Patient-Centered Care Competence in High-Security Forensic Psychiatric Nurses: The Role of Professional Self-Efficacy and Attitudes Toward Forensic Patients
Journal of Psychiatric and Mental Health Nursing, cilt.32, sa.6, ss.1325-1333, 2025 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 32 Sayı: 6
- Basım Tarihi: 2025
- Doi Numarası: 10.1111/jpm.70024
- Dergi Adı: Journal of Psychiatric and Mental Health Nursing
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Abstracts in Social Gerontology, CINAHL, MEDLINE, Psycinfo, Public Affairs Index
- Sayfa Sayıları: ss.1325-1333
- Anahtar Kelimeler: forensic psychiatric nursing, high security hospital, nurse attitudes, patient centered care, professional self-efficacy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Patient-centered care is a fundamental element in healthcare and nursing services. In units where complex healthcare services are provided, such as high-security forensic psychiatry hospitals, patient-centered care becomes even more critical. Aims: This study aimed to examine the relationship between professional self-efficacy, attitudes toward forensic patients and patient-centered care competencies among nurses working in high-security forensic psychiatric hospitals (HSFPHs). Method: The study population consisted of 220 nurses employed in six HSFPHs in Turkiye. The sample size was determined by power analysis, and the study was completed with 122 nurses. Data were collected using the Descriptive Information Form, Patient-Centered Care Competency Scale (PCCCS), Nursing Profession Self-Efficacy Scale (NPSES) and Nurses' Attitudes Toward Forensic Psychiatric Patients Scale (NAFPPS). This study was conducted in accordance with the STROBE guidelines. Findings: A strong positive correlation was found between PCCCS and NPSES (r = 0.650, p < 0.001). A weak but significant positive correlation was observed between PCCCS and NAFPPS (r = 0.256, p = 0.005). No significant correlation was found between NPSES and NAFPPS (r = 0.138, p = 0.129). Conclusion: This study emphasises that improving nurses' self-efficacy and attitudes is key to strengthening patient-centered care in HSFPHs. Sustainable training programmes and supportive leadership are essential for maintaining this approach.