ABSTRACT The approach to female secure care has received increased attention over recent years, with an emphasis on relational security and recovery within the context of therapeutic relationships, but research on the views and experiences of service users regarding their relationships with staff is limited. This study explored the qualities valued in nursing staff working with women with a diagnosis of Borderline Personality Disorder (BPD) from the perspectives of service users and managers of asecure service. Semi-structured interviews with five service users and five managers were analysed using Interpretative Phenomenological Analysis. Three superordinate themes emerged: i) therapeutic relationships; ii) approach and manner; and iii) coping in a challenging environment. The findings revealed similarities in service user and manager perspectives of what is valued in nursing staff; however, a qualitative difference was noted in emphasis of interpersonal skills for service users; and risk management, boundaries and self-management for managers. The findings highlight the importance of research into service user experiences of secure care and representation of service user perspectives in staff recruitment and training.

中文翻译：

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在安全护理中与诊断为边缘型人格障碍的女性一起工作的护理人员所重视的素质：一项多视角研究

摘要 近年来，女性安全护理的方法受到越来越多的关注，重点是治疗关系背景下的关系安全和康复，但对服务使用者与员工关系的看法和经验的研究是有限的。本研究从服务使用者和安全服务管理者的角度探讨了与诊断为边缘型人格障碍 (BPD) 的女性一起工作的护理人员的价值。使用解释性现象学分析对五名服务用户和五名经理的半结构化访谈进行了分析。出现了三个高级主题：i) 治疗关系；ii) 方法和方式；iii) 应对充满挑战的环境。调查结果揭示了服务使用者和管理者对护理人员的重视程度的相似之处；然而，在强调服务使用者的人际交往能力方面注意到了质的差异；管理人员的风险管理、边界和自我管理。调查结果强调了研究安全护理的服务用户体验以及在员工招聘和培训中代表服务用户观点的重要性。