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The meanings of place and space in forensic psychiatric care : A qualitative study reflecting patients’ point of view

Journal article
Authors Sepideh Olausson
Ella Danielson
Inger Berglund Johansson
Helle Wijk
Published in International Journal of Mental Health Nursing
Volume 28
Issue 2
Pages 516-526
ISSN 1445-8330
Publication year 2019
Published at Institute of Health and Care Sciences
Pages 516-526
Language en
Links https://doi.org/ https://doi.org/10...
Keywords forensic psychiatric nursing, health facility, patient room, photovoice, physical environment, qualitative study
Subject categories Health Sciences

Abstract

© 2018 Australian College of Mental Health Nurses Inc. The outcome of care for patients sentenced to forensic psychiatric care is of importance not only for the patient but also for society, in preventing new crimes. In recent years, a person-centered perspective is influencing the care, recognizing the design of the physical environment as a therapeutic resource. To capture the complexity of patients’ experience of the physical environment, a qualitative approach is needed. The aim of this study was to investigate the meanings of the patient room as a place and space in forensic psychiatric in-patient care from the patients’ perspective. An explorative qualitative design was chosen, data were collected by photovoice; a combination of photographs, taken by the patients, followed by interviews. Eleven (N = 11) patients were interviewed. The interviews were analysed by a thematic analysis method. Four themes emerged from the data revealing the meanings of the patient room as a place and space: (i) striving towards normality; (ii) being anchored and protected; (iii) being at-home and homeness; and (iv) being in communion and meaningfulness. The findings show that the physical environment has a say in patients’ basic needs and a role in maintaining normality. Substandard reveals a lack of respect and dignity towards this patient group. Involving patients in the design process of new facilities can be a way to make progress.

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