‘Safe enough in here?’: patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward

Stenhouse, Rosie

doi:10.1111/jocn.12111

Cited by 42 publications

(71 citation statements)

References 50 publications

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“…Stenhouse (2013) uses the term "sanctuary harm" to capture the potentially damaging impact of abuse or violence that occurs to patients who have been admitted to a mental health unit. Jones et al (2010) see wards as both safe and unsafe places.…”

Section: Introductionmentioning

confidence: 99%

Reporting sexual violence on mental health wards

Foley

Cummins

2018

JAP

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For more information, including our policy and submission procedure, please contact the Repository Team at: usir@salford.ac.uk.Reporting Sexual Violence on Mental Health Wards. Research limitations/implicationsThe research highlights variation and inadequacy of current recording practices in relation to sexual offences committed against inpatients on mental health units. Practical implicationsThere needs to be more consistent system of recording of allegations of sexual assault and responses to them by agencies. In the Trust recording of these incidents, it is recommended that a specific category of sexual violence is created. On a national level, the Office for National Statistics (ONS) should produce a national data set that records the number of rapes that are committed in mental health inpatient units.

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Section: Introductionmentioning

confidence: 99%

Reporting sexual violence on mental health wards

Foley

Cummins

2018

JAP

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“…In 11 studies, it was identified that lack of information and communication contributed to patients feeling unsafe (Stenhouse 2013, Wassenaar et al 2014 (Vaismoradi et al 2011). A general perception of a lack of quality assessment, planning or implementation of care is presumed by patients to contribute to their feelings of being unsafe.…”

Section: Information and Communicationmentioning

confidence: 99%

“…Jones et al (2010), Stenhouse (2013), Lasiter (2011), Lovink et al (2015, Mollon (2014) and Rathert et al (2011), all identified that lack of staff availability, including visibility, presence-physically and psychologically, and perceptions of being 'short staffed', all added to patients feeling less safe (Rathert et al 2011). Lack of physical presence was perceived as being significant (Mollon 2014, Lasiter 2011, as was the lack of engagement with patients described as a lack of psychological or physical presence (Mollon 2014).…”

Section: Loss Of Controlmentioning

confidence: 99%

“…The presence of staff was linked with the ability to summon help through various means, or with the ability of staff to check on patients, notice deterioration, monitor technology or other adjuncts to care, and to respond appropriately. The lack of staff presence was linked to an inability to summon care (Lasiter 2010), to be left alone, forgotten (Vaismoradi et al 2011) or ignored (Stenhouse 2013). …”

Section: Loss Of Controlmentioning

confidence: 99%

“…Patients do not necessarily feel unsafe if errors occur (Schwappach 2010), neither do they necessarily feel safe if all is done to make some so. The recognition of safety as being both a psychological and physical perception is addressed in some, but not all, of the literature (Stenhouse 2013), and the recognition of the role of perceived threat as a subjective perception is not always recognised.…”

Section: Introductionmentioning

confidence: 99%

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Feeling unsafe in the healthcare setting: patients' perspectives

2017

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Usage of any items from the University of Cumbria's institutional repository 'Insight' must conform to the following fair usage guidelines.Any item and its associated metadata held in the University of Cumbria's institutional repository Insight (unless stated otherwise on the metadata record) may be copied, displayed or performed, and stored in line with the JISC fair dealing guidelines (available here) for educational and not-for-profit activities provided that• the authors, title and full bibliographic details of the item are cited clearly when any part of the work is referred to verbally or in the written form• a hyperlink/URL to the original Insight record of that item is included in any citations of the work • the content is not changed in any way• all files required for usage of the item are kept together with the main item file. You may not• sell any part of an item• refer to any part of an item without citation • amend any item or contextualise it in a way that will impugn the creator's reputation• remove or alter the copyright statement on an item.The full policy can be found here. Alternatively contact the University of Cumbria Repository Editor by emailing insight@cumbria.ac.uk.Kenward, Linda, Charlotte Whiffin, and Basia Spalek. "Feeling unsafe in the healthcare setting: patients' perspectives

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‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

O’Keeffe¹,

Sheridan

Kelly³

et al. 2018

Adm Policy Ment Health

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Little is known about how recovery oriented policy and legislative changes influence service users’ perceptions of mental health care over time. Although the recovery approach is endorsed in many countries, qualitative research examining its impact on service use experiences has been lacking. This study aimed to explore this impact as well as experiences of service utilisation and suggestions for change with people diagnosed with a First Episode Psychosis between 1995 and 1999. Participants had used services during the 10 year period prior to, and 10 years post, policy and legislative shifts to the recovery approach. Semi-structured interviews were conducted with 10 participants who met criteria for ‘full functional recovery’ and 10 who did not. Data were analysed using Thematic Networks Analysis to develop Basic, Organising, and Global Themes. Over time, recovered participants perceived an improvement in service quality through the ‘humanising’ of treatment and non-recovered participants experienced their responsibility in recovery being recognised, but felt abandoned to the recovery approach. Findings suggest the importance of viewing service users as demonstrating personhood and having societal value; examining the personal meaning of psychotic experiences; and matching expectations with what services can feasibly provide. The implementation and the principal tenets of the recovery approach warrant further investigation.

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‘Safe enough in here?’: patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward

Abstract: Nurses need to be sensitive to the possibility that patients feel unsafe in the absence of obvious threat. Institutional structures that challenge patients' sense of safety must be examined.

Cited by 42 publications

References 50 publications

Reporting sexual violence on mental health wards

Reporting sexual violence on mental health wards

Feeling unsafe in the healthcare setting: patients' perspectives

‘Recovery’ in the Real World: Service User Experiences of Mental Health Service Use and Recommendations for Change 20 Years on from a First Episode Psychosis

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