Mental and behavioral health environments: critical considerations for facility design

Shepley, Mardelle McCuskey; Watson, Angela; Pitts, Francis; Garrity, Anne; Spelman, Elizabeth V.; Kelkar, Janhawi; Fronsman, Andrea E.

doi:10.1016/j.genhosppsych.2016.06.003

Cited by 37 publications

(69 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The benefits of lighting in the literature included improved observations (which in turn improved security) as well as helping with patient's sleep cycles. 26 In this study, wards with views of greenery were associated with less safe feelings, in comparison with those with urban views. The literature concurs that visual access to outdoor spaces is important 25–27 for a number of reasons including opportunities for recovery, activities and social interactions.…”

Section: Discussionmentioning

confidence: 57%

“…26 In this study, wards with views of greenery were associated with less safe feelings, in comparison with those with urban views. The literature concurs that visual access to outdoor spaces is important [25][26][27] for a number of reasons including opportunities for recovery, activities and social interactions. One hypothesis for the counter-intuitive finding here could be that greenery is more likely in rural surroundings.…”

Section: Main Findingsmentioning

confidence: 57%

“…In terms of other predictors, the positive association between ward brightness and feelings of staff safety corroborates the importance of ward light in the existing literature. 25 Previous research has specified that lighting should be natural 26 for maximum benefit; however, this was not measured in this study. The benefits of lighting in the literature included improved observations (which in turn improved security) as well as helping with patient's sleep cycles.…”

Section: Main Findingsmentioning

confidence: 98%

“…The ward environment is a priority for staff safety, 26 and it is important that this area continues to be researched. What is clear from the, at times counter-intuitive, findings in this study are the challenges related to studying the therapeutic landscape in its entirety.…”

Section: Staff Perceptions Of Safetymentioning

confidence: 99%

See 3 more Smart Citations

Factors impacting perceived safety among staff working on mental health wards

et al. 2017

View full text Add to dashboard Cite

BackgroundSafety at work is a core issue for mental health staff working on in-patient units. At present, there is a limited theoretical base regarding which factors may affect staff perceptions of safety.AimsThis study attempted to identify which factors affect perceived staff safety working on in-patient mental health wards.MethodA cross-sectional design was employed across 101 forensic and non-forensic mental health wards, over seven National Health Service trusts nationally. Measures included an online staff survey, Ward Features Checklist and recorded incident data. Data were analysed using categorical principal components analysis and ordinal regression.ResultsPerceptions of staff safety were increased by ward brightness, higher number of patient beds, lower staff to patient ratios, less dayroom space and more urban views.ConclusionsThe findings from this study do not represent common-sense assumptions. Results are discussed in the context of the literature and may have implications for current initiatives aimed at managing in-patient violence and aggression.Declaration of interestNone.Copyright and usage© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) license.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Main Findingsmentioning

confidence: 57%

Section: Main Findingsmentioning

confidence: 98%

Section: Staff Perceptions Of Safetymentioning

confidence: 99%

See 2 more Smart Citations

Factors impacting perceived safety among staff working on mental health wards

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In a recent study Shepley and colleagues interviewed psychiatric staff, facility administrators, and architects to identify specific elements of the inpatient mental health environment that should be considered when designing mental health units to be less sterile and safe. 32 Many of their findings complement our own; for example, the importance of designing nurse stations to encourage positive nurse-patient interactions. This work highlights the value of interdisciplinary approaches to developing and implementing best practices for enhancing safety in inpatient mental health, including those that address issues of the built environment.…”

Section: Discussionmentioning

confidence: 58%

Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors

True

Frasso

Cullen

et al. 2017

General Hospital Psychiatry

View full text Add to dashboard Cite

Objectives This study sought to identify risk factors and protective factors in hospital-based mental health settings in the Veterans Health Administration (VHA), with the goal of informing interventions to improve care of persons with serious mental illness. Methods Twenty key informants from a stratified sample of 7 VHA inpatient psychiatric units were interviewed to gain their insights on causes of patient safety events and the factors that constrain or facilitate patient safety efforts. Results Respondents identified threats to patient safety at the system-, provider-, and patient-levels. Protective factors that, when in place, made patient safety events less likely to occur included: promoting a culture of safety; advocating for patient-centeredness; and engaging administrators and organizational leadership to champion these changes. Conclusions Findings highlight the impact of systems-level policies and procedures on safety in inpatient mental health care. Engaging all stakeholders, including patients, in patient safety efforts and establishing a culture of safety will help improve the quality of inpatient psychiatric care. Successful implementation of changes require the knowledge of local experts most closely involved in patient care, as well as support and buy-in from organizational leadership.

show abstract

Designing a supportive emergency department environment for people with self harm and suicidal ideation: A scoping review

Liddicoat

2019

Australasian Emergency Care

View full text Add to dashboard Cite

Mental and behavioral health environments: critical considerations for facility design

Cited by 37 publications

References 23 publications

Factors impacting perceived safety among staff working on mental health wards

Factors impacting perceived safety among staff working on mental health wards

Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors

Designing a supportive emergency department environment for people with self harm and suicidal ideation: A scoping review

Contact Info

Product

Resources

About