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Barriers and enablers to the implementation of Safewards and the alignment to the i‐PARIHS framework – A qualitative systematic review
Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm, Sweden.ORCID iD: 0000-0001-9350-7844
Halmstad University, School of Health and Welfare.ORCID iD: 0000-0003-1440-1051
Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-4565-8864
Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-3509-8701
2024 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 33, no 1, p. 18-36Article, review/survey (Refereed) Published
Abstract [en]

Inpatient mental healthcare settings should offer safe environments for patients to heal and recover and for staff to provide high-quality treatment and care. However, aggressive patient behaviour, unengaged staff approaches, and the use of restrictive practices are frequently reported. The Safewards model includes ten interventions that aim to prevent conflict and containment. The model has shown promising results but at the same time often presents challenges to successful implementation strategies. The aim of this study was to review qualitative knowledge on staff experiences of barriers and enablers to the implementation of Safewards, from the perspective of implementation science and the i-PARIHS framework. A search of the Web of Science, ASSIA, Cochrane Library, SCOPUS, Medline, Embase, PsycINFO, and CINAHL databases resulted in 10 articles. A deductive framework analysis approach was used to identify barriers and enablers and the alignment to the i-PARIHS. Data most represented by the i-PARIHS were related to the following: local-level formal and informal leadership support, innovation degree of fit with existing practice and values, and recipients' values and beliefs. This indicates that if a ward or organization wants to implement Safewards and direct limited resources to only a few implementation determinants, these three may be worth considering. Data representing levels of external health system and organizational contexts were rare. In contrast, data relating to local (ward)-level contexts was highly represented which may reflect Safewards's focus on quality improvement strategies on a local rather than organizational level. © 2023 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.

Place, publisher, year, edition, pages
Richmond, VIC: John Wiley & Sons, 2024. Vol. 33, no 1, p. 18-36
Keywords [en]
Implementation, Safewards, Prevention, Aggression, Mental Health Nursing
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-52108DOI: 10.1111/inm.13222ISI: 001065025200001PubMedID: 37705298Scopus ID: 2-s2.0-85170665762OAI: oai:DiVA.org:hh-52108DiVA, id: diva2:1814440
Projects
Safewards Sverige
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-00266Karolinska Institute
Note

Open access funding was provided by the Karolinska Institutet.

Available from: 2023-11-24 Created: 2023-11-24 Last updated: 2025-10-01Bibliographically approved

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Johansson, Ulf

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