An integrative review of nursing staff experiences in high secure forensic mental health settings: Implications for recruitment and retention strategies: 在高安全性司法心理健康环境中的护理人员经验的综合回顾:对招聘和留用策略的影响

Jennifer Oates, Alice Topping, Ivanka Ezhova, Emma Wadey, Anne Marie Rafferty

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)
371 Downloads (Pure)

Abstract

Aims
To identify the experiences of nursing in high secure forensic mental health settings that may affect staff recruitment and retention.

Background
Recruitment and retention of Registered Nurses is a vital international concern in the field of mental health. The high secure forensic setting presents unique challenges for the nurse. Studies of nurse's experiences in this setting have not previously been reviewed in the context of workforce sustainability pressures.

Design
An integrative review (Whittemore and Knapfl, 2005).

Data sources
A systematic search of data sources: MEDLINE (PubMed), PsycINFO, EMBASE, CINAHL, International Bibliography of the Social Sciences, Applied Social Sciences Index and Abstracts (ASSIA), Social Services Abstracts, ProQuest Social Sciences Premium collection (IBSS, PAIS, and Sociological Abstracts), and Web of Science from inception to December 2019.

Review methods
Data extraction, quality appraisal, and convergent qualitative synthesis.

Results
Fifteen papers were selected for inclusion in the review, describing 13 studies. Six studies were quantitative, all cross-sectional surveys. There were seven qualitative studies, using a variety of methodologies. Four themes were identified: engagement with the patient group, the ward social environment, impact on the nurse, and implications for practice.

Conclusion
When policymakers address workforce shortages in high secure forensic nursing they must take account of the unique features of the setting and patient group. Nurses must be adequately prepared and supported to function in an ethically and emotionally challenging environment.

Impact
This study identified factors affecting workforce pressures in the speciality of forensic mental health nursing. Findings are of interest to national nursing policymakers and workforce leads in mental health service provider organizations, seeking to promote forensic nursing as a career option and retain nursing staff.
Original languageEnglish
Pages (from-to)2897-2908
Number of pages12
JournalJournal of Advanced Nursing
Volume76
Issue number11
Early online date19 Sept 2020
DOIs
Publication statusPublished - Nov 2020

Keywords

  • Nursing
  • emotional labour
  • forensic
  • integrative review
  • mental health
  • trauma
  • workforce

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