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Factors Influencing the Personal Recovery of Inpatients in a Forensic Psychiatric Hospital in South Korea. 影响韩国一家法医精神病院住院病人个人康复的因素。
Pub Date : 2024-06-08 DOI: 10.1097/JFN.0000000000000492
Moonhee Gang, Donghyeon Gwak

Purpose: This study aimed to identify the factors influencing the personal recovery of inpatients of a forensic psychiatric hospital.

Methods: A descriptive study design was assigned. The participants were 136 inpatients in a forensic psychiatric hospital in South Korea. The data were analyzed using SPSS Statistics Version 26.0 with descriptive statistics, independent t test, analysis of variance, Pearson correlation coefficient, and multiple regression.

Results: Perceived physical health status (β = 0.16, p = 0.034), perceived mental health status (β = 0.20, p = 0.023), perceived family support (β = 0.17, p = 0.013), duration of hospitalization (β = 0.25, p < 0.001), and recovery attitudes (β = 0.36, p < 0.001) were the significant factors explaining 42.6% of the variance in the personal recovery of participants.

Conclusion: The findings of this study indicate that recovery attitudes, health status, and personal support affect forensic mental health personal recovery. Personal recovery can be strengthened through nursing intervention and support to strengthen recovery attitudes and health status. It is necessary to get used to personal recovery through long-term and systematic education, and organizations and nurses need to make efforts to provide services centered on personal recovery.

目的:本研究旨在确定影响法医精神病医院住院患者个人康复的因素:方法:采用描述性研究设计。参与者为韩国一家法医精神病医院的 136 名住院患者。数据采用 SPSS 统计 26.0 版进行分析,包括描述性统计、独立 t 检验、方差分析、皮尔逊相关系数和多元回归:结果:感知到的身体健康状况(β = 0.16,p = 0.034)、感知到的心理健康状况(β = 0.20,p = 0.023)、感知到的家庭支持(β = 0.17,p = 0.013)、住院时间(β = 0.25,p < 0.001)和康复态度(β = 0.36,p < 0.001)是解释参与者个人康复差异 42.6% 的显著因素:本研究结果表明,康复态度、健康状况和个人支持会影响法医精神疾病患者的个人康复。个人康复可以通过护理干预和支持来加强康复态度和健康状况。有必要通过长期、系统的教育来培养个人康复的习惯,组织和护士需要努力提供以个人康复为中心的服务。
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引用次数: 0
Enacting an "Empowerment Approach" After Sexual Assault: The Views and Beliefs of Forensic Nurse Examiners and Crisis Support Workers. 性侵犯后实施 "赋权方法":法医护士和危机支持工作者的观点和信念》。
Pub Date : 2024-04-01 Epub Date: 2024-02-09 DOI: 10.1097/JFN.0000000000000476
Mary Driver

Background: Sexual violence is a profoundly disempowering experience. It is essential that survivors are offered access to comprehensive medical care, psychological support, and follow-up in a way that offers them a high level of choice and control.

Aims: There has been little research into how practitioners working in the context of immediate postassault understand empowerment and reflect this in their care delivery. This study sought to explore how crisis support workers and forensic nurse examiners conceive how they enact an "empowerment approach" in a sexual assault referral center (SARC) in the United Kingdom.

Methods: A phenomenological approach was taken, and data were gathered through focus groups and interviews.

Findings: Themes were identified under the headings of "indicators of empowerment," "empowerment as a process," and "the empowerment approach."

Conclusion: As part of providing person-centered care that enacts an empowering approach within the SARC setting, professionals need the skills and resources to be able to respond flexibly to their clients. They have a role in addressing victim blaming of those subjected to sexual violence and in promoting the accessibility of SARC services.

