This article offers a report of the findings of a study of nursing car
e in a medium secure unit. The study involved all of the nursing staff
of the unit. Data were collected through the use of questionnaires, i
nterviews and diaries. Frequency counting and content analysis of thes
e revealed a range of views about the care offered in the unit. Those
views covered issues ranging from the atmosphere in the unit to manage
ment and educational issues. The findings suggested that the workforce
was generally positive in its view of care in the unit, that the nurs
ing staff were committed to providing an client-centred quality servic
e. However, issues which occurred frequently were those of the tension
between security and therapy in the unit and the adequacy or otherwis
e of staffing levels. The article closes with a discussion of the vari
ous findings and offers suggestions for future directions.