‘Safer, Not Safe’: Service Users' Experiences of Psychological Safety in Inpatient Mental Health Wards in the United Kingdom

IF 3.6 2区 医学 Q1 NURSING International Journal of Mental Health Nursing Pub Date : 2024-07-19 DOI:10.1111/inm.13381
Katharina Sophie Vogt, John Baker, Sarah Kendal, Bethany Leigh Griffin, Emily Mizen, Hannah Sharp, Judith Johnson
{"title":"‘Safer, Not Safe’: Service Users' Experiences of Psychological Safety in Inpatient Mental Health Wards in the United Kingdom","authors":"Katharina Sophie Vogt,&nbsp;John Baker,&nbsp;Sarah Kendal,&nbsp;Bethany Leigh Griffin,&nbsp;Emily Mizen,&nbsp;Hannah Sharp,&nbsp;Judith Johnson","doi":"10.1111/inm.13381","DOIUrl":null,"url":null,"abstract":"<p>Research on patient safety in mental health settings is limited compared to physical healthcare settings. Recent qualitative studies have highlighted that patient safety is more than just physical safety but includes psychological safety. Traditionally, psychological safety has been defined as the belief that it is safe to take interpersonal risks, such as speaking up, without a fear of negative consequences. However, to date, it is not clear what constitutes psychological safety for service users of inpatient mental health settings. To understand this, we conducted 12 interviews with former inpatient mental health service users. Interviews were analysed with Reflexive Thematic Analysis, and five themes were developed. All themes had subthemes. Overall, we found that participants were more readily able to draw on situations where they felt psychologically unsafe, rather than safe. Psychological safety in service users was influenced by (1) healthcare staff attitudes and behaviours towards them, (2) their relationships with other service users, (3) whether they felt they had any control over their environment and medical decision-making regarding their care, (4) their experiences of physically safety, feeling listened to and believed and (5) access to meaningful occupation on the wards. These findings suggest that changes are needed to enhance inpatient mental health service users' general experiences of psychological safety. Further research will need to (1) further develop understanding of the concept of psychological safety for service users and (2) identify interventions, and such interventions should be co-designed with service users.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"33 6","pages":"2227-2238"},"PeriodicalIF":3.6000,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.13381","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/inm.13381","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Research on patient safety in mental health settings is limited compared to physical healthcare settings. Recent qualitative studies have highlighted that patient safety is more than just physical safety but includes psychological safety. Traditionally, psychological safety has been defined as the belief that it is safe to take interpersonal risks, such as speaking up, without a fear of negative consequences. However, to date, it is not clear what constitutes psychological safety for service users of inpatient mental health settings. To understand this, we conducted 12 interviews with former inpatient mental health service users. Interviews were analysed with Reflexive Thematic Analysis, and five themes were developed. All themes had subthemes. Overall, we found that participants were more readily able to draw on situations where they felt psychologically unsafe, rather than safe. Psychological safety in service users was influenced by (1) healthcare staff attitudes and behaviours towards them, (2) their relationships with other service users, (3) whether they felt they had any control over their environment and medical decision-making regarding their care, (4) their experiences of physically safety, feeling listened to and believed and (5) access to meaningful occupation on the wards. These findings suggest that changes are needed to enhance inpatient mental health service users' general experiences of psychological safety. Further research will need to (1) further develop understanding of the concept of psychological safety for service users and (2) identify interventions, and such interventions should be co-designed with service users.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
更安全,不安全":英国心理健康住院病房服务使用者的心理安全体验》。
与实体医疗机构相比,有关精神卫生机构患者安全的研究十分有限。最近的定性研究强调,患者安全不仅仅是身体安全,还包括心理安全。传统上,心理安全被定义为一种信念,即承担人际交往中的风险是安全的,比如大胆直言,而不必担心负面后果。然而,到目前为止,我们还不清楚什么才是精神健康住院患者的心理安全。为了了解这一点,我们对曾经的住院精神健康服务使用者进行了 12 次访谈。我们使用反思性主题分析法对访谈进行了分析,并形成了五个主题。所有主题都有副主题。总的来说,我们发现参与者更容易描述他们感到心理不安全的情况,而不是安全的情况。影响服务使用者心理安全的因素包括:(1)医护人员对他们的态度和行为;(2)他们与其他服务使用者的关系;(3)他们是否觉得自己可以控制自己所处的环境和有关护理的医疗决策;(4)他们的人身安全体验、被倾听和被信任的感觉;(5)在病房中从事有意义的职业的机会。这些研究结果表明,我们需要做出改变,以提高住院精神健康服务使用者的心理安全感。进一步的研究需要:(1)进一步加深对服务使用者心理安全概念的理解;(2)确定干预措施,这些干预措施应该与服务使用者共同设计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
7.60
自引率
8.90%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health Nursing is the official journal of the Australian College of Mental Health Nurses Inc. It is a fully refereed journal that examines current trends and developments in mental health practice and research. The International Journal of Mental Health Nursing provides a forum for the exchange of ideas on all issues of relevance to mental health nursing. The Journal informs you of developments in mental health nursing practice and research, directions in education and training, professional issues, management approaches, policy development, ethical questions, theoretical inquiry, and clinical issues. The Journal publishes feature articles, review articles, clinical notes, research notes and book reviews. Contributions on any aspect of mental health nursing are welcomed. Statements and opinions expressed in the journal reflect the views of the authors and are not necessarily endorsed by the Australian College of Mental Health Nurses Inc.
期刊最新文献
Issue Information Author Index Issue Information Selected Meeting Abstracts From 2024 International Workshop on Psychology and Mental Health Author Index
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1