Abstract The risk of patients committing violence implies major challenges throughout the care process in forensic psychiatry and brings risk assessments to the fore. The aim was to explore nurses’ experiences of risk assessments for their care planning and risk management in forensic psychiatry. Data were collected through focus groups with 15 nurses. The qualitative content analysis followed a deductive approach guided by the person-centered philosophy. When exploring nurses’ reasoning on risk assessment, units related to person-centered principles were identified. The findings showed that nurses made great efforts to confirm the unique person behind the patient, even when challenged by patients’ life histories of violence. They also regarded therapeutic alliance as crucial, although this needed to be balanced between caring and restricting actions. A fruitful strategy to preserve therapeutic alliance may be to increase the use of a structured focus on protective factors in treatment plans towards promoting recovery-oriented policies and practices.

中文翻译：

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心理健康护士在法医精神病学中进行护理计划风险评估的经验

摘要患者遭受暴力侵害的风险意味着法医精神病学整个护理过程中的重大挑战，并将风险评估置于首位。目的是探索护士在法医精神病学中的护理计划和风险管理的风险评估经验。通过与15名护士的焦点小组收集数据。定性内容分析遵循以人为本的哲学指导下的演绎方法。在探索护士对风险评估的推理时，确定了与以人为本的原则有关的单元。调查结果表明，即使在受到患者生活暴力史的挑战的情况下，护士仍在努力确认患者背后的独特身份。他们也认为治疗联盟至关重要，尽管需要在关怀与约束行动之间取得平衡。维护治疗联盟的一项富有成效的策略可能是在治疗计划中增加对保护因素的结构化关注，以促进面向恢复的政策和实践。