' experience the lack of meaningful activities and autonomy. Central are the relationships between care recipients and care providers to evoke a sense of safety and meaningfulness for the patients. A therapeutic approach is important and seeing the human behind the crime. Suggestions for further research: The results show the absence of therapeutic roles in forensic psychiatry. The need for guidelines regarding the therapeutic treatment of forensic psychiatric patients should thus be considered to be developed. This to create a safe and empathetic existence that contributes to a health-promoting environment for forensic psychiatric patients.Bakgrund: Personer med en allvarlig psykisk störning som begår ett brott kan dömas till rättspsykiatrisk vård. Rättspsykiatrisk slutenvård genomsyras av strikta riktlinjer kring säkerhet samtidigt som patienterna förväntas följa en förutbestämd behandlingsplan. Denna restriktiva miljö där patienterna tvångsvårdas under en obestämd tid bidrar till ett komplext etiskt dilemma, då personer behandlas för sin psykiska ohälsa samtidigt som vårdmiljöns restriktiva natur fråntar deras möjlighet till full autonomi, vilket kan påverka deras helhetsupplevelse av vårdtiden. Syfte: Syftet var att beskriva patienters upplevelse av vården inom rättspsykiatrin. Metod: En allmän litteraturöversikt baserat på tio vetenskapliga artiklar med kvalitativ ansats som analyserades med en innehållsanalys. Resultat: Tre huvudkategorier identifierades: Att vara inlåst och övervakad, Betydelsen av mellanmänskliga möten och Rehabiliteringsprocessen inom rättspsykiatrin. Nämnda huvudkategorier delades in i sex underkategorier. Slutsats: Den rättspsykiatriska vårdformens strikta krav kräver en anpassning av de inlagda patienterna. Patienterna upplever avsaknad av meningsfulla aktiviteter och autonomi. Centralt är relationerna mellan vårdtagare och vårdgivare för att framkalla en känsla av trygghet samt meningsfullhet hos patienterna. Terapeutiska förhållningssätt identifieras som viktiga samt att se människan bakom brottet. Förslag på fortsatt forskning: Resultatet visar frånvaron av terapeutiska roller inom rättspsykiatrin. Behovet av riktlinjer kring terapeutiskt bemötandet av rättspsykiatriska patienter anses således behöva utvecklas. Detta för att skapa en trygg och empatisk tillvaro som bidrar till en hälsofrämjande miljö för rättspsykiatriska patienter.
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Dahlström, Fredrik, and Sophia Åbrink. ""Dom var bara allmänt trevliga och bemötte mig som en människa" : Patienter och sjuksköterskors erfarenheter av vad som möjliggör respektive försvårar en vårdande relation inom rättspsykiatrisk vård." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-39906.
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Bakgrund: Det finns tidigare forskning inom området vårdande relation. Dock är den begränsad inom rättspsykiatrisk vård. I synnerhet forskning som integrerar patienter och sjuksköterskors erfarenheter av det undersökta fenomenet. Syfte: Att beskriva patienter och sjuksköterskors erfarenheter om vad som möjliggör respektive försvårar en vårdande relation inom rättspsykiatrisk vård. Metod: Studiens resultat bygger på intervjuer av fem patienter som är inneliggande på en rättspsykiatrisk klinik respektive fem sjuksköterskor som arbetar på samma klinik. Studien genomfördes med en induktiv ansats. Insamlade data analyserades utifrån en kvalitativ innehållsanalys. Resultat: Studiens resultat visar att patienterna upplever det viktigt att de blir sedda som människor, att vårdare gör det lilla extra och att vårdare samt patient drar åt samma håll för att vårdande relation ska kunna etableras. Sjuksköterskorna tyckte det var viktigt att sätta sig in i patienten, att ha en fungerande arbetsgrupp, att göra något utöver det vanliga och får förtroende att samspela. Slutsatser: Resultatet svarar an till studiens syfte. Såväl patienterna som sjuksköterskorna ansåg att vårdarna hade det yttersta ansvaret för att en vårdande relation skulle kunna etableras. I båda grupperna sågs flera gemensamma nämnare såsom tidsaspekt, närvaro och att vårdaren har ett genuint intresse. NYCKELORD:, bemötande, erfarenheter, patientperspektiv, rättspsykiatrisk vård, sjuksköterskeperspektiv, vårdande relationBackground: Previous research in the field caring relationship is available. However, it is limited in forensic psychiatric care. Especially studies that