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。然而，人们对女性如何体验此类服务知之甚少。本综述旨在系统地回顾和综合现有定性文献的发现，这些文献探索英国女性服务使用者的安全护理体验。系统搜索四个数据库并随后应用纳入和排除标准，产生了 15 篇论文，这些论文定性地探讨了女性服务使用者对安全护理提供的看法。在采用主题综合方法整合研究结果之前，对每篇论文的方法学质量进行了评估。最终的论文被评价为质量参差不齐，尽管通常不清楚这是由于不同的方法学严谨性还是由于不同的报告。综合揭示了三个总体主题：“安全与遏制”、“赋权与接受”和“做出改变”。调查结果对有限的定性研究领域进行了有价值的综合，并突出了女性法医服务用户的重要领域。它们符合当前的指南，并指出了服务改进的新领域，以确保获得积极的体验和成果。调查结果对有限的定性研究领域进行了有价值的综合，并突出了女性法医服务用户的重要领域。它们符合当前的指南，并指出了服务改进的新领域，以确保获得积极的体验和成果。调查结果对有限的定性研究领域进行了有价值的综合，并突出了女性法医服务用户的重要领域。它们符合当前的指南，并指出了服务改进的新领域，以确保获得积极的体验和成果。