Karen Humphries, Caroline Clarke, Kate Willoughby and Jake Smithson
The purpose of this paper is to develop an understanding of the experience of secure care from the patients’ perspective.
Abstract
Purpose
The purpose of this paper is to develop an understanding of the experience of secure care from the patients’ perspective.
Design/methodology/approach
A systematic review of qualitative literature was conducted. The data was sourced from the electronic databases: PsychINFO, CINAHL, Medline and the Web of Science Core Collection using pre-defined search terms. A total of 17 studies, conducted in various countries worldwide and covering high, medium and low secure inpatient settings, were included for review. The analysis involved integrating findings from across the literature and was guided by thematic synthesis.
Findings
A total of eight themes were generated from the data, three of which provided an understanding of the experience of forensic secure care, and the remaining five themes provided an understanding of the factors which may influence the experience of secure care.
Practical implications
Developing understanding of patient experience can lead to service improvements, potentially impacting patients’ motivation and engagement and thus reducing admission times, potential recalls and recidivism.
Originality/value
To the best of the authors’ knowledge, this is the first systematic review to date to exclusively explore the broad topic of the patient experience of secure mental health care.
Details
Keywords
Lynne Wood and Isabella McMurray
A continuing challenge in the design of effective interventions to prevent adolescents’ alcohol misuse is understanding adolescent drinking behaviour. Although previous research…
Abstract
Purpose
A continuing challenge in the design of effective interventions to prevent adolescents’ alcohol misuse is understanding adolescent drinking behaviour. Although previous research has indicated a number of factors that might predict drinking behaviour, there has been less qualitative exploration of adolescents’ own views. The purpose of this paper is to gain a further understanding of adolescents’ views towards alcohol use and the types of environment in which adolescents drink alcohol.
Design/methodology/approach
A qualitative design was employed with eight focus groups conducted in groups of 3–5 with 27 adolescents (12 girls and 15 boys) aged between 12 and 14.
Findings
Thematic analysis identified overarching themes evident across groups suggesting key influences on adolescent drinking behaviour are “social norms”, “enjoyment of alcohol”, “images” and “creation of drinking spaces”.
Research limitations/implications
This research highlights the importance of environments, parents, friends and peers in understanding adolescent’s alcohol use.
Practical implications
The implications of this research suggest that interventions should consider targeting peer groups.
Social implications
These themes highlight the importance of more socially based interventions.
Originality/value
This paper explores adolescents’ own views of their drinking behaviours.