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Providing a safe environment in a psychiatric ward: Nurses and vigilance in Iran


Vahidi, M and Ebrahimi, H and Areshtanab, HN and Jafarabadi, MA and West, S and Foong, A and Cleary, M, Providing a safe environment in a psychiatric ward: Nurses and vigilance in Iran, Issues in Mental Health Nursing, 40, (1) pp. 65-72. ISSN 0161-2840 (2019) [Refereed Article]

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Copyright 2019 Taylor & Francis Group, LLC

DOI: doi:10.1080/01612840.2018.1463326


The aim of this study was to explore nursesí use of vigilance in the provision of inpatient psychiatric care. In this qualitative exploratory descriptive design study, 16 nurses working in inpatient psychiatric units were recruited through purposive sampling. Data were collected by semi-structured interviews and fieldwork observations and analysed using conventional content analysis. According to participants, nursesí vigilance is related to synthesising knowledge, experience, communication, and presence. This conclusion was derived from four main themes: understanding the context of the psychiatric ward; continuous monitoring; cognitive assessments; and involving others. The study highlights the significance of education for all mental health staff and provision of appropriate information to all patients and their companions about psychiatric disorders and the side effects of prescribed medications. Of importance is the skill of active listening to the concerns of patients and the demonstration of commitment by nurses to follow-up on reports from stakeholders. Imparting the skills and experiences of senior nurses to novice nurses and their presence alongside other nurses on work-shifts can be effective in promoting vigilance.

Item Details

Item Type:Refereed Article
Keywords:safety, psychiatric ward, mental health, nurses, vigilance
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:West, S (Dr Sancia West)
UTAS Author:Foong, A (Dr Andrew Foong)
UTAS Author:Cleary, M (Professor Michelle Cleary)
ID Code:128314
Year Published:2019 (online first 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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