integrate patients and nurses experiences of the investigated phenomenon. Aim: The aim of this study was to describe patients and nurses experiences of what enables and aggravate a caring relationship in forensic psychiatry care. Methods: The results of the study are based on interviews of five patient in a forensic clinic and five nurses who works on the clinic. The study was performed with an inductive approach. Data were analyzed based on a qualitative content analysis. Results: In order for a caring relationship to be established the results indicates that the patients find it important to be seen as humans, that the carers do ”that little extra” and that the carers and patients works at the same direction. The nurses found it important to familiarize themselves in the patient, to have a stabilized work with the team, to do “the little extra” and get the trust to cooperate. Conclusion: The results corresponds to the aim of the study. Both patients and nurses agreed that the nurse had the responsibility of the caring relationship. A similarity were shown between both of the groups such as time aspect, presence and a genuin interest from the carrier. Keywords: caring relationship, encounter, experiences, forensic psychiatric care, nurse, patient.
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Dahlström, Fredrik, and Sophia Åbrink. ""Dom var bara allmänt trevliga och bemötte mig som en människa" : Patienter och sjuksköterskor erfarenheter av vad som möjliggör respektive försvårar en vårdande relation inom rättspsykiatrisk vård." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-39938.
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Bakgrund: Det finns tidigare forskning inom området vårdande relation. Dock är den begränsad inom rättspsykiatrisk vård. I synnerhet forskning som integrerar patienter och sjuksköterskors erfarenheter av det undersökta fenomenet. Syfte: Att beskriva patienter och sjuksköterskors erfarenheter om vad som möjliggör respektive försvårar en vårdande relation inom rättspsykiatrisk vård. Metod: Studiens resultat bygger på intervjuer av fem patienter som är inneliggande på en rättspsykiatrisk klinik respektive fem sjuksköterskor som arbetar på samma klinik. Studien genomfördes med en induktiv ansats. Insamlade data analyserades utifrån en kvalitativ innehållsanalys. Resultat: Studiens resultat visar att patienterna upplever det viktigt att de blir sedda som människor, att vårdare gör det lilla extra och att vårdare samt patient drar åt samma håll för att vårdande relation ska kunna etableras. Sjuksköterskorna tyckte det var viktigt att sätta sig in i patienten, att ha en fungerande arbetsgrupp, att göra något utöver det vanliga och får förtroende att samspela. Slutsatser: Resultatet svarar an till studiens syfte. Såväl patienterna som sjuksköterskorna ansåg att vårdarna hade det yttersta ansvaret för att en vårdande relation skulle kunna etableras. I båda grupperna sågs flera gemensamma nämnare såsom tidsaspekt, närvaro och att vårdaren har ett genuint intresse.Background: Previous research in the field caring relationship is available. However, it is limited in forensic psychiatric care. Especially studies that integrate patients and nurses experiences of the investigated phenomenon. Aim: The aim of this study was to describe patients and nurses experiences of what enables and aggravate a caring relationship in forensic psychiatry care. Methods: The results of the study are based on interviews of five patient in a forensic clinic and five nurses who works on the clinic. The study was performed with an inductive approach. Data were analyzed based on a qualitative content analysis. Results: In order for a caring relationship to be established the results indicates that the patients find it important to be seen as humans, that the carers do "that little extra" and that the carers and patients works at the same direction. The nurses found it important to familiarize themselves in the patient, to have a stabilized work with the team, to do "the little extra" and get the trust to cooperate. Conclusion: The results corresponds to the aim of the study. Both patients and nurses agreed that the nurse had the responsibility of the caring relationship. A similarity were shown between both of the groups such as time aspect, presence and a genuin interest from the carrier. Keywords: caring relationship, encounter, experiences, forensic psychiatric care, nurse, patient.
