Forensic psychiatric nursing: Skills and competencies: I role dimensions

Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.84). 02/2008; 15(2):118 - 130. DOI: 10.1111/j.1365-2850.2007.01191.x


This paper reports on an investigation into the skills and competencies of forensic psychiatric nurses from the perspective of three groups: (A) forensic psychiatric nurses; (B) non-forensic psychiatric nurses; and (C) other disciplines. A national survey of forensic psychiatric services in the UK was conducted, and information gathered on the perceived skills and competencies in this growing field of psychiatric practice. From 3360 questionnaires, 1172 were returned, making a response rate of 35%. The results indicate a small discrepancy between forensic nurses' and non-forensic nurses' perceptions of the role constructs of forensic practice. However, a larger difference was noted between nurses' perceptions and other disciplines' perceptions of the constituent parts to forensic psychiatric nursing. Nurses tended to focus on personal qualities both in relation to themselves and the patients, while the other disciplines focused on organizational structures both in defining the role and in the resolution of perceived deficits. The findings have implications for multidisciplinary working, as well as policy formulation and curriculum development in terms of the skills and competencies of forensic nurse training.

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    • "In contrast to a highly-evolved body of knowledge in mental health, the personal impact of everyday work on FMH clinicians is relatively unknown. Clinicians work in challenging environments, which require them to balance therapeutic approaches with ensuring safety of patients and staff (Mason et al. 2008). The purpose of this paper was to report on FMH clinicians' attitudes and experiences with respect to FP. "
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    ABSTRACT: Forensic mental health (FMH) clinicians sometimes feel unsupported and unprepared for their work. This article explores their experiences of working in a FMH setting in Australia. The research examined the clinical context of clinicians working with forensic patients (FP), particularly those individuals who have killed while experiencing a mental illness. A qualitative, exploratory design was selected. Data were collected through focus groups and individual interviews with hospital and community-based forensic clinicians from all professional groups: psychiatric medicine, social work, psychology, mental health nursing, occupational therapy, and psychiatric service officers. The main themes identified were orientation and adjustment to FMH, training in FMH, vicarious traumatization, clinical debriefing and clinical supervision, and therapeutic relationships. Participants described being frustrated and unsupported in making the transition to working with FP and felt conflicted by the emotional response that was generated when developing therapeutic relationships. Recommendations include the development of programmes that might assist clinicians and address gaps in service delivery, such as clinical governance, targeted orientation programmes, and clinical supervision.
    Full-text · Article · Apr 2015 · International journal of mental health nursing
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    • "The most directly related studies are those of Mason and Phipps (2010, 2011) who used a similar design to a previous study on the forensic mental health nurse (Mason et al., 2008). This study examined the role of nurses within forensic learning disability settings. "
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    ABSTRACT: Purpose – The purpose of this paper is to explore the lived experiences of learning disability nurses working within forensic services, and their views on their practice as a speciality. Design/methodology/approach – A qualitative, semi-structured interview-based design was used and participant’s voices were examined through interpretive phenomenological analysis. Findings – Nurses explored a range of topics related to their practice and overall, five superordinate themes were developed. Forensic nursing as being both the same and different to generic nursing, the journey, and the emotional challenge of forensic nursing, the balancing act of everyday practice and the role of language within forensic nursing practice. Originality/value – Very little research has examined the views of learning disability nurses within the forensic field. This study gives both a voice to these nurses and suggests areas of interest both for research and for clinicians to consider in their practice.
    Preview · Article · Dec 2014 · Journal of Intellectual Disabilities and Offending Behaviour
    • "Within the field of forensic mental health nursing, a recent review in the limited international research literature suggested that nursing interaction is characterized by two overriding themes: relational and personal qualitydependent care and parentalistic and behaviour changing care (Gildberg et al. 2010). In itself, this is not new, in that the overall findings reproduce existing results (Martin & Street 2003;Mason et al. 2008;Mullen 2009). However, the review showed that relational and personal qualitydependent care is characterized by the use of personal qualities; for example, being friendly (Schafer & PeterneljTaylor 2003), open (Brunt & Rask 2007), self-aware (Bowring-Lossock 2006;Mason 2002), honest/sincere (Baxter 2002;Bowring-Lossock 2006;Brunt & Rask 2007;Mason 2002;Rask et al. 2008;Robinson & Mcgregor 1998;Schafer & Peternelj-Taylor 2003), calm, and nonthreatening in staff's interaction and relationships with the forensic mental health inpatient (Bowring-Lossock 2006). "

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