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Therapeutic Relationships and Safety of Care in Iranian Psychiatric Inpatient Units.
- Source :
- Issues in Mental Health Nursing; Nov2018, Vol. 39 Issue 11, p967-976, 10p
- Publication Year :
- 2018
-
Abstract
- Enhancing therapeutic relationships between patients and staff is of central importance to improve the quality and safety of care in psychiatric inpatient units. However, there is limited evidence as to how therapeutic relationships may be enabled in this specific context. This paper presents findings of a study that explored the link between therapeutic relationships and safety in Iranian psychiatric inpatient units. In this exploratory, descriptive study, seven patients at the point of discharge and 19 staff in psychiatric inpatient units in Iran were interviewed regarding their experiences of care. The quality of staff-patient relationship in providing a safe environment was categorized into two groups of "facilitators" and "inhibitors". Facilitators of a safe environment included "supportive relationship with patients" and "improving patient capacity for self-efficacy/self-control". Inhibitors, on the other hand, included "detachment from patients" and "domination over patients", which ultimately limited safety on the ward. Findings indicate interrelated environmental, patient and staff factors mediating the potential for therapeutic relationships and quality and safety of care. Findings suggest the need for more effective preparation and support for staff working within psychiatric inpatient settings. In addition, environments more conducive to collaborative recovery-oriented practice are required to enhance therapeutic relationships and improve quality and safety of care. Both individual staff responsibility and effective leadership are required to realize change. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONTENT analysis
EMOTIONS
INTERVIEWING
RESEARCH methodology
MEDICAL quality control
PATIENT-professional relations
MENTAL health
MENTAL health personnel
NURSES
PATIENT education
PATIENT psychology
PATIENT safety
PSYCHIATRIC hospitals
PSYCHIATRISTS
PSYCHOTHERAPY patients
RESEARCH
RESEARCH funding
SELF-efficacy
TRUST
QUALITATIVE research
JUDGMENT sampling
Subjects
Details
- Language :
- English
- ISSN :
- 01612840
- Volume :
- 39
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Issues in Mental Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 135476612
- Full Text :
- https://doi.org/10.1080/01612840.2018.1485795