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Engström, Lotta, and Pia Pettersson. "Förutsättningar och hinder för patientdelaktighet i psykiatrisk tvångsvård : en integrativ litteraturöversikt." Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-83066.
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Abstrakt Trots att det i Sverige finns lagar som säger att patienten så långt det är möjligt ska vara delaktig i sin egen vård, så verkar inte det vara fallet. Inom den psykiatriska tvångsvården är det ofta en obalans mellan personalen och patientens makt, därav vikten av att arbeta mot patientens delaktighet. Syftet med den integrerade litteraturöversikten var att sammanställa kunskap om patientdelaktighet vid sluten psykiatrisk tvångsvård. Följande frågor besvarades: Vilka förutsättningar för delaktighet finns i den slutna psykiatriska tvångsvården? Vilka hinder för delaktighet finns i den psykiatriska tvångsvården? Metod Integrerad litteraturstudie. Sökningar gjordes i tre databaser utifrån tre sökblock. Det resulterade i sexton artiklar som svarade mot syftet, två kvantitativa, en mixad metod och tretton kvalitativa. Inklusions kriterier: peer-review, engelska och inte äldre än tio år. Detta resulterade i sexton artiklar. Artiklar lästes igenom både enskilt och tillsammans, därefter vidtog dataextraktion där enheter togs ut som svarade mot syftet. Resultat: Analysen resulterade i elva kategorier, varav attityd, engagemang, relation och tvångsvård var mest framträdande. Det som kom fram är att för att det ska kunna jobbas utifrån patient delaktighet krävs det att personalen har en öppen, engagerad och ärlig attityd. Detta gör det möjligt att bygga en god relation mellan patient och personal, vilket i sin tur kan leda till patientdelaktighet. Slutsats Vad behövs för patientdelaktighet beror på vilken attityd man har. Är man som personal öppen, engagerad och ärlig då kan man bygga en relation till patienten och lägga grunden för patientdelaktighet
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Qvarfordt, Malin, and Louise Malmberg. "Hundar som ett komplement till omvårdnaden inom rättspsykiatrin - En kvalitativ studie om patienters upplevelser. : “Vi lever ju här tillsammans och hjälper varandra å, därför är det viktigt att hitta en form som passar alla.”." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-270304.
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Bakgrund: Studier visar att hundar har en positiv effekt på den fysiska hälsan. De kan också öka det sociala samspelet, minska depression, öka självförtroende och självbestämmande samt reducera ångest genom hundassisterad aktivitet eller hundassisterad intervention. Syfte: Syftet med denna studie är att undersöka om hundar inom ramen för omvårdnad på en rättspsykiatrisk avdelning kan påverka patienternas välbefinnande. Metod: För att undersöka patienternas upplevelser användes en kvalitativ studiedesign. För att besvara syfte och frågeställningar gjordes semistukturerade intervjuer som analyserades med en kvalitativ innehållsanalys. Resultat: Hundar på avdelningen upplevdes både positivt och negativt. De inverkade på välbefinnandet genom att de genererade glädje och välmående men också irritation och ilska. De gav också en känsla av att bli sedd som människa, ökade den fysiska aktiviteten, förbättrade sömnen och påverkade självkänslan och självförtroendet. Vårdmiljön påverkades också genom ett förbättrat klimat på avdelningen. De gav en meningsfullhet i vardagen, en möjlighet till närhet, en känsla av mindre kontrollerande miljö samt att de hade en inverkan på hur patienterna rörde sig på avdelningen. Det identifierades en ståndpunkt för hundar på avdelningen, men också en emot att ha hundar på avdelningen. Slutsats: Resultaten tyder på att det positiva överväger det negativa då majoriteten av resultatet belyser aspekter som ökar välbefinnandet hos patienterna. Hundar inom vården anses därför vara en bra komplementär omvårdnadsform för att som sjuksköterska på en rättspsykiatrisk avdelning. Detta för att kunna utföra god omvårdnad, främja välbefinnande och upprätthålla ett samhällsskydd och samtidigt reducera känslan hos patienten av att vara underordnad och kontrollerad. Det är dock viktigt att beakta olika