School of Psychology, Cardiff University, Cardiff, UK.
Department of Applied Psychology, Cardiff Metropolitan University, Cardiff, UK.
Issues Ment Health Nurs. 2022 Feb;43(2):119-136. doi: 10.1080/01612840.2021.1967533. Epub 2021 Sep 17.
Safewards is intended to be an evidence-based approach to reduce levels of conflict and containment in mental health inpatient settings. A systematic review was carried out to examine whether Safewards is effective in reducing conflict and containment events; and improving ward climate. Searches for articles evaluating the implementation of Safewards was conducted using PsycINFO, PubMed, Web of Science, Cochrane Library and CINAHL. Thirteen studies were included for review after applying inclusion and exclusion criteria. The Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was used to assess study quality and the majority of studies (N = 7) were rated as "moderate" quality. Whilst there is evidence to suggest that Safewards is effective for reducing conflict and containment in general mental health services, there is insufficient high-quality empirical evidence to support its effectiveness in settings beyond this. Further research using robust methodological designs with larger, more representative samples is required in order for the effectiveness of Safewards to be established across the range of contexts in which it is currently being applied.
安全防范措施旨在为减少心理健康住院环境中的冲突和限制提供一种循证方法。进行了系统评价，以检验安全防范措施是否能有效减少冲突和限制事件，并改善病房氛围。使用 PsycINFO、PubMed、Web of Science、Cochrane Library 和 CINAHL 搜索评估安全防范措施实施情况的文章。在应用纳入和排除标准后，有 13 项研究被纳入审查。使用具有不同设计的研究质量评估工具 (QATSDD) 评估研究质量，大多数研究 (N=7) 被评为“中等”质量。虽然有证据表明安全防范措施在一般心理健康服务中有效减少冲突和限制，但在该措施应用范围之外，没有足够的高质量经验证据支持其有效性。需要使用更强大的方法设计和更大、更具代表性的样本进行进一步研究，以确定安全防范措施在其目前应用的各种情况下的有效性。
