‘I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe’: Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings
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Medientyp:
E-Artikel
Titel:
‘I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe’: Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings
Erschienen in:
Journal of Psychiatric and Mental Health Nursing (2024)
Sprache:
Englisch
DOI:
10.1111/jpm.13101
ISSN:
1351-0126;
1365-2850
Entstehung:
Anmerkungen:
Beschreibung:
ABSTRACTIntroductionWhile the concept of psychological safety has been gaining momentum, research concerning psychological safety in inpatient mental health wards is lacking.AimTo investigate how psychological safety is conceptualised by healthcare staff in inpatient mental health units, and what barriers and facilitators exist.MethodReflexive Thematic Analysis was used to analyse 12 interviews.ResultsParticipants conceptualised psychological safety as feeling safe from physical harm, being able to develop meaningful relationships and feeling valued at work. Participants often did not feel physically safe at work, which led them to feel psychologically unsafe. Barriers to psychological safety were reliance on agency workers, punitive management approaches and the inherent risk in working with mental health inpatients. Facilitators included appropriate staffing ratios and skill mix, being able to form meaningful relationships and having access to support.DiscussionThe emphasis on the physical safety element within psychological safety means that existing definitions of psychological safety require extension for the mental healthcare context. However, large‐scale research is needed to further understand experiences of psychological safety in this group.Implications for PracticeA better understanding of the dimensions of psychological safety in inpatient mental health settings could support the development of tools to investigate psychological safety interventions. Organisations could support psychological safety through regular staff supervision and improved staffing ratios and skill mix.