Crutchley Michael, O'Brien Aileen
Southern Health NHS Foundation Trust, UK.
Med Sci Law. 2012 Oct;52(4):210-6. doi: 10.1258/msl.2012.011130. Epub 2012 May 23.
Mixed-sex wards in adult forensic secure services have been abolished and replaced by single-sex services. The National Secure Forensic Service for Young People (NSFSYP) continues to use a mixture of single-sex male and mixed-sex wards. This study aimed to explore staff experiences and attitudes towards placing young people in mixed- or single-sex wards in the NSFSYP. Mixed methodology was adopted in the form of focus groups (qualitative) and questionnaires (semi-quantitative). Content analyses of the qualitative data revealed five themes: care of female patients, normalization, safety, commissioning and social representation of women. The questionnaire was developed from the qualitative findings and comprised 22 statements measuring attitudes towards mixed- and single-sex wards. One hundred and forty-five questionnaires were returned: a 44% total response rate. Overall, the responses to the questionnaire confirmed the focus group data. There were statistically significant differences in responses between staff working on mixed- and single-sex wards. Staff working on mixed-sex wards felt that mixing genders on wards is a crucial part of adolescent forensic inpatient treatment. For them, mixed wards provide a more developmentally appropriate environment for young people. The needs of female patients broaden the debate beyond segregating and mixing gender.
成人法医安全服务中的男女混合病房已被废除，取而代之的是单一性别病房。国家青少年安全法医服务机构（NSFSYP）继续使用单一性别男性病房和男女混合病房。本研究旨在探讨工作人员对NSFSYP中青少年安置在男女混合病房或单一性别病房的经历和态度。采用了焦点小组（定性）和问卷调查（半定量）的混合方法。对定性数据的内容分析揭示了五个主题：女性患者护理、正常化、安全、委托安排和女性的社会表征。问卷是根据定性研究结果编制的，包含22条陈述，用于衡量对男女混合病房和单一性别病房的态度。共收回145份问卷，总回复率为44%。总体而言，问卷的回复证实了焦点小组的数据。在男女混合病房和单一性别病房工作的工作人员的回复存在统计学上的显著差异。在男女混合病房工作的工作人员认为，病房内的性别混合是青少年法医住院治疗的关键部分。对他们来说，男女混合病房为年轻人提供了一个更适合其发展的环境。女性患者的需求使关于性别隔离和混合的争论更加广泛。
