Department of Nursing Science, Mid-Sweden University, Sundsvall, Sweden.
Campus Library, Mid-Sweden University, Sundsvall, Sweden.
Issues Ment Health Nurs. 2023 Dec;44(12):1226-1236. doi: 10.1080/01612840.2023.2259997. Epub 2024 Jan 5.
The aim of this review was to synthesise qualitative research into how nurses perceive and experience encountering patients in forensic inpatient care.
This review followed the steps of meta-ethnography developed by Noblit and Hare.
Twelve studies, published from 2011 to 2021, were identified through a search of relevant databases in December 2021.
The synthesis revealed three third-order and 10 second-order constructs during the translation of concepts in the studies. These are: Adopting the patient's perspective (liberation, comprehension and resistance), Action (security, trust, flexibility and predictability) and Activation (afraid or safe, involved or indifferent and boundaries). Further, a line of argument was developed which indicates that in forensic psychiatry inpatient care, nurses experience having to deal with internal and external resistance that affects their freedom of choice in the creation of a caring relationship.
The encounter is experienced as a continuous process in which the foundation is laid for the encounter (approach), the encounter unfolds and develops (action) and the nurse experiences the encounter (activation). The process is intertwined with and takes place in a context where care is influenced by the duality of the task (task), the culture of care (context), the patient's expression (patient) and the nurse's own impression of the patient's expression (oneself).
Professional communities should support initiatives that can strengthen nurses' self-awareness and provide opportunities for reflection on practice, which will both benefit the resilience of the nursing staff and the quality of care for patients in this setting.
本综述的目的是综合定性研究，了解护士如何感知和体验在法医住院患者护理中遇到的患者。
本综述遵循 Noblit 和 Hare 提出的元民族志步骤进行。
通过 2021 年 12 月对相关数据库的搜索，确定了 12 项发表于 2011 年至 2021 年的研究。
在对研究中概念的翻译过程中，综合揭示了三个三阶和 10 个二阶结构。这些是：采用患者视角（解放、理解和抵抗）、行动（安全、信任、灵活性和可预测性）和激活（害怕或安全、参与或冷漠和界限）。此外，还提出了一个论点，表明在法医精神病学住院患者护理中，护士体验到必须应对内部和外部阻力，这会影响他们在建立关怀关系时的选择自由。
这种相遇被体验为一个连续的过程，在这个过程中，相遇的基础（方法）得以奠定，相遇展开和发展（行动），护士体验相遇（激活）。这个过程与任务的双重性（任务）、关怀文化（背景）、患者的表达（患者）以及护士对患者表达的自身印象（自身）交织在一起，并发生在关怀受到这些因素影响的环境中。
专业社区应支持能够增强护士自我意识并为实践反思提供机会的举措，这将有利于护理人员的适应力和这种环境下患者的护理质量。