individers åsikter för att hitta en form som passar.Background: Studies have shown that dogs have a positive effect on humans physical health. They may also increase social interactions, decrease depression, increase peoples selfconfidence and autonomy and reduce anxiety trough animal-assisted interventions. Aim: The aim of this studie is to investigate if dogs can effect well-being in patients within forensic psychiatric care. Method: To investigate the patients experiences a qalitative reserch method were used. Semi-structured interviews were used to answer to the aim of the studie, and analysed with a content analysis. Result: The patients had both positive and negative experiences regarding the presence of the dogs at the unit. The dogs had an impact on the patients well-being by generating joy as well as anger and irritation. They gave a sense of being perceived as an individual, they increased physical activity, improved quality of sleep and had an inpact on self-esteem and self-confidence. The dogs also had an impact on the health facility environment trough an inprovement of the atmosphere at the unit. The dogs gave sense of mening in the everday life, an opportunity for intimacy, a sense of a less controlling environment and they also had an impact on how the patients moved at the unit. Some where proponents and some opponents to the impementation of dogs at the unit. Conclusion: The results shows that the positive experiences tops the negative because the majority of the results shows aspects of improved well-being. Dogs within healthcare facilities are therefore concidered to be a good complementary form of care for nurses working in forensic psychiatric care. This to perform good nursing care, promote well-being and maintain the civil protection and at the same time reduce feelings of being inferior, subordinated and controlled. It is however important to pay regards to the different idividual opinions and find a resolution that suits best.
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Nordlund, Therese, and Katarina Larsson. "Patienters upplevelser av delaktighet i rättspsykiatrisk vård." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-77394.
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Bakgrund: Forskning visar att ökad delaktighet leder till en högre vårdkvalitet, men studier visar på brister i patientdelaktigheten. Syfte: Syftet med denna studie var att beskriva patienters upplevelse av delaktighet inom rättspsykiatrisk heldygnsvård. Metod: Examensarbetet har en kvalitativ metod med induktiv ansats och analyserades utifrån en kvalitativ innehållsanalys. Sju patienter med erfarenheter av att vårdas inom rättspsykiatrisk heldygnsvård intervjuades genom semistrukturerade intervjuer. Resultat: Analysen resulterade i tre slutkategorier; ”Att ingen lyssnar och informerar”, ”Att vara fast i en miljö styrd av lagar och regler”, ”Att tillitsfulla relationer ger styrka”. Det som hindrar delaktighet beskrivs av deltagarna som att inte känna sig lyssnad på, inte bli bemötta utifrån den person de är och att vara fast i en miljö som styrs av lagar och regler. De känner sig begränsade i vården och tycker det är svårt att ta sig framåt. Det som underlättar delaktighet upplevs kopplat till tillitsfulla relationer som avgörande för att kunna känna att man har kontroll och makt över sitt liv. Slutsats: Resultatet bidrar med en fördjupad förståelse av betydelsen av delaktighet i rättspsykiatrisk vård, och vad som kan hindra och underlätta den. Delaktighet är något som patienterna inte tar för givet och vården behöver utveckla förståelse för relationens betydelse som är helt avgörande för vilka möjligheter patienten får till delaktighet och återhämtning. Den rättspsykiatriska vården skulle kunna utvecklas i en riktning mot ökad delaktighet med hjälp av personcentrerad vård.
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Rose, Donald Nelson. "Exploring the concept of respect in forensic psychiatric nursing: A focused ethnography." 2007. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=478952&T=F.
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Daffern, Michael. "A functional analysis of psychiatric inpatient aggression." 2004. http://arrow.unisa.edu.au:8081/1959.8/24968.
