Therapeutic engagement in medium-secure care: an interpretative phenomenological analysis of service users’ experiences

Patients’ experiences of forensic mental health inpatient care: a systematic review and thematic synthesis of qualitative literature

“…There was reported uncertainty about how to progress towards discharge (Hörberg et al , 2012; Lord et al , 2016; Zhong et al , 2019). The absence of a care pathway made it difficult for patients to assess whether progress was being made (Craik et al , 2010), and some had resigned to feeling that they actually had no influence over their progression and that this was in the hands of staff alone (Barnao et al , 2015; Hörberg et al , 2012).…”

“…The patient’s bedroom was identified as a place of both privacy and safety, creating a “safe zone” (Olausson et al , 2019). When experienced as a place of privacy, the room provided relief from the perceived public space of the ward, where patients felt to be under continual surveillance from staff (Lord et al , 2016). Of course, the patients’ bedroom does not promise complete privacy, and some patients described embarrassing and humiliating encounters when staff observed them unexpectedly (Brown et al , 2014).…”

“…Many studies identified that the ward could, at times, feel unsafe due to unpredictable and volatile behaviour creating tension (Koller and Hantikainen, 2002; Lord et al , 2016; Meehan et al , 2006; Mezey et al , 2010; Olsson et al , 2014; Tomlin et al , 2020). In contrast, the patients’ room was experienced as a safe space:…”

“…Alternatively, relationships with staff were experienced as either controlling (Marklund et al , 2020) as staff adopted superior attitudes (Meehan et al , 2006), lacking care (Craik et al , 2010; Lord et al , 2016) or at worst, neglectful (Askew et al , 2020). This could lead to a breakdown of trust whereby patients “felt staff would be less likely to enable their progression through care” (Tomlin et al , 2020).…”

An integrative review exploring the experiences of service users carrying a diagnosis of personality disorder and student mental health nurses and the time they share together

“…Service users emphasise the importance of trust, empathy, understanding of historical experiences, and positive perceptions and interactions in their experiences of care. Bressington, Stewart, Beer, andMacInnes (2011) andLord, Priest, andMcGowan (2016) both refer to the impact a positive social environment can have for service users (Shattell et al, 2008) which ultimately aids in the development of therapeutic relationships (Long et al, 2012) and higher levels of satisfaction of their care. Other factors that enhanced service users' satisfaction were honesty, care and interest from practitioners (MacInnes, Courtney, Flanagan, Bressington, & Beer, 2014) and a recovery-focused approach that conveyed hope and sense of common humanity by dual sharing of self (Borg & Kristiansen, 2004).…”