背景介绍性暴力是一种严重削弱能力的经历。目的:关于在性侵犯发生后立即开展工作的从业人员如何理解 "赋权 "并在其护理工作中体现 "赋权 "的研究很少。本研究试图探讨危机支持工作者和法医护士如何看待他们在英国性侵犯转介中心(SARC)实施 "赋权方法":方法:采用现象学方法,通过焦点小组和访谈收集数据:结果:在 "赋权指标"、"作为过程的赋权 "和 "赋权方法 "等标题下确定了主题:作为在 SARC 环境中提供以人为本的护理、实施赋权方法的一部分,专业人员需要具备能够灵活应对服务对象的技能和资源。在解决性暴力受害者的自责问题和促进 SARC 服务的可及性方面,专业人员可以发挥作用。
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引用次数: 0
Reducing Risk for Future Violence From Forensic Psychiatric Patients by Using Critical Factors of the Short-Term Assessment of Risk and Treatability as a Caring Tool. 通过使用短期风险评估和可治疗性的关键因素作为关怀工具来降低法医精神病患者未来暴力的风险。
Pub Date : 2024-04-01 Epub Date: 2023-12-02 DOI: 10.1097/JFN.0000000000000464
Charlotte Pollak, Tom Palmstierna

Background: The dual task for forensic mental health care is community protection and treatment of mental disorders. The Short-Term Assessment of Risk and Treatability (START) has become an established tool for risk assessment and care planning in forensic psychiatry. When using the START, items judged as critical factors are chosen to be addressed in the care plan. However, it is not known which critical factors that are of special interest need to be addressed to reduce the risk for future violence.

Aims: The main aim of this study was to explore how staff's choice of critical factors in the care planning influences risk for future violence.

Methods: The study is based on 787 START assessments from 285 convicted and involuntary admitted inpatients at the Forensic Psychiatric Clinic of Stockholm County, Sweden. The influence on risk for future violence by selecting a certain item as a critical factor in the care plan was measured by comparing patients' sum of vulnerabilities at the time this certain critical factor was selected with this sum at the next assessment.

Results: The results show that a patient's overall risk for future violence decreases significantly when the items "insight," "attitudes," "mental state," "coping," and "drug use" were addressed as critical factors in the care planning. The importance of specified critical factors differs between diagnostic groups and time after admission.

Conclusions: When staff select certain specified items as critical factors in the care planning, the patients' risk of relapse into acts of violence was significantly reduced.

背景:司法精神卫生保健的双重任务是社区保护和治疗精神障碍。短期风险和可治疗性评估(START)已成为法医精神病学风险评估和护理规划的既定工具。当使用START时,判断为关键因素的项目被选择在护理计划中处理。但是,不知道需要处理哪些特别重要的关键因素,以减少今后发生暴力的风险。目的:本研究的主要目的是探讨工作人员在护理计划中对关键因素的选择如何影响未来暴力的风险。方法:该研究基于瑞典斯德哥尔摩县法医精神病学诊所285名被定罪和非自愿住院患者的787项START评估。通过比较患者在选择某一关键因素时的脆弱性总和与下一次评估时的脆弱性总和,来衡量在护理计划中选择某一关键因素对未来暴力风险的影响。结果:结果表明,在护理计划中将“洞察力”、“态度”、“精神状态”、“应对”和“药物使用”作为关键因素时,患者未来发生暴力的总体风险显著降低。特定关键因素的重要性因诊断组和入院后时间而异。结论:当工作人员在护理计划中选择某些特定项目作为关键因素时,患者暴力行为复发的风险显著降低。
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引用次数: 0
Incarcerated Men: Pain Experiences Shaped by Altered Independence and Loss of Autonomy. 被监禁的男性:改变独立性和丧失自主性所塑造的疼痛体验。
Pub Date : 2024-04-01 Epub Date: 2024-01-24 DOI: 10.1097/JFN.0000000000000474
Duncan Stewart MacLennan, Maria Mayan, Diane Kunyk, Gerri Lasiuk

Background: Individuals experiencing pain while incarcerated depend on nurses, security structures, processes, and regulations for relief.

Purpose: The intent of this research was to understand men's experience of pain during incarceration to inform correctional nursing practice.

Method: Interpretive description, co-positioned with relational ethics, guided this study. Twelve incarcerated men participated in a single 1-hour interview that was audio-recorded and transcribed. The resultant text was analyzed for themes.

Findings: The two main themes were dependence on staff and institutional processes and dependence on oneself and others who were incarcerated. Participants reported a substantial loss in their ability to access pain-relieving medications, products, and services. Unresponsive or delayed pain-relieving interventions from nurses contributed to their sense of indignity, disrespect, and injustice. The participants employed whatever was available, mainly exercise equipment and social support, to manage their pain.

Discussion: Nurses must engage with incarcerated patients meaningfully to understand and respond to contextual factors that influence their pain experiences. Participants identified loss of autonomy and dependence on nurses as barriers to their pain relief.

