Psychiatric Mental Health Nurses' Perceptions and Experiences of Inpatient Mental Health Care Safety Culture in Saudi Arabia.

IF 1.5 4区 医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2024-11-01 Epub Date: 2024-05-15 DOI:10.1177/10783903241252806
Seham Mansour Alyousef, Sami Abdulrahman Alhamidi
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Abstract

Background: Although patient safety culture is gaining attention globally, more studies are needed to investigate its relevance to the nursing care of mental health (MH) patients.

Aims: This study aimed to illustrate the perceptions and experiences of nurses who work in inpatient mental health care (IMHC) concerning the patient safety practices that are employed to avert safety hazards encountered during the provision of care in IMHC settings.

Methods: Eighteen postgraduate students working as MH nurses in nonprofit hospitals comprised the study sample. The participants had a minimum of 2 years' nursing experience in IMHC settings. Each participant was interviewed individually using a guided interview technique. The inductive data underwent thematic analysis.

Results: Patient protection and a safety perspective were the overarching themes that emerged from the data. Three principal themes and 9 subthemes were illuminated: (a) patient care safety knowledge and background, (b) improving MH care, and (c) development of MH nursing care.

Conclusions: The findings of this investigation may assist in providing guidance for the further research into and development of a patient safety culture appropriate for IMHC nursing practice, including increased structured educational experiences, judicious risk assessment, assignment of staff to include a mixture of skills and experience levels during assignments, use of standardized handoff procedures, engagement with multidisciplinary care providers, blame-free reflective information sharing and mentoring, and attention to the built environment with consideration of patient and staff safety needs.

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沙特阿拉伯精神科心理健康护士对住院心理健康护理安全文化的看法和体验。
背景:目的:本研究旨在说明住院精神卫生护理(IMHC)护士对患者安全实践的看法和经验,这些实践是为了避免在提供IMHC护理过程中遇到的安全隐患:研究样本由 18 名在非营利性医院从事精神卫生护理工作的研究生组成。参与者至少有 2 年在 IMHC 环境中工作的护理经验。采用引导式访谈技术对每位参与者进行单独访谈。对归纳数据进行了主题分析:患者保护和安全视角是从数据中得出的首要主题。揭示了三个主主题和九个次主题:(a)患者护理安全知识和背景,(b)改善 MH 护理,以及(c)MH 护理的发展:这项调查的结果可能有助于为进一步研究和发展适合 IMHC 护理实践的患者安全文化提供指导,包括增加结构化的教育经验、明智的风险评估、在分配任务时将员工的技能和经验水平混合在一起、使用标准化的交接程序、与多学科护理提供者合作、无责反思性信息共享和指导,以及在考虑患者和员工安全需求的情况下关注建筑环境。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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