Be prepared and do the best you can: a focus group study with staff on the care environment at Swedish secure youth homes

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2168234. doi: 10.1080/17482631.2023.2168234.

Abstract

Purpose: This study examined staff members' experiences of the institutional care environment within secure youth homes.

Methods: Data were collected through three focus group discussions with 17 staff members at two secure youth homes. Subsequently, a thematic analysis was conducted.

Results: The analysis indicated two main themes: risk management and damage control in a restricted environment and compensating and reconstructing ordinariness-trying to make the best of it; each theme had three subthemes. The care environment seems to be experienced by staff as characterized by conflicting demands, thus constituting a gap between needs and what is possible to achieve-a balancing act that constitutes a constant struggle.

Conclusions: The staff members' constant struggle could be interpreted as conflicting moral and instrumental demands; they know what the youths need, but the environment of the secure youth homes demands the decorous behaviour of sociomaterial control practices-rather than care practices.

Keywords: Erving Goffman; Institutional youth care; care environment; focus group discussions; sociomateriality; thematic analysis.

MeSH terms

  • Adolescent
  • Attitude of Health Personnel*
  • Focus Groups
  • Humans
  • Nursing Homes*
  • Sweden

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.