Patient safety on psychiatric wards: A cross-sectional, multilevel study of factors influencing nurses' willingness to share power and responsibility with patients.
Identifieur interne : 000A74 ( Main/Corpus ); précédent : 000A73; suivant : 000A75Patient safety on psychiatric wards: A cross-sectional, multilevel study of factors influencing nurses' willingness to share power and responsibility with patients.
Auteurs : Joeri Vandewalle ; Simon Malfait ; Kristof Eeckloo ; Roos Colman ; Dimitri Beeckman ; Sofie Verhaeghe ; Ann Van HeckeSource :
- International journal of mental health nursing [ 1447-0349 ] ; 2018.
English descriptors
- KwdEn :
- Adult (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Participation (psychology), Patient Participation (statistics & numerical data), Patient Safety (MeSH), Power, Psychological (MeSH), Psychiatric Department, Hospital (organization & administration), Psychiatric Nursing (statistics & numerical data), Young Adult (MeSH).
- MESH :
- organization & administration : Psychiatric Department, Hospital.
- psychology : Patient Participation.
- statistics & numerical data : Patient Participation, Psychiatric Nursing.
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Patient Safety, Power, Psychological, Young Adult.
Abstract
The World Health Organization highlights the need for more patient participation in patient safety. In mental health care, psychiatric nurses are in a frontline position to support this evolution. The aim of the present study was to investigate the demographic and contextual factors that influence the willingness of psychiatric nurses to share power and responsibility with patients concerning patient safety. The patient participation culture tool for inpatient psychiatric wards was completed by 705 nurses employed in 173 psychiatric wards within 37 hospitals. Multilevel modelling was used to analyse the self-reported data. The acceptance of a role wherein nurses share power and responsibility with patients concerning patient safety is influenced by the nurses' sex, age, perceived competence, perceived support, and type of ward. To support nurses in fulfilling their role in patient participation, patient participation-specific basic and continuing education should be provided. Managers and supervisors should recognize and fulfil their facilitating role in patient participation by offering support to nurses. Special attention is needed for young nurses and nurses on closed psychiatric wards, because these particular groups report being less willing to accept a new role. Ward characteristics that restrict patient participation should be challenged so that these become more patient participation stimulating. More research is needed to explore the willingness and ability of psychiatric nurses to engage in collaborative safety management with patients who have specific conditions, such as suicidal ideation and emotional harm.
DOI: 10.1111/inm.12376
PubMed: 28795468
Links to Exploration step
pubmed:28795468Le document en format XML
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Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Eeckloo, Kristof" sort="Eeckloo, Kristof" uniqKey="Eeckloo K" first="Kristof" last="Eeckloo">Kristof Eeckloo</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Colman, Roos" sort="Colman, Roos" uniqKey="Colman R" first="Roos" last="Colman">Roos Colman</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Health Care, VIVES University College, Roeselare, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:28795468</idno><idno type="pmid">28795468</idno><idno type="doi">10.1111/inm.12376</idno><idno type="wicri:Area/Main/Corpus">000A74</idno><idno 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Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Eeckloo, Kristof" sort="Eeckloo, Kristof" uniqKey="Eeckloo K" first="Kristof" last="Eeckloo">Kristof Eeckloo</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Colman, Roos" sort="Colman, Roos" uniqKey="Colman R" first="Roos" last="Colman">Roos Colman</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Beeckman, Dimitri" sort="Beeckman, Dimitri" uniqKey="Beeckman D" first="Dimitri" last="Beeckman">Dimitri Beeckman</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Verhaeghe, Sofie" sort="Verhaeghe, Sofie" uniqKey="Verhaeghe S" first="Sofie" last="Verhaeghe">Sofie Verhaeghe</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Department of Health Care, VIVES University College, Roeselare, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hecke, Ann" sort="Van Hecke, Ann" uniqKey="Van Hecke A" first="Ann" last="Van Hecke">Ann Van Hecke</name><affiliation><nlm:affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Ghent University Hospital, Ghent, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">International journal of mental health nursing</title><idno type="eISSN">1447-0349</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Participation (psychology)</term><term>Patient Participation (statistics & numerical data)</term><term>Patient Safety (MeSH)</term><term>Power, Psychological (MeSH)</term><term>Psychiatric Department, Hospital (organization & administration)</term><term>Psychiatric Nursing (statistics & numerical data)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Psychiatric Department, Hospital</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Patient Participation</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Participation</term><term>Psychiatric Nursing</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Safety</term><term>Power, Psychological</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The World Health Organization highlights the need for more patient participation in patient safety. In mental health care, psychiatric nurses are in a frontline position to support this evolution. The aim of the present study was to investigate