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Evidence-Based Design Has a Sustainable Positive Effect on Patients' Perceptions of Quality of Care in Forensic Psychiatry

A 3-Year Follow-Up Study

Wijk, Helle, RN, MSc, PhD1,2; Degl' Innocenti, Alessio, MSc, PhD3,4; Kullgren, Anette, RN, MSc1; Alexiou, Eirini, RN, MSc, MD, PhD3,5

doi: 10.1097/JFN.0000000000000226
Original Articles
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ABSTRACT This prospective longitudinal study aimed to assess the sustainable effect on patients' assessment of ward atmosphere and quality of care at three forensic psychiatric clinics relocated to new facilities built with the latest evidence-based healthcare environment design to support recovery. Baseline data were collected in the old facilities and during three follow-ups after relocation, between 2010 and 2016. Of 74 patients who gave informed consent to participate, 58 patients (100%) answered the questionnaires at baseline, with 25 patients (43%) completing them at Follow-up 1, 11 patients (19%) at Follow-up 2, and seven patients (12%) at Follow-up 3. This study provides evidence that the mean values of patients' perceptions of care quality in these forensic psychiatric facilities increased when moving to new buildings and were stable up to 3 years after relocation, which was statistically significant in the domain of secluded environment (p < 0.05). The sample size at Follow-up 3 was small, and thus the results are limited, which indicates that further research is needed to confirm the findings.

Author Affiliations: 1Institute of Health and Care Science, Sahlgrenska Academy, University of Gothenburg;

2Department Quality Assurance, Sahlgrenska University Hospital;

3Center for Ethics, Law, and Mental Health, Sahlgrenska Academy, University of Gothenburg;

4Gothia Forum for Clinical Trials, Sahlgrenska University Hospital; and

5Forensic Psychiatric Clinic, Sahlgrenska University Hospital.

The authors declare no conflict of interest.

All authors meet the criteria for authorship stated in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.

Correspondence: Alessio Degl' Innocenti, MSc, PhD, Gothia Forum for Clinical Trials, Sahlgrenska University Hospital, Blå stråket 5, 413 45 Gothenburg, Sweden. E-mail: alessio.deglinnocenti@vgregion.se.

Received April 24, 2018; accepted for publication November 4, 2018.

© 2019 by the International Association of Forensic Nurses. All rights reserved.
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