Olasoji Michael, Powell Taylah, Gazula Swapnali, Layne Megan, Hui Ting Ting, Adamson Nathan, Buultjens Caroline, Anderson Shelley, Belmore Sue, Joseph Bindu
Alfred Mental Health and Addictions, Alfred Health Victoria, Melbourne, Victoria, Australia.
Institute of Health and Wellbeing, Federation University, Mt Helen, Victoria, Australia.
Int J Ment Health Nurs. 2025 Jun;34(3):e70072. doi: 10.1111/inm.70072.
The overall aim of this study is to explore the perspectives of consumers receiving care within acute mental health (MH) inpatients about their sexual safety. Admission to an acute MH inpatient unit for consumers can be a challenging experience due to several factors. Several safety concerns about the inpatient units have been previously reported. However, there is a paucity of studies that have specifically sought the views of consumers about their sexual safety. This is an explorative descriptive qualitative study. Data was collected through semi-structured interviews involving n = 12 consumers receiving care on a metropolitan acute mental health inpatient unit who were recruited using purposive convenience sampling. Data was analysed using thematic analysis. The findings of this study highlighted the themes of: "I don't feel safe at times", "I just want to know if I was safe", "The Avoidance" and finding a safe space, which has two subthemes of stop gap measures and gender specific wards. Participants in this study were concerned about their sexual safety while on admission to the inpatient units and wanted nursing staff to check in about their sexual safety. They noted that nursing staff would often put measures in place to maintain their sexual safety, but this was not adequate at times, and in other instances, they devised their own strategies to maintain safety. They suggested more gender-specific wards, although some did not fully support this idea. Ensuring that consumers feel sexually safe is important when it comes to the way care is delivered.
本研究的总体目标是探究急性心理健康（MH）住院患者中接受护理的消费者对于其性安全的看法。由于多种因素，消费者入住急性MH住院病房可能是一次具有挑战性的经历。此前已有多项关于住院病房的安全问题被报道。然而，专门探寻消费者对其性安全看法的研究却很少。这是一项探索性描述性定性研究。通过半结构化访谈收集数据，访谈对象为n = 12名在大都市急性心理健康住院病房接受护理的消费者，采用目的便利抽样法进行招募。使用主题分析法对数据进行分析。本研究结果突出了以下主题：“我有时感觉不安全”、“我只想知道自己是否安全”、“回避”以及寻找安全空间，其中寻找安全空间有两个子主题，即临时措施和针对性别的病房。本研究的参与者在入住住院病房期间担心自己的性安全，并希望护理人员询问他们的性安全情况。他们指出，护理人员通常会采取措施来维护他们的性安全，但有时并不充分，在其他情况下，他们会自行制定策略来维护安全。他们建议设置更多针对性别的病房，不过有些人并不完全支持这一想法。在护理提供方式方面，确保消费者感到性安全非常重要。
