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Therapeutic relationships and safety of care in Iranian psychiatric inpatient units


Vahidi, M and Ebrahimi, H and Areshtanab, HN and Jafarabadi, MA and Lees, D and Foong, A and Cleary, M, Therapeutic relationships and safety of care in Iranian psychiatric inpatient units, Issues in Mental Health Nursing, 39, (11) pp. 967-976. ISSN 0161-2840 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Taylor & Francis Group, LLC

DOI: doi:10.1080/01612840.2018.1485795


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.

Item Details

Item Type:Refereed Article
Keywords:therapeutic relationships, safety, mental health nursing, psychiatric inpatient units
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Lees, D (Mr David Lees)
UTAS Author:Foong, A (Dr Andrew Foong)
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:128315
Year Published:2018
Web of Science® Times Cited:4
Deposited By:Health Sciences
Deposited On:2018-09-13
Last Modified:2019-05-22

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