Nursing staff and patient perceptions of the ward atmosphere in a maximum security forensic hospital.

The purpose of this study is to describe the factors influencing nursing staff and patients' perceptions of the ward atmosphere in a maximum security forensic hospital. The study used the Ward Atmosphere Scale to identify specific factors. Findings indicate that structure and compliance with ward routine and behavioral standards are the most important factors in perceptions of the ward atmosphere. Also, despite the emphasis on security and the ever-present potential for violence, nursing staff were able to maintain a therapeutic ward atmosphere.