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The Concept of Patient Participation in Forensic Psychiatric Care

The Patient Perspective

Selvin, Mikael RN; Almqvist, Kjerstin PhD; Kjellin, Lars Dr Med Sc, PhD; Schröder, Agneta PhD, RNT

doi: 10.1097/JFN.0000000000000107
Original Articles

ABSTRACT The importance of patient participation is advocated in medical treatment and nursing care and has been linked to increased quality of care, increased patient satisfaction, and treatment adherence. Still, patients in forensic psychiatric care often report being unhappy with their experienced level of participation. The concept of patient participation is complex and has several definitions, thus it is important to investigate it from different perspectives in different contexts. The aim of this study was to describe patients’ perceptions of the concept of patient participation in forensic psychiatric care. A qualitative design with a phenomenographic approach was used, and interviews with 19 participants in a Swedish setting were completed. The participants described the concept of patient participation in forensic psychiatric care as follows: influence, to have good communication and to be involved; confidence, to have mutual trust and to trust the care; and own responsibility, to participate in activities and to take the initiative. On the basis of the results of this study, improved patient participation in forensic psychiatric care may be achieved with active communication, by building up and maintaining trust for professional competence and by encouraging patients’ own responsibility. It is important that knowledge about patients’ views of the concept of patient participation is included in the planning and improvement of forensic care.

Author Affiliations:1University Health Care Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; and 2Department for Social and Psychological studies, Karlstad University, Karlstad, Sweden.

The authors declare no conflict of interest.

Correspondence: Mikael Selvin, RN, University Health Care Center, Örebro University, Box 1613, 701 16 Örebro, Sweden. E-mail:

Received December 8, 2015; accepted for publication February 29, 2016.

© 2016 by the International Association of Forensic Nurses. All rights reserved.
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