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The Quality in Psychiatric Care-Forensic In-Patient Instrument: Psychometric Properties and Patient Views of the Quality of Forensic Psychiatric Services in Sweden

Schröder, Agneta PhD, RNT; Ågrim, Joakim MSc, RN; Lundqvist, Lars-Olov PhD

doi: 10.1097/JFN.0b013e31827f5d2f
Original Articles

ABSTRACT The aim of this study was to evaluate the psychometric properties and dimensionality of the instrument Quality in Psychiatric Care-Forensic In-Patient and to describe the quality of psychiatric care among forensic in-patients. The study group consisted of patients all receiving care during 2 weeks in September 2009 and meeting the inclusion criteria. A sample of 134 in-patients from 34 forensic wards in Sweden participated. Confirmatory factor analysis revealed a seven-factor structure, and 69% of the patients reported the quality of care as high. The highest rating was for the secluded environment dimension, and the lowest was for the participation dimension. The Quality in Psychiatric Care-Forensic In-Patient is a reliable and valid measurement instrument recommended for use in evaluating quality in forensic in-patient care.

Author Affiliations: 1Psychiatric Research Centre, Örebro County Council and School of Health and Medical Sciences, Örebro University, Sweden; 2Regional Forensic Psychiatric Centre, Vadstena, Östergötland County Council, Sweden; 3Centre for Rehabilitation Research, Örebro University, Örebro, Sweden.

Agneta Schröder and Lars-Olov Lundqvist contributed equally to this work.

The authors declares no conflict of interest.

Correspondence: Agneta Schröder, PhD, RNT, Psychiatric Research Centre, Box 1613, Örebro University Hospital, SE-70116 Örebro, Sweden. E-mail:

Received February 10, 2012; accepted for publication November 15, 2012.

© 2013 by the International Association of Forensic Nurses. All rights reserved.
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