Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care
The ethical discourse surrounding patients’ agential capacities, vis-à-vis their active participation in shared decision-making (SDM) in forensic psychiatric (FP) contexts, is an unexplored area of inquiry. The aim of this paper is to explore caregivers’ perceptions of patient agential capacities an...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521939/?tool=EBI |
| _version_ | 1811252197702238208 |
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| author | Leila El-Alti Lars Sandman Christian Munthe |
| author_facet | Leila El-Alti Lars Sandman Christian Munthe |
| author_sort | Leila El-Alti |
| collection | DOAJ |
| description | The ethical discourse surrounding patients’ agential capacities, vis-à-vis their active participation in shared decision-making (SDM) in forensic psychiatric (FP) contexts, is an unexplored area of inquiry. The aim of this paper is to explore caregivers’ perceptions of patient agential capacities and institutional pathways and barriers to person centered care (PCC) in the context of FP. Following an exploratory qualitative design, we conducted eight semi-structured interviews with hands-on caregivers at an in-patient FP facility in Sweden. A deductive framework method of analysis was employed, and four themes emerged: “Fundamental Variability in Patient Capacity”, “Patient Participation: Narration or Compliance?”, “Antagonism Rooted in Power Struggles”, and “System Structure Thwarts Patient Release”. While the results generally paint a bleak picture for the possibility of a person-centered FP care, we describe a constrained version of PCC with high-level SDM dynamics which promotes a certain degree of patient empowerment while allowing care strategies, within set restrictions, to promote patient adherence and treatment progress. |
| first_indexed | 2024-04-12T16:31:17Z |
| format | Article |
| id | doaj.art-a2b2a131c55d47b387d87d5b58fda0c1 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T16:31:17Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-a2b2a131c55d47b387d87d5b58fda0c12022-12-22T03:25:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric careLeila El-AltiLars SandmanChristian MuntheThe ethical discourse surrounding patients’ agential capacities, vis-à-vis their active participation in shared decision-making (SDM) in forensic psychiatric (FP) contexts, is an unexplored area of inquiry. The aim of this paper is to explore caregivers’ perceptions of patient agential capacities and institutional pathways and barriers to person centered care (PCC) in the context of FP. Following an exploratory qualitative design, we conducted eight semi-structured interviews with hands-on caregivers at an in-patient FP facility in Sweden. A deductive framework method of analysis was employed, and four themes emerged: “Fundamental Variability in Patient Capacity”, “Patient Participation: Narration or Compliance?”, “Antagonism Rooted in Power Struggles”, and “System Structure Thwarts Patient Release”. While the results generally paint a bleak picture for the possibility of a person-centered FP care, we describe a constrained version of PCC with high-level SDM dynamics which promotes a certain degree of patient empowerment while allowing care strategies, within set restrictions, to promote patient adherence and treatment progress.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521939/?tool=EBI |
| spellingShingle | Leila El-Alti Lars Sandman Christian Munthe Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care PLoS ONE |
| title | Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| title_full | Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| title_fullStr | Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| title_full_unstemmed | Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| title_short | Caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| title_sort | caregiver perspectives on patient capacities and institutional pathways to person centered forensic psychiatric care |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9521939/?tool=EBI |
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