ABSTRACT

The forensic care needs of females have received increased attention over recent years, with Department of Health (DOH) initiatives highlighting the need for gender-sensitive service provision. However, little is understood about how women experience such services. This review aimed to systematically review and synthesise the findings of existing qualitative literature exploring female service users’ experiences of secure care in the UK. A systematic search of four databases and subsequently applied inclusion and exclusion criteria resulted in fifteen papers that have qualitatively explored female service users’ views on secure care provision. The methodological quality of each paper was appraised before employing a Thematic Synthesis approach to integrate the findings. The resultant papers were appraised to be of varying quality although it was often unclear whether this was due to differing methodological rigour or the reporting of such. The synthesis revealed three overarching themes: ‘Safety and Containment’, ‘Empowerment and Acceptance’ and ‘Making Change’. The findings provide a valuable synthesis of a limited area of qualitative research and highlight areas of importance for female forensic service users. They fall in line with current guidance, as well as indicating new areas for service improvement to ensure positive experiences and outcomes.

摘要

近年来，女性的法医护理需求受到了越来越多的关注，卫生部（DOH）的举措强调了提供性别敏感服务的必要性。但是，对于妇女如何体验这种服务知之甚少。这项审查旨在系统地审查和综合现有定性文献的发现，以探讨英国女性服务使用者的安全护理经验。系统地搜索了四个数据库，随后应用了纳入和排除标准，得出了15篇论文，从质量上探讨了女性服务使用者对提供安全护理的看法。在采用主题综合方法来整合研究结果之前，对每篇论文的方法学质量进行了评估。评估得出的论文质量参差不齐，尽管通常不清楚这是由于方法学上的严格要求还是报告的严格性所致。综合报告揭示了三个总体主题：“安全与遏制”，“授权与接受”和“做出改变”。这些发现为定性研究的有限领域提供了有价值的综合信息，并突出了女性法医服务使用者的重要领域。它们符合当前的指导，并指出了改进服务的新领域，以确保获得积极的经验和成果。这些发现为定性研究的有限领域提供了有价值的综合信息，并突出了女性法医服务使用者的重要领域。它们符合当前的指导，并指出了改进服务的新领域，以确保获得积极的经验和成果。这些发现为定性研究的有限领域提供了有价值的综合信息，并突出了女性法医服务使用者的重要领域。它们符合当前的指导，并指出了改进服务的新领域，以确保获得积极的经验和成果。