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Aggression occurs frequently on many psychiatric wards; its assessment and management are crucial components of inpatient care. Consequences to inpatient aggression are profound, impacting on staff and patients, ward milieu and regime, and mental health services in general. Despite considerable research, which has primarily focussed on the assessment of demographic and clinical characteristics of aggressive patients, the nature of the relationship between mental illness, inpatient treatment and aggression remains unclear. Inconsistent risk assessment practices, management strategies and treatment plans, often derived from idiosyncratic beliefs about the causes of aggression, follow. Approaches to the assessment of inpatient aggression have been categorised as structural, which emphasise form, or functional, which emphasise purpose. Studies of inpatient aggression have primarily utilized a structural approach. These studies have resulted in the identification of demographic, clinical and situational characteristics of high-risk patients and environments. Resource allocation and actuarial assessments of risk have been assisted by this research. Conversely, functional assessment approaches seek to clarify the factors responsible for the development, expression and maintenance of inpatient aggression by examining predisposing characteristics, in addition to the proximal antecedents and consequences of aggressive behaviours. While functional analysis has demonstrated efficacy in assessing and prescribing interventions for other problem behaviours, and has been regarded a legitimate assessment approach for anger management problems, psychiatric inpatient aggression has been relatively neglected by functional analysis. Against this background, four studies focussing on the assessment of predisposing characteristics, precipitants and consequences, and purposes of aggressive behaviour, were undertaken to assist in the development of a functional analysis of psychiatric inpatient aggression. All four studies were conducted within the Thomas Embling Hospital (TEH), a secure forensic psychiatric hospital in Melbourne, Australia. The first of three initial studies involved a retrospective review of Incident Forms relating to aggressive behaviours that occurred within the first year of the hospital?s operation. The second involved a comparison of prospective assessment of aggressive behaviours with retrospective review of Incident Forms. The third involved a review of Incident Forms across two forensic psychiatric hospitals, the Rosanna Forensic Psychiatric Centre, and the TEH, to allow for the study of environmental contributors to aggression. The fourth, and main study, focussed on the assessment of patients and aggressive incidents, using a framework emphasising purpose, which was assessed using a classification system designed and validated as part of this study. Demographic and clinical information in addition to social behaviour, history of aggression and substance use were collected on the 204 patients admitted to the hospital during 2002. One hundred and ten of these patients completed an additional assessment of psychotic symptoms in addition to a battery of psychological tests measuring anger expression and control, assertiveness, and impulsivity. During 2002, the year under review, there were 502 incidents of verbal aggression, physical aggression, and property damage recorded. Staff members who observed these incidents were interviewed, and files were reviewed to record the severity, type, direction and purpose of aggression. Following 71 aggressive behaviours patients also participated in the assessment of purpose. Results from this, and the three initial studies, reinforced the contribution to aggression of a number of individual characteristics, including a recent history of substance use, an entrenched history of aggression, a recent history of antisocial behaviour, and symptoms of psychosis, including thought disturbance, auditory hallucinations and conceptual disorganisation. Somewhat surprisingly, a number of other characteristics shown through previous research to have a relationship with aggression, including anger arousal and control, impulsivity, and assertiveness did not show a relationship with aggression. Further, and perhaps a consequence of the peculiar characteristics of some patients admitted to the TEH, older patients and females were more likely to be repeatedly aggressive, yet neither age nor gender differentiated aggressive from non-aggressive inpatients. In this study acts of inpatient aggression were usually precipitated by discernible events, or motivated by rational purposes. Rarely was aggression the consequence of a spontaneous manifestation of underlying psychopathology occurring in isolation from environmental precipitants. A number of proximal environmental factors, most particularly staff-patient interactions associated with treatment or maintenance of ward regime, that were considered provocative or that threatened status, were evident in incidents of aggression perpetrated against staff. The perception of provocation and the need to enhance status were common precipitants of aggression between patients. There was little evidence to suggest that aggression was used instrumentally to obtain tangible items, to reduce social isolation, or to observe the suffering of others in the absence of provocation. Results of these four studies have implications for the prediction and prevention of inpatient aggression, and for the treatment of aggressive inpatients. These are discussed, as are the limitations of this research and suggestions for further research.thesis (BPsychology(Hons))--University of South Australia, 2004.