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Patient and staff perceptions of the ward atmosphere in a Swedish maximum-security forensic psychiatric hospital

Brunt, David, 1949- (author)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap, HV
Rask, Mikael, 1958- (author)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap, HV
 (creator_code:org_t)
Taylor & Francis Group, 2005
2005
English.
In: Journal of Forensic Psychiatry & Psychology. - : Taylor & Francis Group. - 1478-9949 .- 1478-9957. ; 16:2, s. 263-276
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The main aim of the study was to describe and compare the patient and staff perceptions of the ward atmosphere of a maximum-security forensic psychiatric hospital in southern Sweden. The main instrument used, the Ward Atmosphere Scale (WAS), was administered to both patients and staff on the eight wards of the hospital, where there was a total of 82 beds. The hospital has a regional responsibility for maximum-security forensic psychiatric care in southern Sweden. Forty-eight per cent of the patients and 82% of the staff consented to participate in the study. The results of the study showed that the patients rated intermediate levels of all the 10 subscales of WAS with the lowest mean scores for Autonomy and Involvement and the highest mean scores for Programme Clarity and Order and Organization. The staff, however, rated a low level of Staff Control and high levels of Programme Clarity, Practical Orientation and Support. The staff and patient perceptions differed on eight of the 10 WAS subscales with only Personal Problem Orientation and Anger and Aggression being rated at similar levels. The results are considered in the light of the limited available literature in the field. Furthermore, the differences between the perceptions of the two groups as well as the clinical implications of these differences are discussed.

Keyword

forensic psychiatry
ward atmosphere
patient perceptions
staff perceptions
clinical implications
Hälsovetenskap
Health and Caring Sciences

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