Role and Responsibility of Forensic Psychiatric Nurses: Systematic Review

Dіkeç, Gül

doi:10.14744/phd.2017.86094

Psi Hem Derg

2017

DOI: 10.14744/phd.2017.86094

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Role and Responsibility of Forensic Psychiatric Nurses: Systematic Review

Gül Dіkeç¹

Abstract: Adli psikiyatri hemşireliği (APH), suça karışan psikiyatri hastalarının tedavi, bakım, rehabilitasyonunun sağlanması ve haklarının korunması ile ilgilenen psikiyatri hemşireliği alt uzmanlık alanıdır. [1,2] APH'nin, psikiyatri hemşirelerinin sahip olduğu hastaların ilaç tedavisini, uğraşı terapilerini sağlama ve şiddet riskini değerlendirme gibi sorumlulukların yanı sıra, güvenlikli bir çevrede hasta bakımını sağlama sorumluğu da bulunmaktadır.

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2024

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Cited by 3 publications

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The Nurse‐Police Assistance Crisis Team (N‐PACT): A new role for nursing

Petreca,

Barros,

Hoblock

et al. 2024

Journal of Advanced Nursing

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AimThis study aimed to gain insights into forensic nurses' perspectives and approaches to behavioural crisis situations, comparing them to disciplines traditionally involved in first‐line behavioural crisis response.DesignThis study used a descriptive, qualitative exploratory design and was informed by Systems Theory.MethodsThe study was carried in the United States, between 2022 and 2023. Data were gathered through four focus groups: police officers (n = 12), co‐response (mental health) clinicians (n = 13), sexual assault nurse examiners (n = 6) and correctional nurses (n = 4). Thematic analysis was performed.Reporting MethodThe Standards for Reporting Qualitative Research (SRQR) guidelines were used.ResultsFindings revealed temporal themes in crisis response: (1) Searching for Historical Information; (2) Safety and Acting at the Present Scene; and (3) Future Strategies and Interventions. Common priorities (e.g. safety and de‐escalation) were identified across groups. Notably, nurses demonstrated a comprehensive approach, addressing physical and mental health assessments, substance involvement, and physical injury evaluation.ConclusionThis study proposes the creation of a novel nursing role within first‐line multidisciplinary teams (MDTs) for crisis response—the Nurse‐Police Assistance Crisis Team (N‐PACT). Nurses bring expertise and comprehensive assessment skills to enhance crisis responses, particularly in cases involving mental health emergencies, medical crises, and drug‐related incidents.ImplicationsForensic nurses, with their diverse competencies and comprehensive training, are highly valuable assets within MDTs. Their expertise extends to proficiently conducting mental and physical assessments, ensuring safety and adeptly navigating situations that intersect with the legal system.ImpactThe N‐PACT concept can improve outcomes and streamline the allocation of resources, particularly considering the number of police calls involving behavioural crises.Patient or Public ContributionNo patient or public contribution.

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The Nurse‐Police Assistance Crisis Team (N‐PACT): A new role for nursing

Petreca,

Barros,

Hoblock

et al. 2024

Journal of Advanced Nursing

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Alexithymia and Forgiveness Levels of Forensic Psychiatric Patients

Polat,

Karakaş,

Erçel

et al. 2024

J Psychosoc Nurs Ment Health Serv

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The current cross-sectional study was performed to examine levels of alexithymia and forgiveness in forensic psychiatric patients. Data were collected between March 2022 and August 2022 at a high-security forensic psychiatric hospital affiliated with a city hospital in Turkey. A personal information form prepared by the researchers, the Toronto Alexithymia Scale, and the Heartland Forgiveness Scale were used to obtain data. Participants comprised 132 forensic psychiatric patients who agreed to participate in the study. A significant negative correlation was found between alexithymia and forgiveness levels of participants ( p < 0.01, r = −0.259). In other words, as alexithymia levels increased, participants were found to be less forgiving. In addition, results suggest that forensic psychiatric patients are susceptible to alexithymia and higher levels of forgiveness. Determining forgiveness and alexithymia levels of forensic psychiatric patients will contribute to the structuring of care to be offered to these patients. [ Journal of Psychosocial Nursing and Mental Health Services, xx (xx), xx–xx.]

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Cezaevi̇nde Adli̇ Psi̇ki̇yatri̇ Hemşi̇resi̇ni̇n Rol Ve Sorumluluklari

Baysan Arabacı,

Küçükmehmet

2024

FBU-JOHS

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Cezaevi, tutuklu bireylerin bulunduğu, çevresel koşulların ve etkileşim kurulacak insanların dışsal bir kaynak tarafından belirlendiği, dış dünyayla iletişim ve etkileşimin ciddi oranda sınırlandırıldığı ve bu nedenle tutuklu bireylerde sağlık sorunları, kişisel problem ve hastalıkların görülebildiği kısıtlanmış bir yaşam alanıdır. Cezaevinde çalışan adli psikiyatri hemşireleri ise, genelde sosyoekonomik düzeyi düşük olan, kendi sağlık bakımını ihmal eden, alkol veya madde kullanım bozukluğu öyküsü olan, ruhsal bozukluklara ya da saldırgan davranışlara sahip olabilen ve kendi ailesinden bile destek göremeyen bireyler ile çalışan sağlık profesyonelleridir. Cezaevi koşullarında tutuklu bireylerin sağlığı öncelikli olarak görülmeyebilir. Ancak unutulmamalıdır ki bu gereksinimin karşılanması bir insan hakkıdır. Ayrıca, tahliye edildikten sonra topluma dönecek olan tutuklu bireyleri, özellikle ruhsal bozukluğa sahip bireyleri, yeniden topluma kazandırmak adına ivedilikle uygun bir tedavi programının başlatılması gerekir. Ülkemizde, cezaevi hemşireliğinin görev sorumlulukları Halk Sağlığı Hemşireliği çatısı altında tanımlanmıştır. Fakat, yapılan literatür taraması göstermektedir ki, cezaevlerinde bulunan bireylerin büyük çoğunluğunda fiziksel hastalıklara kıyasla ruhsal bir bozukluk görülme olasılığı daha yüksektir. Bu nedenle, tutuklu bireylere bütüncül bir bakım sunabilmek adına cezaevlerinde özellikle psikiyatri hemşirelerinin görevlendirilmesi oldukça değerlidir. Dünya’da olduğu gibi Türkiye literatüründe de cezaevinde psikiyatri hemşireliği alanındaki çalışmalar sınırlı sayıdadır. Bu nedenle bu alanyazın, cezaevinde adli psikiyatri hemşiresinin rol ve sorumlulukları konusunda ilgili literatür bilgisi doğrultusunda farkındalık oluşturmak amacıyla ele alınmıştır.

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Role and Responsibility of Forensic Psychiatric Nurses: Systematic Review

Cited by 3 publications

References 19 publications

The Nurse‐Police Assistance Crisis Team (N‐PACT): A new role for nursing

The Nurse‐Police Assistance Crisis Team (N‐PACT): A new role for nursing

Alexithymia and Forgiveness Levels of Forensic Psychiatric Patients

Cezaevi̇nde Adli̇ Psi̇ki̇yatri̇ Hemşi̇resi̇ni̇n Rol Ve Sorumluluklari

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