rollerinin net olmadığı belirlenmiştir. Bu birimlerde çalışan hemşirelerin rol ve sorumluluklarının tanımlanması, hastalara yönelik bakımın kalitesine katkı sağlayacaktır. Anahtar sözcükler: Adli psikiyatri hemşireliği ve roller; adli psikiyatri hemşireliği ve rol boyutları; adli psikiyatri hemşirelerinin sorumlulukları. Due to their nature, forensic psychiatric units have severe stigmatization effects created by mental disorders and involvement in crime. Stigmatization of the mentally ill has existed for centuries and is worse for forensic psychiatry patients. The negative attitudes of nurses toward patients involved in crime can cause patients to experience dilemmas and reluctance.[7,8] A study in Turkey determined that nurses in district mental health hospitals considered forensic psychiatric patients threatening, did not trust them and had a tendency to be socially distant with them. The nurses had a moderate level of willingness to provide them appropriate care.[9] Especially if a patient’s crime is murder, sexual abuse or child abuse, healthcare personnel may even refuse to provide care.[7] The reason for this may be the social values nurses hold in common with the environment where they live, or sometimes it may be psychological transference-countertransference.[1,10] Roles are defined as the set of expectations that an individual in a social position should fulfill. Psychiatric nurses in forensic psychiatric units are expected to perform different roles because they work with people who are both guilty and mentally ill. These roles include monitoring, obligatory hospitalization and forced treatment.[11] A review study by Mason et al. explained roles of FPNs under two themes and discussed these roles on medical and legal axes. The roles that are the most traditional and frequently expected to be performed were confidence vs. therapy, violence management and dangerousness; however, they emphasized that these roles were not only valid for forensic psychiatric units, but also for psychiatry clinics.[12] In forensic psychiatric units, assessing the dangerousness of patients and security is the main responsibility of nurses, and the nurses stated that they have difficulties in these issues. Providing care to potentially violent patients for a long time can cause tension and fear. Thematic analysis of a qualitative study conducted to define roles of nurses revealed the binary themes: confidence vs. fear, transference vs. countertransference, win vs. lose, use vs. abuse and success vs. failure.[12] This systematic review determined that there is a limited number of studies conducted to define the role and responsibilities of FPNs in Turkey and in the world, that the published studies have not clearly defined their roles and responsibilities, and that there are differences between countries. Thus, the purpose of the present study is to review studies of the roles and responsibilities of FPNs. Materials and Methods Due to the combination of quantitative and qualitative studies examined by this study, it used the protocol of the Centre for Reviews and Dissemination (2009), which was developed by the York Institute for Health Research.[13] Data Resources: The Turkish databases were searched using these search terms: forensic psychiatric nursing and roles (adli psikiyatri hemşireliği ve roller), responsibilities of forensic psychiatric nurses (adli psikiyatri hemşirelerinin sorumlulukları), forensic psychiatric nursing and role dimensions (adli psikiyatri hemşireliği ve rol boyutları). For the international databases, the search terms were: forensic psychiatric nurses’ roles and responsibility, forensic psychiatric nurses’ role dimension, skills and competencies. This study used the EBSCOHOST (42), Turkish Psychiatry Index (2), Cochrane Library (1), Pubmed (8) and Wiley Library (11) databases. The search was conducted in January and February 2017. The last search was carried out on February 26, 2017. Study Inclusion Criteria: This study included studies that were published between 2006 and 2016, had full-text availability and met the search terms specified. Studies with quantitative, qualitative and review designs were included. The researchers found a total of 64 studies and of them, 16 articles were examined[14] (Figure 1). Study Limitations: The fact that the number of studies included in the review was low and were conducted with different study designs led to a limitation in comparing the study results. Findings This study examined 9 quantitative, 3 qualitative and 4 review studies. This study determined that the number of FPNs in the qualitative studies ranged from 16 to 66,[6] and in quantitative studies from 34[15] to 1,019.[16] It was found that while the quantitative studies used measurement tools developed by the researchers, the Information Gathering Schedule (IGS) prepared by Mason et al. for FPNs[11,17] was also used, and the validity study of this scale was performed. The researchers found that the qualitative studies described the dilemmas FPNs experience and examined dual role responsibilities using thematic analysis. The studies were published in England (7), Turkey (2), Finland (2), Ireland (2), Canada (1), Sweden (1) and Australia (1). The study methods and results obtained are shown in Table-1. Since the model developed in Ireland did not include a care model about the roles and responsibilities of FPNs, this study performed a concept analysis of a model that can be used in practice and theory. This