Department of Health and Care Sciences, Faculty of Health Sciences, UiT, The Artic University of Norway, Tromsø, Norway.
Department of Nursing, Faculty of Health Sciences, VIA University College, Aarhus, Denmark and Research Unit for Nursing and Healthcare, Department of Public Health, Health Faculty, Aarhus University, Aarhus, Denmark.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2209966. doi: 10.1080/17482631.2023.2209966.
To explore healthcare professionals' experiences with facilitating a safe and caring atmosphere in patients' everyday lives in forensic mental health wards.
This qualitative study employed interviews with 16 healthcare professionals working shifts in two forensic mental healthcare wards in Norway. Data were analysed using phenomenological hermeneutic analysis.
The findings are presented in terms of two themes. The first theme is "Creating a calming atmosphere" and includes the subthemes "Creating caring surroundings with safety, comfort and trust" and "Balancing everyday life activities". The second theme is "Facilitating risk assessments and care" and includes the subthemes "Acting as a team", "Becoming aware of the meaning in signs" and "Becoming aware of vulnerability and the window of tolerance".
Involvement in patients' history and lived lives is important both for understanding general social behaviour as well as for assessing signs, symptoms, and changes in patients' conditions; furthermore, it provides valuable information that allows healthcare professionals to become aware of the underlying meanings in signs, which can facilitate examinations and treatment. Acting as a team is essential to solve issues in a calm and safe way when signs of violence occur. In addition, our participants highlighted the need to be aware of individual patients' vulnerability and windows of tolerance to obtain a deeper understanding of patients' lived lives as a whole in the context of providing therapy and care to patients.
探讨医疗保健专业人员在法医精神健康病房中患者日常生活中促进安全和关爱的氛围的经验。
本定性研究采用访谈的方式，对挪威两家法医精神保健病房中轮班工作的 16 名医疗保健专业人员进行了访谈。采用现象学解释学分析对数据进行分析。
研究结果以两个主题呈现。第一个主题是“营造平静的氛围”，包括“营造安全、舒适和信任的关怀环境”和“平衡日常生活活动”两个子主题。第二个主题是“促进风险评估和护理”，包括“作为一个团队行动”、“意识到迹象中的意义”和“意识到脆弱性和容忍窗口”三个子主题。
参与患者的历史和生活经历对于理解一般社会行为以及评估患者病情的迹象、症状和变化非常重要；此外，它提供了有价值的信息，使医疗保健专业人员能够意识到迹象背后的潜在含义，从而有助于检查和治疗。作为一个团队行动对于在出现暴力迹象时以冷静和安全的方式解决问题至关重要。此外，我们的参与者强调需要意识到个体患者的脆弱性和容忍窗口，以更深入地了解患者在接受治疗和护理时的整体生活。
