Sjuksköterskors upplevelser av att vårda patienter inom rättspsykiatrisk vård

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Sammanfattning: Background: In forensic psychiatry, patients with serious mental disorder are cared for. Most of them are men and commonly they have committed violent or sexual crimes. Threats and violence occur. The nurse has a complex role by conducting good nursing, maintaining a high level of security and protecting society from recurrence of crime. Aim: The purpose of this study is to examine nurses' experiences of caring for patients in forensic psychiatric care. Method: The study is a literature study conducted with a systematic approach as a method. Searches for relevant studies were performed in the databases PubMed, Cinahl, PsycInfo and Scopus. The extracted studies were quality reviewed with the help of SBU's review template for qualitative studies. The results of the selected articles were analyzed on the basis of a qualitative latent content analysis with an inductive approach. Through systematic work, meaningful units were extracted which were then condensed and coded into categories. Results: The analysis was based on eight interview studies from four different countries. All concerned were nurse’s and their experiences of working in forensic psychiatry. The results are presented through three main categories of Difficulties and opportunities in care, The nurse's strategies for dealing with the problems and The prerequisites for being able to perform a good job. Under the main categories, six subcategories are presented: Male and female nurses, Emotions that emerge in care, Challenges in care, Long care time and the importance of relatives, A good work environment and Establishment of functioning care relationships and partnerships. The need for both male and female staff was considered important since they could have different roles in the care. Feelings of frustration, anxiety, fear, and powerlessness emerged, but also feelings of compassion, empathy and respect. Caring for people who have committed crimes that the nurses described as abhorrent was a challenge. Long care periods could be experienced as frustrating at the same time as it gave the nurses an opportunity to build a good care relationship with the patients. Feeling safe in the workplace is fundamental and proved to be better when there were well-functioning teams and supportive colleagues.

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