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Providing a Safe Environment in a Psychiatric Ward: Nurses and Vigilance in Iran

Vahidi, M, Ebrahimi, H, Areshtanab, HN, Jafarabadi, MA, West, SG ORCID: 0000-0001-7738-9390, Foong, A ORCID: 0000-0001-5956-4597 and Cleary, M ORCID: 0000-0002-1453-4850 2018 , 'Providing a Safe Environment in a Psychiatric Ward: Nurses and Vigilance in Iran' , Issues in Mental Health Nursing , doi:

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The aim of this study was to explore nurses’ use of vigilance in the provision of inpatientpsychiatric care. In this qualitative exploratory descriptive design study, 16 nurses working ininpatient psychiatric units were recruited through purposive sampling. Data were collected bysemi-structured interviews and fieldwork observations and analysed using conventional contentanalysis. According to participants, nurses’ vigilance is related to synthesising knowledge, experience,communication, and presence. This conclusion was derived from four main themes: understandingthe context of the psychiatric ward; continuous monitoring; cognitive assessments; andinvolving others. The study highlights the significance of education for all mental health staff andprovision of appropriate information to all patients and their companions about psychiatric disordersand the side effects of prescribed medications. Of importance is the skill of active listening tothe concerns of patients and the demonstration of commitment by nurses to follow-up on reportsfrom stakeholders. Imparting the skills and experiences of senior nurses to novice nurses and theirpresence alongside other nurses on work-shifts can be effective in promoting vigilance.

Item Type: Article
Authors/Creators:Vahidi, M and Ebrahimi, H and Areshtanab, HN and Jafarabadi, MA and West, SG and Foong, A and Cleary, M
Keywords: Safety, Psychiatric Ward, Mental health, Nurses, Vigilance
Journal or Publication Title: Issues in Mental Health Nursing
Publisher: Taylor & Francis Inc.
ISSN: 0161-2840
DOI / ID Number:
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Copyright 2019 Taylor & Francis Group, LLC

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