Patient-Centered Care Competence in High-Security Forensic Psychiatric Nurses: The Role of Professional Self-Efficacy and Attitudes Toward Forensic Patients.

Abstract

Background: Patient-centered care is a fundamental element in healthcare and nursing services. In units where complex healthcare services are provided, such as high-security forensic psychiatry hospitals, patient-centered care becomes even more critical.

Aims: This study aimed to examine the relationship between professional self-efficacy, attitudes toward forensic patients and patient-centered care competencies among nurses working in high-security forensic psychiatric hospitals (HSFPHs).

Method: The study population consisted of 220 nurses employed in six HSFPHs in Turkiye. The sample size was determined by power analysis, and the study was completed with 122 nurses. Data were collected using the Descriptive Information Form, Patient-Centered Care Competency Scale (PCCCS), Nursing Profession Self-Efficacy Scale (NPSES) and Nurses' Attitudes Toward Forensic Psychiatric Patients Scale (NAFPPS). This study was conducted in accordance with the STROBE guidelines.

Findings: A strong positive correlation was found between PCCCS and NPSES (r = 0.650, p < 0.001). A weak but significant positive correlation was observed between PCCCS and NAFPPS (r = 0.256, p = 0.005). No significant correlation was found between NPSES and NAFPPS (r = 0.138, p = 0.129).

Conclusion: This study emphasises that improving nurses' self-efficacy and attitudes is key to strengthening patient-centered care in HSFPHs. Sustainable training programmes and supportive leadership are essential for maintaining this approach.