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Implementation and use of the Safewards model in healthcare services: A scoping review.
Ward-Stockham, Kristel; Daniel, Catherine; Bujalka, Helena; Jarden, Rebecca J; Yap, Celene Y L; Cochrane, Lindy; Gerdtz, Marie Frances.
Afiliación
  • Ward-Stockham K; Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia.
  • Daniel C; Eastern Health Institute, Box Hill, Australia.
  • Bujalka H; Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia.
  • Jarden RJ; The Royal Melbourne Hospital, Parkville, Australia.
  • Yap CYL; Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia.
  • Cochrane L; Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia.
  • Gerdtz MF; Austin Health, Heidelberg, Australia.
Int J Ment Health Nurs ; 2024 May 05.
Article en En | MEDLINE | ID: mdl-38706140
ABSTRACT
Safewards is a multi-intervention mental health nursing model of practice improvement aimed at preventing and reducing conflict and containment. The use of Safewards has now extended beyond mental health settings. Implementation of Safewards has been reported to be challenging and therefore requires an evidence-informed and structured approach. This review's objectives were to (i) Comprehensively map approaches used to implement Safewards interventions; (ii) Characterise the outcomes measured in Safewards implementation studies; and (iii) Identify the facilitators and barriers to Safewards training and its implementation in practice. All quantitative, qualitative and mixed-methods publications of Safewards, the interventions, evaluations, barriers and facilitators from all healthcare services internationally were included. The Joanna Briggs Institute scoping review and Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews were used to guide methodology. Data were reported according to the 12 items of the TIDieR. Twenty-seven publications reported the implementation of Safewards. Descriptions were limited for reporting items such as intervention descriptions, materials, resources, specific procedures and processes, modifications made to interventions and delivery of interventions and training. No consistent theoretical implementation framework was reported. Collaboration, leadership, feedback and co-design were strong drivers for staff buy-in, engagement and success for implementation in mental health and acute settings. Transparency, replicability and generalisation require a detailed description of all elements of an intervention being implemented. Without adequate information, only assumptions can be drawn about the clinical governance and process of the implementation and training, and it is difficult to conclude when attempting to replicate the interventions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Ment Health Nurs Asunto de la revista: ENFERMAGEM / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Ment Health Nurs Asunto de la revista: ENFERMAGEM / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia