‘I know what I need to recover’

Patients’ experiences and perceptions of forensic psychiatric inpatient care

Document identifier: oai:DiVA.org:ltu-76493
Access full text here:10.1111/inm.12667
Keyword: Medical and Health Sciences, Health Sciences, Nursing, Medicin och hälsovetenskap, Hälsovetenskaper, Omvårdnad, Forensic psychiatry, Inpatients, Mental health recovery, Patient participation, Qualitative research
Publication year: 2020
Relevant Sustainable Development Goals (SDGs):
SDG 3 Good health and wellbeing
The SDG label(s) above have been assigned by OSDG.ai

Abstract:

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.

Authors

Lisa Marklund

Luleå tekniska universitet; Omvårdnad och medicinsk teknik; Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden
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Terese Wahlroos

Luleå tekniska universitet; Omvårdnad och medicinsk teknik; Department of Forensic Psychiatric Care, Region Norrbotten, Piteå, Sweden
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Git-Marie Ejneborn-Looi

Luleå tekniska universitet; Omvårdnad och medicinsk teknik
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Sebastian Gabrielsson

Luleå tekniska universitet; Omvårdnad och medicinsk teknik
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