Conclusion: Nurse engagement and responsiveness are crucial to altering incarcerated men's perceptions of injustice or helplessness while improving their pain experiences. Nurses must also foster autonomous pain-management approaches that men can use without limitations within correctional settings.

背景:目的:本研究旨在了解男性在监禁期间的疼痛体验,为矫正护理实践提供参考:方法:解释性描述与关系伦理共同定位指导了本研究。12 名男性囚犯参加了一次 1 小时的访谈,访谈过程进行了录音和转录。研究结果:两个主要的主题是对工作人员和机构程序的依赖,以及对自己和其他被监禁者的依赖。参与者报告说,他们在获得止痛药物、产品和服务方面的能力大大降低。护士对缓解疼痛的干预反应迟钝或拖延,使他们感到被侮辱、不尊重和不公正。参与者利用一切可利用的手段(主要是运动器材和社会支持)来控制疼痛:讨论:护士必须与被监禁的病人进行有意义的接触,以了解并应对影响其疼痛体验的背景因素。参与者认为失去自主权和依赖护士是他们缓解疼痛的障碍:护士的参与和响应对于改变被监禁男性的不公正或无助感以及改善他们的疼痛体验至关重要。护士还必须培养男性自主的疼痛管理方法,使他们能够在惩教环境中不受任何限制地使用这些方法。
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引用次数: 0
Problematic Sexualized Behavior in Children: Essentials for the Pediatric Forensic Nurse. 儿童有问题的性行为》:儿科法医护士必备》。
Pub Date : 2024-04-01 Epub Date: 2024-02-26 DOI: 10.1097/JFN.0000000000000475
Gail Hornor

Abstract: Problematic sexual behavior (PSB) in children and adolescents is a significant public health problem. PSB is defined as harmful or developmentally inappropriate behaviors involving sexual organs or regions of the body exhibited by children or adolescents. PSB may be harmful to self or others or be abusive toward another child, adolescent, or adult. Adolescents, typically defined as children 12 years old or older, engaging in PSB can be vulnerable to formal court adjudication as their behaviors may be considered a sexual offense. PSB can result in significant negative consequences for all children and adolescents involved as well as their families. This article will describe sexual behavior in children, normative and problematic, and explore implications for forensic nursing practice.

摘要:儿童和青少年的问题性行为(PSB)是一个重要的公共卫生问题。问题性行为是指儿童或青少年涉及性器官或身体部位的有害或发育不适当的行为。PSB 可能对自己或他人造成伤害,也可能是对其他儿童、青少年或成年人的虐待。青少年(通常指 12 岁或 12 岁以上的儿童)如果参与 PSB,很容易受到法院的正式判决,因为他们的行为可能被视为性犯罪。PSB 可能会给所有涉案儿童和青少年及其家庭带来严重的负面影响。本文将描述儿童的性行为、正常行为和问题行为,并探讨其对法医护理实践的影响。
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引用次数: 0
The Diverse Voices of Forensic Nurses. 法医护士的不同声音。
Pub Date : 2024-04-01 DOI: 10.1097/JFN.0000000000000495
Cindy Peternelj-Taylor
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引用次数: 0
Vicarious Trauma and Health Outcomes in Forensic Mental Health Nurses. 法医心理健康护士的副作用创伤和健康结果。
Pub Date : 2024-04-01 Epub Date: 2023-09-26 DOI: 10.1097/JFN.0000000000000450
Claire Newman, Michael Roche, Doug Elliott

Background: Nurses working in forensic mental health settings are at risk of vicarious trauma because of their exposure to traumatized patients and distressing material such as the aversive details of patient crimes.

Aim: The aim of this study was to determine the incidence of vicarious trauma and explore its impact on health and absence from work.

Methods: A cross-sectional descriptive correlational study was undertaken. All 205 forensic mental health nurses working in a high-security inpatient facility were invited to participate. An online survey included the Vicarious Trauma Scale and the SF-36v2 to measure mental and physical health. Absence from work was also explored.

Results: Sixty-seven respondents completed the survey. Almost half of respondents had a moderate level of vicarious trauma, and only over one-quarter experienced high levels. Higher levels of vicarious trauma were associated with poorer mental health ( r = -0.59, p < 0.000) and absence from work ( r = 0.27, p < 0.010).

