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Jean-Laurent Domingue, Jean Daniel Jacob, Amélie Perron

    Recherche En Soins Infirmiers
    |January 24, 2021
    PubMed
    Summary

    Forensic mental health nurses face ethical dilemmas balancing patient care with public safety regulations. Their therapeutic practices serve dual roles in patient management and institutional oversight, impacting identity construction.

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    Area of Science:

    • Forensic Psychiatry
    • Nursing Ethics
    • Sociology of Health

    Background:

    • Caritative nursing care in forensic settings is under-examined.
    • The Review Board (RB) indirectly regulates care, prioritizing public safety.
    • Forensic mental health services operate within a complex socio-political context.

    Purpose of the Study:

    • Critically analyze the political and social impacts of the Review Board (RB).
    • Examine the effects of forensic psychiatric hospitals and nursing practices.
    • Reflect on the role of nursing within the RB's framework.

    Main Methods:

    • Conceptual analysis using theories of biopower and degradation ceremonies.
    • Exploration of moral career and identity (re)construction.
    • Critical reflection on forensic mental health nursing practices.

    Main Results:

    • 'Therapeutic' nursing practices aid in identifying and managing patients for disciplinary and public safety goals.
    • Nursing practices align with the biopolitical objectives of the Review Board (RB).
    • Forensic psychiatric environments create ethical tensions for nurses due to dual allegiances.

    Conclusions:

    • The study's framework enables a re-evaluation of identity (re)construction processes in psychiatric settings.
    • Forensic nursing involves navigating conflicting responsibilities towards patients and institutions.
    • Understanding biopower dynamics is crucial in forensic mental health care.

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