The Roles and Responsibility of Forensic Psychiatric Nurses: A Systematic Review Adli Psikiyatri Hemşirelerinin Rol ve Sorumlulukları: Sistematik Derleme Gül DİKEÇ,1 Leyla BAYSAN ARABACI,2 Gülsenay TAŞ2 SYSTEMATIC REVIEW / SİSTEMATİK DERLEME 1 Department of Nursing, İstinye University, Faculty of Heath Sciences, İstanbul, Turkey 2 Department of Nursing, Department of Mental Health and Psychiatric Nursing, İzmir Katip Çelebi University, Faculty of Heath Sciences, İzmir, Turkey Correspondence (İletişim): Dr. Gül DİKEÇ. e-mail (e-posta): guloban@hotmail.com Psikiyatri Hemşireliği Dergisi 2017;8(3):157–164 Journal of Psychiatric Nursing 2017;8(3):157–164 Doi: 10.14744/phd.2017.86094 Submitted (Geliş tarihi): 05.05.2017 Accepted (Kabul tarihi): 12.07.2017 157 the additional responsibility of providing patient care in secure environments.[3,4] Forensic psychiatric nursing becomes more specialized every day because it clarifies questions regarding nursing practices and the skills that nurses need to deal with antisocial behaviors, which are frequently encountered in facilities ranging from community-based care to high security hospitals.[5] However, for reasons such as the insufficiency of it theoretical framework and concepts and varying legislation in different countries, the roles and responsibilities of FPNs have not been standardized, which can cause dilemmas. Although FPNs have adequate knowledge about mental disorders, nursing care and legal regulations, they may have difficulties with providing patient care, security and legal responsibilities.[6] All these issues can affect the quality of the patient care provided by FPNs who are important members of healthcare staff.[5,7] Introduction Forensic psychiatric nursing is a subspecialty of psychiatric nursing that provides treatment, care and rehabilitation for psychiatric patients who were involved in crimes and protects their rights.[1,2] Psychiatric nurses provide drug therapy, occupational therapy and assess violence risk, and FPNs have SUMMARY Objectives: The aim of this review is to scrutinize studies related to the role and responsibilities of forensic psychiatric nurses (FPNs). Methods: The study examined 16 qualitative, quantitative and review studies published between 2006 and 2016. They were obtained by searching the EBSCOHOST (42), Turkish Psychiatry Index (2), Cochrane Library (1), Pubmed (8) and Wiley Library (11) databases in January 2017. This study used a check list for systematic reviews that was developed by the York Institute for Health Research. Results: The results of this systematic review of 16 articles are presented as a table at the end of this review. These studies determined that forensic psychiatric nursing roles were not clear, and nurses in this field had skills in areas of mental assessment, preventing aggression, violence management, medication administration and balancing legal and medical issues. Also, it was determined in conducted studies that roles of FPNs were examined under themes of trust in therapy, confidence vs. fear, transference vs. countertransference, win vs. lose, use vs. abuse and success vs. failure. Conclusion: The studies determined that FPNs had conflicts about their roles in units they work and that their roles were not clear. Definition of role and responsibilities of nurses working in these units will contribute to the quality of care for patients. Keywords: Forensic psychiatric nursing; forensic psychiatric nursing and role dimensions; role and responsibilities of forensic psychiatric nurses. ÖZET Amaç: Bu derlemenin amacı, adli psikiyatri hemşirelerinin rol ve sorumlulukları ile ilgili çalışmaları gözden geçirmektir. Gereç ve Yöntem: Çalışma, Ocak-Şubat 2017 tarihleri arasında EBSCOHOST (42), Türk Psikiyatri Dizini (2), Cochrane Library (1), Pubmed (8) ve Wiley Library (11) veri tabanları taranarak 2006-2016 yılları arasında yayınlanan 16 nitel, nicel ve derleme çalışmaları ele alınarak yapıldı. Makaleler incelenirken, York Üniversitesi Ulusal Sağlık Araştırmaları Enstitüsü tarafından geliştirilen sistematik derlemeler için tercih edilen kontrol listesi kullanıldı. Bulgular: Sistematik tarama sonucunda yazılan bu derlemede 16 makaleye ait bulgular/sonuçlar tablo olarak sunuldu. Yayınlanan çalışmalarda, adli psikiyatri hemşireliği rollerinin net olmadığı, bu alanda çalışan hemşirelerin ruhsal değerlendirme yapma, agresyonu önleme, şiddet yönetimi, ilaç tedavisini uygulama, yasal ve tıbbi dengeyi sağlama alanlarında beceri sahibi oldukları saptandı. Ayrıca yapılan çalışmalarda, APH’nin rolleri terapiye karşı güven, korkuya karşı güven, aktarım-karşıt aktarım, kaybetmeye karşı kazanma, istismar edilmeye karşı faydalı olma/yarar sağlama ve başarıya karşı başarısızlık temaları altında incelendiği belirlendi. Sonuç: Yapılan çalışmalarda adli psikiyatri hemşirelerinin çalıştıkları birimlerde rolleri konusunda ikilemler yaşadıkları ve