Institute of Health and Care Sciences at Gothenburg University, Centre for Ethics Law and Mental Health/CELAM, Rågården Forensic Psychiatric Hospital at Sahlgrenska University Hospital, Göteborg, Sweden.
Institute of Health and Care Sciences at Gothenburg University, Göteborg, Sweden.
Int J Ment Health Nurs. 2021 Oct;30(5):1210-1220. doi: 10.1111/inm.12871. Epub 2021 May 3.
Forensic hospitals provide care for incarcerated patients who have committed a crime under the influence of serious mental illness. The care and (re)habilitation of the target group require highly competent staff and treatment strategies as well as purpose-built facilities that promote successful recovery. The aim of this study was to examine patients' experiences of place and space in new, purpose-built, evidence-based designed forensic psychiatric facilities in terms of supporting everydayness. A qualitative methodology was chosen. In total, 19 patients agreed to participate. Data were collected through photovoice (a combination of photographs and interviews) at three forensic hospitals, according to an evidence-based design and the concept of person-centred care in Sweden. The data were analysed through thematic content analysis. Four themes emerged from the data, revealing the patients' experiences of the new buildings: (i) having a private place, (ii) upholding one's sense of self, (iii) feelings of comfort and harmony, and (iv) remaining connected to one's life. The findings reveal that purpose-built environments can support everyday living and well-being and can create comfort. This is considered highly therapeutic by the patients. In conclusion, the findings of this study are of imperative importance in the design of health-promoting forensic hospitals.
法医医院为因严重精神疾病而犯罪的被监禁患者提供护理。目标群体的护理和（再）康复需要高度胜任的工作人员和治疗策略以及专门设计的设施，以促进成功康复。本研究旨在从支持日常生活的角度考察新的、专门建造的、基于证据设计的法医精神病学设施中患者对场所和空间的体验。选择了定性方法。共有 19 名患者同意参与。根据瑞典的循证设计和以人为本的护理理念，在三家法医医院通过摄影（照片和访谈的结合）收集数据。通过主题内容分析对数据进行分析。数据中出现了四个主题，揭示了患者对新建筑的体验：（一）拥有私人空间，（二）维护自我意识，（三）舒适与和谐的感觉，（四）与生活保持联系。研究结果表明，专门建造的环境可以支持日常生活和幸福感，并能营造舒适感。这被患者认为具有高度的治疗作用。总之，本研究的结果对于促进健康的法医医院的设计具有重要意义。
