School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Nurs Open. 2024 Sep;11(9):e70038. doi: 10.1002/nop2.70038.
To describe a reflexive account of a mental health nurse as researcher undertaking a mixed methods study as part of a doctoral degree, with women in a secure forensic hospital.
A discursive paper that draws upon the primary author's experience of dual roles as a mental health nurse and a novice researcher, and relevant literature pertaining to positionality and reflexivity in the context of conducting mixed methods research.
A mixed methods study was conducted within a secure forensic hospital in Australia, to identify factors associated with the frequency and duration of seclusion for women and, to explore their experiences of seclusion. Notes and a reflective diary were used to demonstrate the reflexive approach and strategies used throughout the study design and data collection stages of the research.
Women in the secure forensic hospital setting often have complex histories and experiences and are considered a vulnerable group, which can add additional challenges when undertaking research with this population. As a doctoral student with clinical experience in mental health undertaking research in the forensic hospital setting with women, positionality and the connection with reflexivity requires exploration to understand self and the influence on research. This understanding along with identified strategies to enhance reflexivity, supports the management of the dual nurse as researcher roles to enhance all stages of the research process.
Doctoral nursing candidates undertaking clinical research in their area of clinical practice and at the location of previous employment, may experience challenges in relation to identity and the dichotomy of roles. Further challenges can be posed when research involves complex populations and/or controversial practices. Support to balance role conflict and maintain reflexivity is critical to understanding the role of self in research and to enhance credibility.
IMPLICATIONS FOR THE PROFESSION AND/OR CLINICAL PRACTICE: Women are a complex, yet minority population in forensic mental health settings, however the numbers of women being admitted to services is increasing. Future research may consider the use of the strategies explored here to enhance the reflexive process, and support future researchers in this field to conduct research that aims to support an often-misheard population to better support health outcomes.
There was no patient or public contribution to this paper, however the study in which this paper is based on, is grounded in the experience of patients (women).
描述一名心理健康护士作为研究人员在攻读博士学位期间，以女性为研究对象，在一家安全的法医精神病院从事混合方法研究的反思性叙述。
这是一篇论述性论文，借鉴了主要作者作为心理健康护士和新手研究人员的双重角色的经验，以及与混合方法研究背景下的定位和反思性相关的文献。
在澳大利亚的一家安全法医精神病院中进行了一项混合方法研究，以确定与女性禁闭频率和持续时间相关的因素，并探讨她们的禁闭经历。研究设计和数据收集阶段使用笔记和反思日记来展示反思性方法和策略。
安全法医精神病院环境中的女性通常具有复杂的病史和经历，被认为是弱势群体，这在对该人群进行研究时会带来额外的挑战。作为一名具有心理健康临床经验的博士生，在法医精神病院环境中从事女性研究，定位和与反思性的联系需要探索，以了解自我和对研究的影响。这种理解以及确定的增强反思性的策略，支持了管理护士作为研究人员的双重角色，以增强研究过程的各个阶段。
在其临床实践领域和以前工作地点从事临床研究的护理博士生可能会在身份和角色二分法方面面临挑战。当研究涉及复杂人群和/或有争议的实践时，可能会带来进一步的挑战。平衡角色冲突和保持反思性的支持对于理解自我在研究中的作用以及增强可信度至关重要。
对专业和/或临床实践的影响：女性是法医精神病学环境中复杂但少数群体，然而，被送往服务机构的女性人数正在增加。未来的研究可能会考虑使用这里探索的策略来增强反思性过程，并为该领域的未来研究人员提供支持，以开展旨在更好地支持健康结果的研究。
本文没有患者或公众的贡献，但是本文所基于的研究是基于患者（女性）的经验。
