Family caregiver involvement in forensic mental health care – A qualitative study of healthcare professionals' perceptions

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing Pub Date : 2024-10-09 DOI:10.1016/j.apnu.2024.09.009

Tina Kirstine Vestphal , Frederik A. Gildberg , Rikke Jørgensen , Sara Rowaert , Ellen Boldrup Tingleff

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引用次数: 0

Abstract

This qualitative study aims to explore healthcare professionals' (HCPs) perceptions of facilitators and barriers in their collaboration with family caregivers in forensic mental health care (FMHC). A thematic analysis resulted in two interrelated themes: (1): Organizational constraints, with subthemes Resource-driven time and staffing constraints, Duty of confidentiality, and External substance use treatment, and (2) Collaboration with family caregivers, with subthemes Alliance in collaboration, and Overinvolvement. The findings show that HCPs prefer family caregivers to support care and treatment, reflecting a unilateral direction of support.

Relevance statement

Family caregivers of service users in forensic mental health care settings are burdened by the service user's mental illness, offense(s) and difficult collaboration with health care professionals, including nurses. However, the involvement and support of family caregivers in mental healthcare is a national and international objective in policy papers and guidelines because it has been documented to foster the recovery process of service users. Healthcare professionals' perceptions regarding facilitators and barriers in relation to the involvement of family caregivers in the care and treatment of the service user, is needed for the healthcare professionals for optimal support of the service user and family caregivers.

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家庭照顾者参与法医精神健康护理--对医疗保健专业人员看法的定性研究

本定性研究旨在探讨医疗保健专业人员（HCPs）在法医精神健康护理（FMHC）中与家庭照护者合作时对促进因素和障碍的看法。专题分析得出了两个相互关联的主题：(1)：组织限制，副主题为资源驱动的时间和人员限制、保密义务和外部药物使用治疗；(2) 与家庭照护者的合作，副主题为合作联盟和过度介入。研究结果表明，医护人员更倾向于让家庭照顾者支持护理和治疗，这反映出支持的单向性。相关性声明在法医精神健康护理环境中，服务使用者的家庭照顾者因服务使用者的精神疾病、犯罪行为以及与包括护士在内的医护人员的合作困难而负担沉重。然而，在政策文件和指导方针中，家庭照顾者参与和支持精神医疗保健是一个国家和国际目标，因为有记录表明，家庭照顾者参与和支持精神医疗保健可促进服务使用者的康复过程。医护专业人员需要了解家庭照顾者参与服务使用者护理和治疗的促进因素和障碍，以便为服务使用者和家庭照顾者提供最佳支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Psychiatric Nursing 医学-护理

CiteScore

3.70

自引率

0.00%

发文量

131

审稿时长

160 days

期刊介绍： Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.