Exploring safety culture within inpatient mental health units: The results from participant observation across three mental health services.

Autor: Molloy L; School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia., Wilson V; Prince of Wales Hospital, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia., O'Connor M; Mental Health Commission of New South Wales, Sydney, New South Wales, Australia., Merrick TT; Illawarra Shoalhaven Local Health District Mental Health Service, Wollongong, New South Wales, Australia., Guha M; The Thriving Spirit Project, Orange, New South Wales, Australia., Eason M; Signifuture, Sydney, New South Wales, Australia., Roche M; University of Canberra & ACT Health, Canberra, Australian Capital Territory, Australia.
Jazyk: angličtina
Zdroj: International journal of mental health nursing [Int J Ment Health Nurs] 2024 Aug; Vol. 33 (4), pp. 1073-1081. Date of Electronic Publication: 2024 Feb 28.
DOI: 10.1111/inm.13312
Abstrakt: In Australia, acute inpatient units within public mental health services have become the last resort for mental health care. This research explored barriers and facilitators to safe, person-centred, recovery-oriented mental health care in these settings. It utilised participant observations conducted by mental health nurses in acute inpatient units. These units were located in three distinct facilities, each serving different areas: a large metropolitan suburban area in a State capital, a mid-sized regional city, and a small city with a large rural catchment area. Our findings highlighted that, in the three inpatient settings, nurses tended to avoid common areas they shared with consumers, except for brief, task-related visits. The prioritisation of administrative tasks seemed to arise in a situation where nurses lacked awareness of alternative practices and activities. Consumers spent prolonged periods of the day sitting in communal areas, where the main distraction was watching television. Boredom was a common issue across these environments. The nursing team structure in the inpatient units provided a mechanism for promoting a sense of psychological safety for staff and were a key element in how safety culture was sustained.
(© 2024 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
Externí odkaz: