How forensic mental health nurses’ perspectives of their patients can bias healthcare: A qualitative review of nursing documentation

2020 ◽  
Vol 29 (13-14) ◽  
pp. 2482-2494
Author(s):  
Krystle Martin ◽  
Rosemary Ricciardelli ◽  
Itiel Dror
Keyword(s):  
Mental Health ◽  
Forensic Mental Health ◽  
Nursing Documentation ◽  
Mental Health Nurses ◽  
Qualitative Review

Detached Concern of Forensic Mental Health Nurses in Therapeutic Relationships With Patients

2010 ◽  
Vol 24 (4) ◽  
pp. 266-274 ◽  
Author(s):  
Frans Fluttert ◽  
Berno van Meijel ◽  
Henk Nijman ◽  
Stål Bjørkly ◽  
Mieke Grypdonck
Keyword(s):  
Mental Health ◽  
Therapeutic Relationships ◽  
Forensic Mental Health ◽  
Mental Health Nurses ◽  
Detached Concern

Nurses’ views about unlicensed and off-license medicines in forensic mental health

2014 ◽  
Vol 16 (3) ◽  
pp. 194-202
Author(s):  
Camilla M. Haw ◽  
Jean H. Stubbs ◽  
Geoffrey L. Dickens
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Forensic Mental Health ◽  
Pragmatic Approach ◽  
Structured Interviews ◽  
Mental Health Nurses ◽  
Content Type ◽  
Unlicensed Medicines ◽  
Mental Health Settings ◽  
Practical Implications

Purpose – Use of off-license medicines in forensic mental health settings is common and unlicensed drugs are sometimes prescribed. Despite their responsibility for administering medicines little is known about how mental health nurses view these practices. The paper aims to discuss these issues. Design/methodology/approach – In total, 50 mental health nurses working in low and medium secure adolescent and adult mental health wards were presented with a clinical vignette about administration of unlicensed and off-license medicines. Semi-structured interviews about their likely clinical response to, and feelings about, this practice were conducted. Interview data were subject to a thematic analysis. Findings – Analysis revealed six themes: status of unlicensed/off-label medicines; legality of administering unlicensed medicines; professional standards around administering unlicensed medicines; finding out more about unlicensed medicines; trusting medical colleagues; and decision making in uncertain cases. Practical implications – Forensic mental health nurses take a pragmatic approach to the practice of administering unlicensed medicines and most are aware of their professional responsibilities. Originality/value – This study provides the first evidence to inform the development of training for forensic mental health nurses about an issue that is common in forensic mental health practice.

A Qualitative Review of What Forensic Mental Health Nurses Include in Their Documentation

2021 ◽  
pp. 084456212110180
Author(s):  
Krystle Martin ◽  
Rosemary Ricciardelli
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Critical Role ◽  
Missing Information ◽  
Nursing Documentation ◽  
Mental Health Nurses ◽  
Inaccurate Information ◽  
The Impact ◽  
Quality Of Nursing

Background Documentation of mental health care is a critical component of nursing practice. Despite being identified as playing a critical role, researchers continue to question the quality of nursing documentation and missing and/or inaccurate information. Purpose Our aim is to explore the content of nursing documentation among mental health nurses providing care to forensic inpatients. Methods Using a constructed semi-grounded emergent theme approach for data analysis, we reviewed the types of activities, subjects, and interactions described within nursing notes and identified themes of the content. Results Our results demonstrate that nursing documentation could be categorized into one of seven themes: interactions, food, activities, sleep, mental health, physical health and hygiene. These areas were not consistent with the recommendations from nursing bodies in Canada, specifically the areas of assessment, planning, implementation, and evaluation. Furthermore, missing in the nursing notes is context. Conclusions The discussion highlights the importance of nursing documentation within the context of best practice, bias, and the impact on patient care. We also discuss missing information (context, clinical relevance, and case conceptualization), and suggest that nurses are not injecting this expertise in patient notes. Clinical implications for documentation practices are presented in relation to education and reflective practice.

scholarly journals Burnout symptoms in forensic mental health nurses: Results from a longitudinal study

2018 ◽  
Vol 28 (1) ◽  
pp. 306-317 ◽  
Author(s):  
Peter de Looff ◽  
Robert Didden ◽  
Petri Embregts ◽  
Henk Nijman
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Forensic Mental Health ◽  
Mental Health Nurses
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