Barriers and enablers to the implementation of Safewards and the alignment to the i‐PARIHS framework – A qualitative systematic review.
Inpatient mental healthcare settings should offer safe environments for patients to heal and recover and for staff to provide high‐quality treatment and care. However, aggressive patient behaviour, unengaged staff approaches, and the use of restrictive practices are frequently reported. The Safeward...
| Publicado en: | International Journal of Mental Health Nursing Vol. 33; no. 1; pp. 18 - 37 |
|---|---|
| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174635155&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174635155 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14458330 KLH jtl: International Journal of Mental Health Nursing issn: 14458330 maglogo: Y pubinfo: dt: Feb2024 vid: 33 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 174635155 171911427 174635155 174635155 10.1111/inm.13222 174635155 ppf: 18 ppct: 19 formats: tig: atl: Barriers and enablers to the implementation of Safewards and the alignment to the i‐PARIHS framework – A qualitative systematic review. aug: au: Björkdahl, Anna Johansson, Ulf Kjellin, Lars Pelto‐Piri, Veikko affil: Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden sug: subj: Personnel, Health Facility Psychosocial Factors Hospital Units Psychosocial Factors Safety Evaluation Quality of Health Care Implementation Science Program Implementation Attitude of Health Personnel Psychiatric Care Human Sweden Cochrane Library Medline Embase Psycinfo CINAHL Database Patient Safety Occupational Safety Conceptual Framework Quality Improvement Aggression Prevention and Control Mental Health Services Funding Source Checklists ab: Inpatient mental healthcare settings should offer safe environments for patients to heal and recover and for staff to provide high‐quality treatment and care. However, aggressive patient behaviour, unengaged staff approaches, and the use of restrictive practices are frequently reported. The Safewards model includes ten interventions that aim to prevent conflict and containment. The model has shown promising results but at the same time often presents challenges to successful implementation strategies. The aim of this study was to review qualitative knowledge on staff experiences of barriers and enablers to the implementation of Safewards, from the perspective of implementation science and the i‐PARIHS framework. A search of the Web of Science, ASSIA, Cochrane Library, SCOPUS, Medline, Embase, PsycINFO, and CINAHL databases resulted in 10 articles. A deductive framework analysis approach was used to identify barriers and enablers and the alignment to the i‐PARIHS. Data most represented by the i‐PARIHS were related to the following: local‐level formal and informal leadership support, innovation degree of fit with existing practice and values, and recipients' values and beliefs. This indicates that if a ward or organization wants to implement Safewards and direct limited resources to only a few implementation determinants, these three may be worth considering. Data representing levels of external health system and organizational contexts were rare. In contrast, data relating to local (ward)‐level contexts was highly represented which may reflect Safewards's focus on quality improvement strategies on a local rather than organizational level. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|