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- Title
Providing a Safe Environment in Psychiatric Wards: The role of Therapeutic Relationships.
- Authors
Vahidi, Maryam; Ebrahimi, Hossein; Hossein Namdar Areshtanab
- Abstract
Background: Enhancing therapeutic relationships between patients and staff is of significant importance in improving the care quality and safety in psychiatric inpatient units. However, there is not enough supporting evidence to show how therapeutic relationships may be enabled in this specific context. This paper presents the findings of a study that explored the correlation correlation between therapeutic relationships and safety in Iranian psychiatric inpatient units. Methods: In this explorative descriptive study, 7 patients at the point of discharge and 19 staff members of a referral hospital in Iran were selected purposively. The data were collected through semi-structured interviews and were analyzed using the qualitative content analysis approach as well as Graneheim and Lundman methods. Findings: The quality of the staff-patient relationship in providing a safe environment was categorized into two groups of “facilitators" and “inhibitors". The facilitators of the safe environment included the “supportive relationship with patients" and “improving patients' capacity for self-efficacy and self-control". On the other side, the inhibitors of the safe environment included the two factors of “detachment from patients" and “domination over patients" that would ultimately limit safety at the wards. The findings indicate that interrelated environmental, patient, and staff factors develop the potential for therapeutic relationships and the care quality and safety. Conclusion: Findings suggest the need for more effective preparations and support for the staff working in psychiatric inpatient settings. In addition, environments more conducive to collaborative recovery-oriented practices are required to enhance therapeutic relationships and improve the care quality and safety. Both individual staff responsibility and effective leadership are required to realize the change.
- Subjects
IRAN; RELATIONSHIP quality; SEMI-structured interviews; ACTIVE recovery; GUARDIAN &; ward; LEADERSHIP; HOSPITAL admission &; discharge; PSYCHOTHERAPIST-patient relations; SECLUSION of psychiatric hospital patients
- Publication
Iranian Journal of Psychiatry & Behavioral Sciences / Progress in Psychiatry & Behavioral Sciences, 2018, p165
- ISSN
1735-8639
- Publication type
Article