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Factors impacting perceived safety among staff working on mental health wards

  • Alina Haines (a1), Andrew Brown (a2), Rhiannah McCabe (a1), Michelle Rogerson (a3) and Richard Whittington (a1)...
Abstract
Background

Safety at work is a core issue for mental health staff working on in-patient units. At present, there is a limited theoretical base regarding which factors may affect staff perceptions of safety.

Aims

This study attempted to identify which factors affect perceived staff safety working on in-patient mental health wards.

Method

A cross-sectional design was employed across 101 forensic and non-forensic mental health wards, over seven National Health Service trusts nationally. Measures included an online staff survey, Ward Features Checklist and recorded incident data. Data were analysed using categorical principal components analysis and ordinal regression.

Results

Perceptions of staff safety were increased by ward brightness, higher number of patient beds, lower staff to patient ratios, less dayroom space and more urban views.

Conclusions

The findings from this study do not represent common-sense assumptions. Results are discussed in the context of the literature and may have implications for current initiatives aimed at managing in-patient violence and aggression.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) license.
Corresponding author
Correspondence: Alina Haines, Department of Health Services Research, IPHS, University of Liverpool, Muspratt Building, The Quadrangle, Liverpool L69 3GB, UK. E-mail: haialina@liverpool.ac.uk
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Abderhalden, C, Needham, I, Dassen, T, Halfens, R, Haug, H-J, Fischer, JE. Structured risk assessment and violence in acute psychiatric wards: randomised controlled trial. Br J Psychiatry 2008; 193: 4450.
2 Fluttert, F, Van Meijel, B, Webster, C, Nijman, H, Bartels, A, Grypdonck, M. Risk management by early recognition of warning signs in patients in forensic psychiatric care. Arch Psychiatr Nurs 2008; 22: 208–16.
3 Nijman, H, de Kruyk, C, van Nieuwenhuizen, C. Behavioral changes during forensic psychiatric (TBS) treatment in the Netherlands. Int J Law Psychiatry 2004; 27: 7985.
4 Bowers, L, Stewart, D, Papadopoulos, C, Dack, C, Ross, J, Khanom, H, et al Inpatient Violence and Aggression: A Literature Review. Section of Mental Health Nursing, Health Service and Population Research, Institute of Psychiatry, King's College London, 2011.
5 Iozzino, L, Ferrari, C, Large, M, Nielssen, O, de Girolamo, G. Prevalence and risk factors of violence by psychiatric acute inpatients: a systematic review and meta-analysis. PLoS One 2015; 10: e0128536.
6 Christian, MS, Bradley, JC, Wallace, JC, Burke, MJ. Workplace safety: a meta-analysis of the roles of person and situation factors. J Appl Psychol 2009; 94: 1103–27.
7 Spector, PE, Coulter, ML, Stockwell, HG, Matz, MW. Perceived violence climate: a new construct and its relationship to workplace physical violence and verbal aggression, and their potential consequences. Work Stress 2007; 21: 117–30.
8 Laiho, T, Lindberg, N, Joffe, G, Putkonen, H, Hottinen, A, Kontio, R, et al Psychiatric staff on the wards does not share attitudes on aggression. Int J Ment Health Syst 2014; 8: 17.
9 Pollard, R, Yanasak, EV, Rogers, SA, Tapp, A. Organizational and unit factors contributing to reduction in the use of seclusion and restraint procedures on an acute psychiatric inpatient unit. Psychiatr Q 2007; 78: 7381.
10 Bowers, L. Association between staff factors and levels of conflict and containment on acute psychiatric wards in England. Psychiatr Serv 2009; 60: 231–9.
11 Papoulias, C, Csipke, E, Rose, D, McKellar, S, Wykes, T. The psychiatric ward as a therapeutic space: systematic review. Br J Psychiatry 2014; 205: 171–6.
12 Hayes, BE, Perander, J, Smecko, T, Trask, J. Measuring perceptions of workplace safety: development and validation of the Work Safety Scale. J Saf Res 1998; 29: 145–61.
13 Nijman, H, Bowers, L, Oud, N, Jansen, G. Psychiatric nurses' experiences with inpatient aggression. Aggress Behav 2005a; 31: 217–27.
14 Linting, M, Meulman, JJ, Groenen, PJ, van der Koojj, AJ. Nonlinear principal components analysis: introduction and application. Psychol Methods 2007; 12: 336–58.
15 Van der Schaaf, PS, Dusseldorp, E, Keuning, FM, Janssen, WA, Noorthoorn, EO. Impact of the physical environment of psychiatric wards on the use of seclusion. Br J Psychiatry 2013; 202: 142–9.
16 Goldstein, H. Multilevel Statistical Models. 2nd ed. Arnold, 1995.
17 Erickson, L, Williams-Evans, SA. Attitudes of emergency nurses regarding patient assaults. J. Emerg Nurs 2000; 26: 210–5.
18 Jackson, D, Clare, J, Mannix, J. Who would want to be a nurse? Violence in the workplace – a factor in recruitment and retention. J Nurs Manage 2002; 10: 1320.
19 Ferns, T. Under-reporting of violent incidents against nursing staff. Nurs Stand 2006; 20: 41–5.
20 Ryan, T, Hills, B, Webb, L. Nurse staffing levels and budgeted expenditure in acute mental health wards: a benchmarking study. J Psychiatr Ment Health Nurs 2004; 11: 7381.
21 Nijman, HLI, Rector, G. Crowding and aggression on inpatient psychiatric wards. Psychiatr Serv 1999; 50: 830–1.
22 Ng, B, Kumar, S, Ranclaud, M, Robinson, E. Ward crowding and incidents of violence on an acute psychiatric inpatient unit. Psychiatr Serv 2001; 52: 521–5.
23 Matos, PS, Neushotz, LA, Griffin, MT, Fitzpatrick, JJ. An exploratory study of resilience and job satisfaction among psychiatric nurses working in inpatient units. Int J Ment Health Nurs 2010; 19: 307–12.
24 Kelly, EL, Subica, AM, Fulginiti, A, Brekke, JS, Novaco, RW. A cross-sectional survey of factors related to inpatient assault of staff in a forensic psychiatric hospital. J Adv Nurs 2015; 71: 1110–22.
25 Curtis, S, Gesler, W, Fabian, K, Francis, S, Priebe, S. Therapeutic landscapes in hospital design: A qualitative assessment by staff and service users of the design of a new mental health inpatient unit. Environ Plann C Govern Policy 2007; 25: 591610.
26 Shepley, MM, Watson, A, Pitts, F, Garrity, A, Spelman, E, Kelkar, J, et al Mental and behavioral health environments: critical considerations for facility design. Gen Hosp Psychiatry 2016; 42: 1521.
27 Parr, H, Philo, C, Burns, N. ‘That awful place was home’:1 reflections on the contested meanings of Craig Dunain asylum. Scott Geogr J. 2003; 119: 341–60.
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Factors impacting perceived safety among staff working on mental health wards

  • Alina Haines (a1), Andrew Brown (a2), Rhiannah McCabe (a1), Michelle Rogerson (a3) and Richard Whittington (a1)...
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