Mental Health Nurses’ Experiences of Risk Assessments for Care Planning in Forensic Psychiatry

Research output: Contribution to journalArticle


title = "Mental Health Nurses{\textquoteright} Experiences of Risk Assessments for Care Planning in Forensic Psychiatry",
abstract = "The risk of patients committing violence implies major challenges throughout the care process in forensic psychiatry and brings risk assessments to the fore. The aim was to explore nurses{\textquoteright} experiences of risk assessments for their care planning and risk management in forensic psychiatry. Data were collected through focus groups with 15 nurses. The qualitative content analysis followed a deductive approach guided by the person-centered philosophy. When exploring nurses{\textquoteright} reasoning on risk assessment, units related to person-centered principles were identified. The findings showed that nurses made great efforts to confirm the unique person behind the patient, even when challenged by patients{\textquoteright} life histories of violence. They also regarded therapeutic alliance as crucial, although this needed to be balanced between caring and restricting actions. A fruitful strategy to preserve therapeutic alliance may be to increase the use of a structured focus on protective factors in treatment plans towards promoting recovery-oriented policies and practices.",
keywords = "care planning, forensic psychiatry, Person-centered care, qualitative content analysis, risk assessment",
author = "Marielle Nyman and Bj{\"o}rn Hofvander and Thomas Nilsson and Helle Wijk",
year = "2020",
doi = "10.1080/14999013.2019.1646356",
language = "English",
volume = "19",
pages = "103--113",
journal = "International Journal of Forensic Mental Health",
issn = "1932-9903",
publisher = "Taylor & Francis",
number = "2",