ArticleInternational journal of qualitative studies on health and well-being2026
Health promotion as relational, practical, and structurally constrained work in forensic psychiatric care: a qualitative study on registered nurses' experiences.
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
backgroundForensic psychiatric care involves balancing treatment and rehabilitation with strict legal and security requirements. Registered nurses play a central role in promoting health and supporting patients' everyday life in this context; however, their perspectives on health-promoting work within coercive institutional settings remain underexplored.
aimTo explore registered nurses' experiences of promoting health and supporting everyday life in forensic psychiatric care.
methodsA qualitative design with individual face-to-face semi-structured interviews was used. Fifteen registered nurses working in forensic psychiatric care in Sweden participated. The interview data were analysed using reflexive thematic analysis following Braun and Clarke, informed by relational perspectives on care and institutional power.
resultsThree interrelated themes were created: (1)
conclusionsThis study suggests that registered nurses in forensic psychiatric care experience health promotion as relational, practical, and structurally constrained work within coercive institutional settings. Rather than functioning as a discrete intervention, health promotion appears as an embedded and negotiated aspect of everyday nursing practice. While registered nurses seek to foster participation and well-being, their efforts unfold within institutional arrangements primarily organised around security, risk management, and pharmacological stability. Strengthening organisational support and interprofessional collaboration may enhance the conditions for sustainable health-promoting practice in forensic psychiatric care.
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