'I know what I need to recover': Patients' experiences and perceptions of forensic psychiatric inpatient care. (23rd October 2019)

• Record Type: Journal Article
• Authors: Marklund, Lisa; Wahlroos, Terese; Looi, Git‐Marie Ejneborn; Gabrielsson, Sebastian
• Is Part Of: International journal of mental health nursing. Volume 29:Number 2(2020)
• Page Start: 235
• Page End: 243
• Publication Date: 2019-10-23
• Subjects: forensic psychiatry -- inpatients -- mental health recovery -- patient participation -- qualitative research; Psychiatric nursing -- Periodicals; 610.736805
• DOI: 10.1111/inm.12667
• Languages: English
• ISSNs: 1445-8330

Abstract

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.