title: Nurses' attitudes towards sexual relationships between patients in high security psychiatric hospitals in England: an exploratory qualitative study.
abstract: BACKGROUND
  The issue of relationships between patients in long-term care settings can present nurses with numerous challenges. However, addressing this element of patient care is recognised as an important element of nursing in this sphere of practice. What nurses think about patient sexual relationships and the difficulties of incorporating these into care is closely linked to the care they provide. However, the issue of patients sexual relationships within high security psychiatric hospitals is a relatively poorly researched area of clinical practice.
  
  
  OBJECTIVE
  To explore the attitudes towards patients' sexual relationships held by nurses working in high security psychiatric hospitals in England.
  
  
  METHODS
  A qualitative methodology was employed with data collected from 10 in-depth interviews with nurses working within secure psychiatric hospitals in England. Interview data were subjected to thematic analysis.
  
  
  RESULTS
  Practitioners reject permissive policy in relation to patients' sexual relationships on account of perceived perpetuation of abuse and exploitation. Practices and attitudes are dominated by personal (lay) values that seek to restrict patient experience and undermine professional mores whilst also seeming to uphold a professional duty of care.
  
  
  CONCLUSIONS
  Lay understandings are constructed as moral rights and priorities that are of higher order concern than professional values or the rights of the individual. This constitutes a clash of values and the minimisation of professional mores within the clinical context raises questions about the role of professional teaching, knowledge and policy in relation to professional socialisation.
authors.affiliation: Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, Humphrey Davey House, Wath Upon Dearne, South Yorkshire, United Kingdom. j.a.ruane@sheffield.ac.uk
authors.forename: Jean
authors.initials: J
authors.lastname: Ruane
authors.forename: Mark
authors.initials: M
authors.lastname: Hayter
mesh_terms: D001291:Attitude of Health Personnel; D003220:Conflict, Psychological; D004739:England; D005555:Forensic Psychiatry; D007722:Health Knowledge, Attitudes, Practice; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007398:Interpersonal Relations; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D016134:Organizational Policy; D028701:Patient Rights; D011361:Professional Competence; D011568:Psychiatric Nursing / Q000458:organization & administration; D036301:Qualitative Research; D012725:Sexual Behavior / Q000523:psychology*; D012945:Social Values; D011795:Surveys and Questionnaires; D035862:Vulnerable Populations / Q000523:psychology