Conclusions: Forensic mental health nurses are at a greater risk of vicarious trauma than nurses working in mainstream mental health services, given their exposure to aversive details of patients' violent crimes. Adverse mental health consequences of vicarious trauma, and other forms of workplace trauma experienced by forensic mental health nurses, are likely to include trauma-related symptoms, depression, and anxiety. Forensic mental health nurses experiencing vicarious trauma may use sick leave as time away from work to care for their own mental health or a coping mechanism for workplace-induced psychological distress.

背景:在法医心理健康环境中工作的护士面临着替代性创伤的风险,因为他们接触到受创伤的患者和令人痛苦的材料,如患者犯罪的令人厌恶的细节。目的:本研究旨在确定替代性创伤的发生率,并探讨其对健康和缺勤的影响。方法:采用横断面描述性相关研究。所有205名在高度安全的住院机构工作的法医心理健康护士都被邀请参加。一项在线调查包括副创伤量表和SF-36v2,用于测量心理和身体健康。还探讨了缺勤问题。结果:67名受访者完成了调查。近一半的受访者有中等程度的替代性创伤,只有超过四分之一的人经历过高程度的创伤。较高程度的替代性创伤与较差的心理健康(r=-0.59,p<0.000)和缺勤(r=0.27,p<0.010)有关。替代性创伤的不良心理健康后果,以及法医心理健康护士经历的其他形式的工作场所创伤,可能包括创伤相关症状、抑郁和焦虑。经历替代性创伤的法医心理健康护士可能会利用病假作为休假时间来照顾自己的心理健康,或作为应对工作场所引发的心理困扰的机制。
{"title":"Vicarious Trauma and Health Outcomes in Forensic Mental Health Nurses.","authors":"Claire Newman, Michael Roche, Doug Elliott","doi":"10.1097/JFN.0000000000000450","DOIUrl":"10.1097/JFN.0000000000000450","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in forensic mental health settings are at risk of vicarious trauma because of their exposure to traumatized patients and distressing material such as the aversive details of patient crimes.</p><p><strong>Aim: </strong>The aim of this study was to determine the incidence of vicarious trauma and explore its impact on health and absence from work.</p><p><strong>Methods: </strong>A cross-sectional descriptive correlational study was undertaken. All 205 forensic mental health nurses working in a high-security inpatient facility were invited to participate. An online survey included the Vicarious Trauma Scale and the SF-36v2 to measure mental and physical health. Absence from work was also explored.</p><p><strong>Results: </strong>Sixty-seven respondents completed the survey. Almost half of respondents had a moderate level of vicarious trauma, and only over one-quarter experienced high levels. Higher levels of vicarious trauma were associated with poorer mental health ( r = -0.59, p < 0.000) and absence from work ( r = 0.27, p < 0.010).</p><p><strong>Conclusions: </strong>Forensic mental health nurses are at a greater risk of vicarious trauma than nurses working in mainstream mental health services, given their exposure to aversive details of patients' violent crimes. Adverse mental health consequences of vicarious trauma, and other forms of workplace trauma experienced by forensic mental health nurses, are likely to include trauma-related symptoms, depression, and anxiety. Forensic mental health nurses experiencing vicarious trauma may use sick leave as time away from work to care for their own mental health or a coping mechanism for workplace-induced psychological distress.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differences Between Clients and Professionals of Forensic and Nonforensic Flexible Assertive Community Treatment. 法医和非法医灵活自信社区治疗的来访者和专业人员的差异
Pub Date : 2024-04-01 Epub Date: 2023-11-17 DOI: 10.1097/JFN.0000000000000463
Maartje Clercx, Genevieve van Tuijn

Rationale: Flexible assertive community treatment (FACT) has been adapted for application with clients with criminal justice involvement (forensic FACT [ForFACT]). Differences have been found between clients of ForFACT services and clients of nonforensic FACT services; however, less is known about differences in behaviors. Furthermore, because of the different guiding frameworks and goals of treatment, and the difference in clients' presenting problems, it is possible professionals also differ in terms of specialist skills they need and in areas of care they deem important.

Method: The current study used an online survey among professionals of ForFACT and non-ForFACT teams to gain insight into mental disorders and clients' presenting behavioral problems and to gain insight into the level of forensic vigilance needed by professionals of both services. We also gathered information pertaining to important areas of care and what both groups of professionals view as key nursing interventions.

