Abstract
Concerns have been expressed regarding the impact of Transforming Care (TC) an English deinstitutionalisation mandate, on forensic services. With nursing staff positioned as significant in delivering TC; this research explored nursing experiences. Nine face-to-face semi-structured interviews were completed with nursing staff working in either inpatient or community forensic teams. Multi-perspectival interpretive phenomenological analysis was used to explore participants' experiences. Interviews were analysed independently, prior to a mini meta-synthesis. Participants from the inpatient group experienced TC as a threat, which resulted in consistency of perspective and practice. Participants from the community group viewed TC as a worthwhile challenge, which presented opportunity. The community infrastructure was experienced as inadequate by both groups, with the needs of people in forensic services needing more consideration, leading to widespread frustration. The blanket approach of TC may not be suitable for this population, with those leading TC perceived as naïve.
Highlights
Concerns have been expressed regarding the impact of Transforming Care (TC) an English deinstitutionalisation mandate, on forensic services
The participants in this study demonstrated specialist knowledge of working within forensic services
Whilst similar themes regarding specialist knowledge have been previously identified in nursing staff working in these services (Dalgarno & Riordan, 2014; Lovell et al, 2014), resistance to service change has been identified in forensic services, namely in the study by Astbury et al, (2011) who noted a group of inpatient nursing staff attempted to maintain consistency of practice in the context of institutional change
Summary
Concerns have been expressed regarding the impact of Transforming Care (TC) an English deinstitutionalisation mandate, on forensic services. With nursing staff positioned as significant in delivering TC; this research explored nursing experiences. Method: Nine face-to-face semi-structured interviews were completed with nursing staff working in either inpatient or community forensic teams. Multi-perspectival interpretive phenomenological analysis was used to explore participants' experiences. Interviews were analysed independently, prior to a mini meta-synthesis. Results: Participants from the inpatient group experienced TC as a threat, which resulted in consistency of perspective and practice. Participants from the community group viewed TC as a worthwhile challenge, which presented opportunity. The community infrastructure was experienced as inadequate by both groups, with the needs of people in forensic services needing more consideration, leading to widespread frustration. Conclusions: The blanket approach of TC may not be suitable for this population, with those leading TC perceived as naïve
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