Seham Mansour Alyousef, RN, PhD, King Saud University, Riyadh, Saudi Arabia.
Sami Abdulrahman Alhamidi, RN, PhD, King Saud University, Riyadh, Saudi Arabia.
J Am Psychiatr Nurses Assoc. 2024 Nov-Dec;30(6):976-988. doi: 10.1177/10783903241252806. Epub 2024 May 15.
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.
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.
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.
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.
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.
尽管患者安全文化在全球范围内受到关注，但仍需要更多研究来调查其与精神健康（MH）患者护理的相关性。
本研究旨在说明在住院精神卫生保健（IMHC）中工作的护士对患者安全实践的看法和经验，这些实践旨在避免在 IMHC 环境中提供护理时遇到的安全隐患。
研究样本由 18 名在非营利性医院工作的精神科护士组成。这些参与者在 IMHC 环境中至少有 2 年的护理经验。每位参与者都使用指导性访谈技术进行了单独访谈。对归纳数据进行了主题分析。
患者保护和安全视角是数据中出现的两个主要主题。三个主要主题和 9 个子主题被阐明：（a）患者护理安全知识和背景，（b）改善 MH 护理，（c）发展 MH 护理。
本研究的结果可以为进一步研究和开发适合 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、谨慎的风险评估、在任务分配中包括技能和经验水平的混合、使用标准化的交接班程序、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关注建筑环境，同时考虑患者和员工的安全需求。
