title: Nurses' Time Use in Forensic Psychiatry: Core Interventions Outlined in the Finnish Clinical Practice Guideline on Schizophrenia.
abstract: Forensic psychiatric nurses are key in implementing the core interventions outlined in the clinical practice guideline on schizophrenia. This study endeavors to ascertain how these were implemented in routine practice in forensic psychiatry by measuring how nurses use their time. Data were collected from registered nurses and practical mental nurses in all forensic psychiatric facilities in Finland using self-report diary forms for 1 week. In total, nurses used 20% of their weekly working hours on core interventions. The differences between the nurse groups were statistically significant (p ≤ 0.05) regarding the following core interventions: (a) care planning with physicians, (b) pharmacotherapy, and (c) basic clinical care. Nurses' qualifications, types of facilities and units, working experience, gender, and staffing levels explained the time used on core interventions. In summary, forensic psychiatric inpatients received insufficient appropriate nursing services according to the relevant guideline regarding schizophrenia. Furthermore, managerial recommendations need to restructure nurses' time use to increase the proportion of productive working hours spent with patients.
authors.affiliation: Author Affiliations: 1Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital; 2Department of Health and Social Management, University of Eastern Finland; 3Department of Psychiatry, University of Helsinki and Helsinki University Hospital; 4Department of Clinical Neuroscience, Karolinska Institutet; 5Central Finland Health Care District.
authors.forename: Helena
authors.initials: H
authors.lastname: Tenkanen
authors.forename: Helena
authors.initials: H
authors.lastname: Taskinen
authors.forename: Raija
authors.initials: R
authors.lastname: Kontio
authors.forename: Eila
authors.initials: E
authors.lastname: Repo-Tiihonen
authors.forename: Jari
authors.initials: J
authors.lastname: Tiihonen
authors.forename: Juha
authors.initials: J
authors.lastname: Kinnunen
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland; D053604:Forensic Nursing / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000600:supply & distribution; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D017748:Time Management