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“让人们回归社区”:法医精神健康护士对高安全级医院中康复模式的认知与体验

"Getting People Back Into the Community": Forensic Mental Health Nurses' Perceptions and Experiences of the Recovery Model Within a High-Secure Hospital.

作者信息

Roberts Casey, Luder Michael, McMullen Crystal, Cole Rosalind, Ward Nicole, Dignam Paul, Ireland Michael

机构信息

West Moreton Health.

Author Affiliations: School of Psychology and Wellbeing.

出版信息

J Forensic Nurs. 2025;21(2):136-143. doi: 10.1097/JFN.0000000000000511. Epub 2024 Aug 16.

DOI:10.1097/JFN.0000000000000511
PMID:39148163
Abstract

BACKGROUND

The implementation of the recovery model into forensic mental health care promotes hope and has important implications for inpatients' community reintegration.

AIM

This study aimed to describe forensic mental health nurses' perceptions and experiences of providing care using the recovery model within a high-secure forensic hospital in Queensland, Australia.

METHODS

Twenty-seven forensic mental health nurses were interviewed regarding their perceptions and experiences of providing recovery-oriented care within a high-secure forensic hospital.

RESULTS

The participants described an individualized approach to recovery, both in the goals developed and in the level of support they required. There was an overarching shared goal across the participant group, which was focused on supporting patients to reintegrate back into the community. Inadequate resources (both internal and external), the severity of patient psychopathology, legal constraints, and the nursing role within the broader treating team were all perceived to present challenges to utilizing the recovery model within a high-secure forensic hospital.

IMPLICATIONS FOR CLINICAL FORENSIC NURSING PRACTICE

To fully realize the potential of the recovery model, a system-wide reconceptualization is necessary.

摘要

背景

将康复模式应用于法医精神卫生保健可激发希望,并对住院患者重新融入社区具有重要意义。

目的

本研究旨在描述澳大利亚昆士兰州一家高度戒备的法医医院中,法医精神卫生护士运用康复模式提供护理的认知和经验。

方法

对27名法医精神卫生护士进行访谈,了解他们在高度戒备的法医医院中提供以康复为导向护理的认知和经验。

结果

参与者描述了在制定康复目标和所需支持水平方面采用个性化的康复方法。参与者群体有一个总体共同目标,即专注于支持患者重新融入社区。资源不足(包括内部和外部)、患者精神病理学的严重程度、法律限制以及在更广泛治疗团队中的护理角色,都被认为是在高度戒备的法医医院中运用康复模式面临的挑战。

对临床法医护理实践的启示

要充分实现康复模式的潜力,有必要进行全系统的重新概念化。

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