Speaking Up: Exploring Mental Health Care Workers' Patient Safety Concerns.

IF 1.2 4区医学 Q3 NURSING

Journal of Psychosocial Nursing and Mental Health Services Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI:10.3928/02793695-20240424-02

Maryam Maddineshat, Meysam Safi-Keykaleh, Ali Ghaleiha, Efat Sadeghian

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引用次数: 0

Abstract

Purpose: To explore the perspectives and experiences of mental health care workers (MHCWs) when speaking up about patient safety concerns.

Method: A qualitative study was performed at Farshchian (Sina) Hospital in Iran, involving the purposive sampling of MHCWs from three inpatient psychiatric wards. From July to October 2022, semi-structured interviews were conducted with 23 participants. Data were analyzed using conventional content analysis.

Results: Three major patient safety themes were identified: (a) Voicing Concerns for Daily Safety (subthemes: daily safety check-ins and speaking up to prevent patient harm); (b) Speaking Up to Save Future Lives (subthemes: whistleblowing, leadership, and being open to communication); and (c) Hesitating to Speak Up (sub-themes: ineffectiveness of raising one's voice and whispering).

Conclusion: MHCWs have various concerns about speaking up or staying silent. Failure to communicate can result in adverse events and missed opportunities to address patient safety. [Journal of Psychosocial Nursing and Mental Health Services, 62(10), 41-49.].

查看原文本刊更多论文

说出来：探讨心理健康护理工作者对患者安全的担忧。

目的：探讨精神卫生保健工作者（MHCWs）在谈论患者安全问题时的观点和经验：在伊朗 Farshchian（Sina）医院开展了一项定性研究，从三个精神科住院病房的精神卫生保健工作者中进行了有目的的抽样调查。2022 年 7 月至 10 月，对 23 名参与者进行了半结构化访谈。采用常规内容分析法对数据进行了分析：结果：确定了三个主要的患者安全主题：(结果：确定了三个主要的患者安全主题：（a）表达对日常安全的关注（副主题：日常安全检查和大声疾呼以防止患者受到伤害）；（b）大声疾呼以挽救未来的生命（副主题：举报、领导力和开放沟通）；以及（c）犹豫是否大声疾呼（副主题：大声疾呼的无效性和耳语）：结论：产妇保健工作者对大声说话或保持沉默有各种顾虑。不沟通会导致不良事件的发生，并错失解决患者安全问题的机会。[社会心理护理与心理健康服务期刊》，xx（x），xx-xx]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Nursing and Mental Health Services 医学-护理

CiteScore

1.60

自引率

0.00%

发文量

117

审稿时长

6-12 weeks

期刊介绍： The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as: • Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance • Continuing Nursing Education credits available each month