SafeVRwards: Designing a complementary virtual reality module to the Safewards framework intended to relax and manage conflict in mental health wards.

Autor:	Pardini S; Bruno Kessler Foundation, Trento, Italy.; Department of General Psychology, University of Padua, Padua, Italy., Kim S; University Health Network, Toronto, Ontario, Canada., de Jesus B Jr; Institut national de la recherche scientifique, Quebec City, Quebec, Canada., Lopes MKS; Institut national de la recherche scientifique, Quebec City, Quebec, Canada., Leggett K; Michael Garron Hospital Foundation, Toronto, Ontario, Canada., Falk TH; Institut national de la recherche scientifique, Quebec City, Quebec, Canada., Smith C; Michael Garron Hospital Foundation, Toronto, Ontario, Canada.; Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Appel L; University Health Network, Toronto, Ontario, Canada lappel16@yorku.ca.; Michael Garron Hospital Foundation, Toronto, Ontario, Canada.; York University, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open quality [BMJ Open Qual] 2024 Jun 04; Vol. 13 (2). Date of Electronic Publication: 2024 Jun 04.
DOI:	10.1136/bmjoq-2024-002769
Abstrakt:	Background: Aggression and negative activation in mental health inpatient units pose significant challenges for both patients and staff with severe physical and psychological ramifications. The Safewards model is an evidence-based conflict-containment framework including 10 strategies, such as 'Calm Down Methods'. As virtual reality (VR) scenarios have successfully enhanced anxiolytic and deactivating effects of therapeutic interventions, they are increasingly considered a means to enhance current models, like Safewards. Objectives: The present participatory design investigates the feasibility and user experience of integrating VR therapy as an add-on strategy to the Safewards model, gathering preliminary data and qualitative feedback from bedside staff in an adult inpatient mental health unit. Methods: An exploratory within-subjects design combining qualitative observations, self-report questionnaires and semistructured interviews is employed with four nurse champions from the mental health unit at Michael Garron Hospital (Toronto, Canada). Results: A chronological overview of the design process, adaptations and description of the user experience is reported. Conclusion: 'SafeVRwards' introduces VR as a promising conflic-containment strategy complementary to the Safewards model, which can be optimised for deployment through user-oriented refinements and enhanced customisation capacity driven by clinical staff input. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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