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‘Fleeing’ as a Strategy for Navigating Resistance in Patient Encounters within Forensic Care
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0003-2834-6620
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-1614-7379
Faculty of Nursing and Health Sciences, Nord University, Norway.ORCID iD: 0000-0001-5890-203X
2023 (English)In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 21, article id 2890Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe the phenomenon of “fleeing the encounter when facing resistance” as experienced by carers working in forensic inpatient care. Qualitative analysis, namely reflective lifeworld research, was used to analyze data from open-ended questions with nine carers from a Swedish regional forensic clinic. The data revealed three meaning constituents that describe the phenomenon: shielding oneself from coming to harm or harming the other, finding one’s emotional balance or being exposed, and offering the patient emotional space and finding patience. The carers described their approaches in the encounters with the patients as alternating between primitive instincts and expectant empathy in order to gain control and deal with the interaction for their own part, for that of the patient, and for that of their colleagues. The phenomenon of fleeing the encounter when facing resistance was intertwined with carers’ self-perception as professional carers. Negative encounters with patients evoked feelings of shame and self-blame. A carer is a key person tasked with shaping the care relationship, which requires an attitude on the part of the carer that recognizes not only the patient’s lifeworld but also their own.

Place, publisher, year, edition, pages
MDPI AG , 2023. Vol. 11, no 21, article id 2890
Keywords [en]
nurse–patient interactions, emotional regulation, forensic psychiatry, reflective lifeworld research
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-49732DOI: 10.3390/healthcare11212890ISI: 001099377900001Scopus ID: 2-s2.0-85176388447OAI: oai:DiVA.org:miun-49732DiVA, id: diva2:1809341
Available from: 2023-11-03 Created: 2023-11-03 Last updated: 2023-11-30Bibliographically approved

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Hammarström, LarsHellzén, Ove

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