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Staff perceptions o...
Staff perceptions of facilitators and barriers to the use of a short-term risk assessment instrument in forensic psychiatry
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- Levin, Sara (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Rättspsykiatrisk regionklinik
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- Nilsen, Per, 1960- (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
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- Bendtsen, Preben, 1956- (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
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- Bülow, Per, 1953- (författare)
- Jönköping University,HHJ, Avdelningen för socialt arbete,HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd),Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden,Department of Behavioural Science and Social Work, School of Health Sciences, Jönköping University,Jönköping, Sweden
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(creator_code:org_t)
- 2018-06-14
- 2018
- Engelska.
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Ingår i: Journal of Forensic Psychology Practice. - : Taylor & Francis. - 1522-8932 .- 1522-9092 .- 2473-2850 .- 2473-2842. ; 18:3, s. 199-228
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Prospective adverse events within forensic settings should be assessed using structured risk assessment instruments. Our aim was to identify the barriers and facilitators of a structured instrument for assessment of short-term risk within inpatient forensic psychiatric care. The instrument was piloted at a forensic psychiatric clinic. Three focus group interviews were conducted with staff. Content analysis revealed three main categories of barriers and facilitators for clinical use: implementation object, context, and users. Complexity of the instrument, insufficient continuous training and support, difficulties retrieving assessments on wards, and insecurity about translating assessments into actions were perceived barriers to clinical use. Routines for documentation improved communication and the inclusion of protective and short-term dynamic clinical factors were perceived as clinically relevant. Problem-solving ability, attitude, and motivation of staff were facilitating factors. Comprehensive risk assessment instruments require substantial support for staff to find them manageable. Systematic documentation is required to measure actual daily clinical use.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Rättsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Forensic Science (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- structured risk assessment
- START
- implementation
- clinical use of research evidence
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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