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Understanding the Consumers' Experiences of Safewards: A Qualitative Exploratory Study.
Antony Mullen1,2, Brenda Happell1,2, Bridget Hamilton3
1Faculty of Health, Southern Cross University, Lismore, Australia.
Safewards interventions improve safety in mental health units. Increased consumer involvement enhances wellbeing and personal safety, highlighting the need for greater patient participation in daily practices.
Area of Science:
- Mental Health Nursing
- Patient Safety
- Qualitative Research
Background:
- Safewards model reduces conflict and containment in inpatient mental health settings.
- Widely adopted internationally to enhance safety and reduce restrictive practices.
- Consumer experiences of Safewards and its impact on personal safety require further exploration.
Purpose of the Study:
- To explore consumers' experiences of the Safewards model in acute inpatient mental health units.
- To understand the effect of Safewards on consumers' personal safety.
- To identify areas for improving Safewards implementation from a consumer perspective.
Main Methods:
- Qualitative exploratory study utilizing semi-structured focus groups.
- Fifteen consumers participated across two acute inpatient mental health units.
- Thematic analysis was employed, guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Main Results:
- Four key themes emerged: engaging consumers, peer support, interaction/communication, and access/expectations.
- Participants reported positive views of Safewards and desired greater involvement.
- Enhanced consumer involvement correlated with improved safety and wellbeing.
Conclusions:
- Increased consumer involvement in Safewards is linked to better safety and wellbeing in acute mental health units.
- Findings suggest harnessing informal consumer support and meaningful nurse-consumer interactions are crucial.
- Acknowledging the impact of restrictive practices on consumers is essential for improving Safewards implementation.
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