Results: ForFACT clients differ from non-ForFACT clients in terms of the clients' presenting psychiatric problems. Furthermore, ForFACT professionals indicated they encounter more clients who show aggressive and (sexually) transgressive behavior. ForFACT professionals were found to score higher on forensic vigilance; however, no differences pertaining to important areas of care and key nursing interventions were found.

Conclusion: These findings further strengthen the notion that ForFACT clients are a different group compared with non-ForFACT clients, and professionals need different skills. Organizations could provide tailored supervision and training to ForFACT professionals.

基本原理:灵活果断的社区治疗(FACT)适用于涉及刑事司法的客户(forensic FACT [ForFACT])。ForFACT服务的客户与非取证FACT服务的客户之间存在差异;然而,人们对行为差异知之甚少。此外,由于不同的指导框架和治疗目标,以及客户呈现问题的差异,专业人员在他们需要的专业技能和他们认为重要的护理领域方面也可能存在差异。方法:本研究对ForFACT和非ForFACT团队的专业人员进行在线调查,以了解精神障碍和客户呈现的行为问题,并了解两种服务的专业人员需要的法医警惕水平。我们还收集了有关重要护理领域的信息,以及两组专业人员认为的关键护理干预措施。结果:在精神问题的表现上,ForFACT患者与非ForFACT患者存在差异。此外,ForFACT专业人士表示,他们遇到的客户中,有更多的人表现出攻击性和(性)侵犯行为。事实上,专业人士在法医警惕性方面得分更高;然而,在重要的护理领域和关键的护理干预措施方面没有发现差异。结论:这些发现进一步强化了ForFACT客户与非ForFACT客户是不同群体的概念,专业人员需要不同的技能。组织可以为ForFACT专业人员提供量身定制的监督和培训。
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引用次数: 0
Effect of COVID-19 Risk Perception and COVID-19 Self-Care of Korean Correctional Nurses on Occupational Burnout: Mediating Effect of Stress and Anxiety About Viral Epidemics. 韩国教养护士新冠肺炎风险认知和自我护理对职业倦怠的影响:病毒流行压力和焦虑的中介作用
Pub Date : 2024-04-01 Epub Date: 2023-11-24 DOI: 10.1097/JFN.0000000000000455
Hyun-Ok Jung, Seung-Woo Han

Abstract: The purpose of this study was to investigate whether stress and anxiety about viral epidemics have effects as parameters in the relationship among COVID-19 risk perception, COVID-19 self-care, and occupational burnout for Korean correctional nurses. The subjects of this study were 107 correctional nurses working at 52 correctional facilities in Korea that are conducting COVID-19 management and prevention activities. Data were collected from March 12 to 30, 2022. Results suggest that correctional nurses during the COVID-19 pandemic may experience occupational burnout because of increased stress and anxiety about viral epidemics as their COVID-19 risk perception increased. In addition, stress and anxiety about being infected with the COVID-19 virus itself will cause burnout. This study contributes to promotion of the mental health of Korean correctional nurses and provides basic data for developing an intervention program to prevent occupational burnout.

摘要:本研究旨在探讨病毒流行的压力和焦虑是否在韩国矫正护士COVID-19风险感知、COVID-19自我保健和职业倦怠之间的关系中起作用。本次研究的对象是在全国52个教养所开展新冠肺炎管理和预防活动的107名教养所护士。数据收集于2022年3月12日至30日。结果表明,2019冠状病毒病大流行期间,随着对COVID-19风险认知的增强,狱警对病毒流行的压力和焦虑增加,可能会出现职业倦怠。此外,对感染COVID-19病毒的压力和焦虑本身也会导致倦怠。本研究旨在促进韩国惩教护士的心理健康,并为制定预防职业倦怠的干预方案提供基础资料。
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引用次数: 0
Problematic Sexualized Behavior in Children: Essentials for the Pediatric Forensic Nurse. 儿童有问题的性行为》:儿科法医护士必备》。
Pub Date : 2024-04-01 DOI: 10.1097/JFN.0000000000000496
{"title":"Problematic Sexualized Behavior in Children: Essentials for the Pediatric Forensic Nurse.","authors":"","doi":"10.1097/JFN.0000000000000496","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000496","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"20 2","pages":"E33"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of forensic nursing
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