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Patients' experiences of place and space after a relocation to evidence-based designed forensic psychiatric hospitals.

Authors
  • Olausson, Sepideh1, 2
  • Wijk, Helle3, 4
  • Johansson Berglund, Inger2
  • Pihlgren, Anneli2
  • Danielson, Ella2, 5
  • 1 Institute of Health and Care Sciences at Gothenburg University, Centre for Ethics Law and Mental Health/CELAM, Rågården Forensic Psychiatric Hospital at Sahlgrenska University Hospital, Göteborg, Sweden. , (Sweden)
  • 2 Institute of Health and Care Sciences at Gothenburg University, Göteborg, Sweden. , (Sweden)
  • 3 Department of Architecture, Institute of Health and Care Sciences at Gothenburg University, Chalmers University of Technology, Göteborg, Sweden. , (Sweden)
  • 4 Department of Quality Improvement and Patient Safety, Sahlgrenska University Hospital, Göteborg, Sweden. , (Sweden)
  • 5 Department of Nursing, Institute of Health and Care Sciences at Gothenburg University, Mid Sweden University, Göteborg, Sweden. , (Sweden)
Type
Published Article
Journal
International Journal of Mental Health Nursing
Publisher
Wiley (Blackwell Publishing)
Publication Date
Oct 01, 2021
Volume
30
Issue
5
Pages
1210–1220
Identifiers
DOI: 10.1111/inm.12871
PMID: 33939249
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Forensic hospitals provide care for incarcerated patients who have committed a crime under the influence of serious mental illness. The care and (re)habilitation of the target group require highly competent staff and treatment strategies as well as purpose-built facilities that promote successful recovery. The aim of this study was to examine patients' experiences of place and space in new, purpose-built, evidence-based designed forensic psychiatric facilities in terms of supporting everydayness. A qualitative methodology was chosen. In total, 19 patients agreed to participate. Data were collected through photovoice (a combination of photographs and interviews) at three forensic hospitals, according to an evidence-based design and the concept of person-centred care in Sweden. The data were analysed through thematic content analysis. Four themes emerged from the data, revealing the patients' experiences of the new buildings: (i) having a private place, (ii) upholding one's sense of self, (iii) feelings of comfort and harmony, and (iv) remaining connected to one's life. The findings reveal that purpose-built environments can support everyday living and well-being and can create comfort. This is considered highly therapeutic by the patients. In conclusion, the findings of this study are of imperative importance in the design of health-promoting forensic hospitals. © 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.

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