the demographic and contextual factors that influence the willingness of psychiatric nurses to share power and responsibility with patients concerning patient safety. The patient participation culture tool for inpatient psychiatric wards was completed by 705 nurses employed in 173 psychiatric wards within 37 hospitals. Multilevel modelling was used to analyse the self-reported data. The acceptance of a role wherein nurses share power and responsibility with patients concerning patient safety is influenced by the nurses' sex, age, perceived competence, perceived support, and type of ward. To support nurses in fulfilling their role in patient participation, patient participation-specific basic and continuing education should be provided. Managers and supervisors should recognize and fulfil their facilitating role in patient participation by offering support to nurses. Special attention is needed for young nurses and nurses on closed psychiatric wards, because these particular groups report being less willing to accept a new role. Ward characteristics that restrict patient participation should be challenged so that these become more patient participation stimulating. More research is needed to explore the willingness and ability of psychiatric nurses to engage in collaborative safety management with patients who have specific conditions, such as suicidal ideation and emotional harm.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28795468</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>25</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1447-0349</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>Apr</Month></PubDate></JournalIssue><Title>International journal of mental health nursing</Title><ISOAbbreviation>Int J Ment Health Nurs</ISOAbbreviation></Journal><ArticleTitle>Patient safety on psychiatric wards: A cross-sectional, multilevel study of factors influencing nurses' willingness to share power and responsibility with patients.</ArticleTitle><Pagination><MedlinePgn>877-890</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/inm.12376</ELocationID><Abstract><AbstractText>The World Health Organization highlights the need for more patient participation in patient safety. In mental health care, psychiatric nurses are in a frontline position to support this evolution. The aim of the present study was to investigate the demographic and contextual factors that influence the willingness of psychiatric nurses to share power and responsibility with patients concerning patient safety. The patient participation culture tool for inpatient psychiatric wards was completed by 705 nurses employed in 173 psychiatric wards within 37 hospitals. Multilevel modelling was used to analyse the self-reported data. The acceptance of a role wherein nurses share power and responsibility with patients concerning patient safety is influenced by the nurses' sex, age, perceived competence, perceived support, and type of ward. To support nurses in fulfilling their role in patient participation, patient participation-specific basic and continuing education should be provided. Managers and supervisors should recognize and fulfil their facilitating role in patient participation by offering support to nurses. Special attention is needed for young nurses and nurses on closed psychiatric wards, because these particular groups report being less willing to accept a new role. Ward characteristics that restrict patient participation should be challenged so that these become more patient participation stimulating. More research is needed to explore the willingness and ability of psychiatric nurses to engage in collaborative safety management with patients who have specific conditions, such as suicidal ideation and emotional harm.</AbstractText><CopyrightInformation>© 2017 Australian College of Mental Health Nurses Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vandewalle</LastName><ForeName>Joeri</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Research Foundation Flanders, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malfait</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eeckloo</LastName><ForeName>Kristof</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Colman</LastName><ForeName>Roos</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beeckman</LastName><ForeName>Dimitri</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Verhaeghe</LastName><ForeName>Sofie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Care, VIVES University College, Roeselare, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Hecke</LastName><ForeName>Ann</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Public Health, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ghent University Hospital, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Int J Ment Health Nurs</MedlineTA><NlmUniqueID>101140527</NlmUniqueID><ISSNLinking>1445-8330</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010358" MajorTopicYN="Y">Patient Participation</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061214" MajorTopicYN="Y">Patient Safety</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011209" MajorTopicYN="Y">Power, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011567" MajorTopicYN="Y">Psychiatric Department, Hospital</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011568" MajorTopicYN="Y">Psychiatric Nursing</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">mental health care</Keyword><Keyword MajorTopicYN="N">nursing</Keyword><Keyword MajorTopicYN="N">patient participation</Keyword><Keyword MajorTopicYN="N">patient safety</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>10</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28795468</ArticleId><ArticleId IdType="doi">10.1111/inm.12376</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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