File(s) under permanent embargo
Therapeutic relationships and safety of care in Iranian psychiatric inpatient units
journal contribution
posted on 2023-05-19, 21:16 authored by Vahidi, M, Ebrahimi, H, Areshtanab, HN, Jafarabadi, MA, David LeesDavid Lees, Andrew FoongAndrew Foong, Cleary, MEnhancing 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.
History
Publication title
Issues in Mental Health NursingVolume
39Issue
11Pagination
967-976ISSN
0161-2840Department/School
School of NursingPublisher
Taylor & Francis Inc.Place of publication
United StatesRights statement
Copyright 2018 Taylor & Francis Group, LLCRepository Status
- Restricted