Bakgrund: I tidigare forskning beskrivs svårigheter i att vårda patienter med självskadebeteende. Utbildning och erfarenhet ses av sjuksköterskorna vara av stor vikt för ett professionellt agerande gentemot patienterna. Patienterna uppger svårigheter i att söka vård då de uppfattar självskadebeteendet som skambelagt och att de ofta får erfara ett oprofessionellt bemötande från omvårdnadspersonal. Tidigare forskning gällande patienter med självskadebeteende inom den rättspsykiatriska vårdkontexten är knapphändig och det finns behov av mer studier i ämnet. Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda patienter med självskadebeteende inom rättspsykiatrisk slutenvård. Metod: Tio semistrukturerade intervjuer genomfördes. Deltagarna i studien var fem grundutbildade sjuksköterskor och fem specialistutbildade sjuksköterskor inom psykiatrisk vård. Insamlade data analyserades utifrån en kvalitativ innehållsanalys med induktiv ansats. Resultat: Sjuksköterskorna erfar att det är viktigt i vårdandet av en patient med självskadebeteende att skapa trygghet hos patienten och att vara lyhörd inför patientens situation. Att vårda en patient med självskadebeteende ses av sjuksköterskorna som ett krävande arbete och det finns risk att känna sig otillräcklig. Slutsats: Omvårdnaden skulle vinna på att patientens berättelse får stå i centrum för vården. Skapandet av en trygg relation med patienten möjliggör förståelse för patientens självskadebeteende. Samarbete mellan kollegor ses kunna vara avgörande för hur vården bedrivs. Sjuksköterskorna efterfrågar mer kunskap i hur vården bäst utformas för patienter med självskadebeteende inom rättspsykiatrisk slutenvård. / Background: Previous research describes difficulties in caring for patients with self-harming behavior. Education and experience are seen by the nurses to be of great importance for a professional action towards the patients. Patients report difficulties in seeking care as they perceive the self-harming behavior as shameful and that they often experience unprofessional treatment from nursing staff. Previous research regarding patients with self-harming behavior in the forensic psychiatric care context is scarce and there is a need for more studies in the subject. Aim: To describe nurses experiences of caring for patients with self-harming behavior in forensic psychiatric inpatient care. Method: Ten semi-structured interviews were conducted. The participants in the study were five basic nurses and five specialized in psychiatric care. Collected data were analyzed on the basis of a qualitative content analysis with an inductive approach. Result: The nurses experience that it is important in the care of a patient with self-harming behavior to create a feeling of security for the patient and to be sensitive to the patient's situation. Caring for a patient with self-harming behavior is seen by nurses as a demanding job and there is a risk of feeling inadequate. Conclusion: Nursing would benefit from the patient's story being at the center of care. The creation of a secure relationship with the patient enables an understanding of the patient's self-harming behavior. Cooperation between colleagues can be seen to be decisive for how care is conducted. The nurses demand more knowledge in how care is best designed for patients with self-harming behavior in forensic psychiatric inpatient care.

Background: Forensic psychiatric care means restricted freedom during a long period of care. The restriction leads among other things to a loss of independent decision-making in relation to physical health in terms of time outdoors, diet and exercise. Previous research highlights how deteriorating physical health seems to go hand in hand with mental illness. In addition, nurses experience health promoting and disease prevention work within forensic psychiatric inpatient care as a challenge. Aim: To describe patients' experiences of maintaining physical health in forensic psychiatric inpatient care. Method: The study has a qualitative design with an inductive approach. Semi-structured interviews were conducted with ten patients from two forensic psychiatric clinics in central Sweden. Data was analyzed using qualitative content analysis. Results: The patients' experiences are illuminated through four categories: to feel restricted, to be able to adapt to a new situation, to utilize healthcare resources and to have access to support which were further clarified by six subcategories. This led to the overarching theme of reclaiming physical health through support and adaptation in a new environment. Conclusions: The person-centered approach needs to be given even greater space within forensic psychiatric inpatient care. Consequently, nurses need to take advantage of patients' experiences to a greater extent in order to, along with the patient, find the way forward in the maintenance of physical health during the period of care. Keywords: Forensic psychiatric inpatient care, patients' experiences, physical health, qualitative content analysis, semi-structured interviews, Tidal model