Knowledge, Attitude and Skills of Nurses Related to the Implementation of Safewards in Mental Hospital
Abstract
Safewardis an approach to providing inpatient mental health services with the aim of minimizing the number of conflicts that arise between nurses and clients. This study aims to determine the characteristics of nurses including gender, age, education level, work experience, safewards training that has been attended and identify the description of nurse readiness including skills, perceived knowledge and attitudes. The study was conducted using a descriptive design with a sample of 124 nurses. The sample was selected using the total sampling method, namely nurses who provide direct services in the inpatient room and are willing to participate in the study. Data were collected from respondents using the primary method where respondents directly filled out the questionnaire online which was shared via google form. Univariate frequency and percentage analysis were used to analyze the collected data. The results of the study showed that 77.42% of respondents had a positive attitude towards safewards, 62.90% had good knowledge and 54.5% had high skills. The results of this study recommend the need for training on safewards at all levels of nurses to improve nurse readiness in implementing the safewards approach.
References
Baumgardt, J., Jäckel, D., Helber-Böhlen, H., Stiehm, N., Morgenstern, K., Voigt, A., Schöppe, E., Cutcheon, AKM, Velasquez Lecca, E.E., Löhr, M. , Schulz, M., Bechdolf, A., & Weinmann, S. (2019). Preventing and reducing coercive measures-an evaluation of the implementation of the safewards model in two locked wards in Germany. Frontiers in Psychiatry, 10(MAY). https://doi.org/10.3389/fpsyt.2019.00340
Berman, A., & Snyder, S. (2016). KOZIER & ERB'S Fundamentals of NURSING Concepts, Process, and Practice (Ninth Edit). Julie Levin Alexander.
Bhat, S., Rentala, S., Nanjegowda, R.B., & Chellappan, X.B. (2020). Effectiveness of milieu therapy in reducing conflicts and containment rates among schizophrenia patients. Investigación y Educación en Enfermeria, 38(1). https://doi.org/10.17533/UDEA.IEE.V38N1E06
Bowers, L. (2014). Safewards: A new model of conflict and containment on psychiatric wards. Journal of Psychiatric and Mental Health Nursing, 21(6), 499–508. https://doi.org/10.1111/jpm.12129
Bowers, Len. (nd). the Safewards. 1–36.
Bowling A. (2014). Methods in Health. In McGraw Hill.
Daulay, A. . (2021). Relationship between Characteristics, Knowledge and Attitude with Nurse Compliance in Implementing Patient Safety at Permata Bunda General Hospital, Medan in 2020.
Fletcher, J., Buchanan-Hagen, S., Brophy, L., Kinner, S. A., & Hamilton, B. (2019). Consumer perspectives of safety impacts in acute inpatient mental health wards in Victoria, Australia. Frontiers in Psychiatry, 10(JULY), 1–11. https://doi.org/10.3389/fpsyt.2019.00461
Gerdtz, M., Daniel, C., Jarden, R., & Kapp, S. (2020). Use of the Safewards Model in healthcare services: A mixed-method scoping review protocol. BMJ Open, 10(12), 1–4. https://doi.org/10.1136/bmjopen-2020-039109
Happell, B., & Koehn, S. (2011). Impacts of Seclusion and the Seclusion Room: Exploring the Perceptions of Mental Health Nurses in Australia. Archives of Psychiatric Nursing, 25(2), 109–119. https://doi.org/10.1016/j.apnu.2010.07.005
Higgins, N., Meehan, T., Dart, N., Kilshaw, M., & Fawcett, L. (2018). Implementation of the Safewards model in public mental health facilities: A qualitative evaluation of staff perceptions. International Journal of Nursing Studies, 88, 114–120. https://doi.org/10.1016/j.ijnurstu.2018.08.008
Ministry of Health of the Republic of Indonesia. (2021). Indonesian Health Profile. In Pusdatin.Kemenkes.Go.Id.
Ministry of Health of the Republic of Indonesia. (2018). Riskendas 2018. National Report of Riskesndas 2018, 44(8), 181–222. http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 57 of 2013 concerning PTRM.pdf
Kep Menkes R I. (2020). Nursing Professional Standards. In Human Relations (Vol. 3, Number 1). http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=bth&AN=92948285&site=eds-live&scope=site%0Ahttp://bimpactassessment.net/sites/all/themes/bcorp_impact/pdfs/em_stakeholder_engagement.pdf%0Ahttps://www.glo-bus.com/help/helpFiles/CDJ-Pa
Lee, H., Doody, O., & Hennessy, T. (2021). Mental health nurses experience of the introduction and practice of the Safewards model: a qualitative descriptive study. BMC Nursing, 20(1), 1–12. https://doi.org/10.1186/s12912-021-00554-x
Lee, T. K., Välimäki, M., & Lantta, T. (2021). The knowledge, practice and attitudes of nurses regarding physical restraint: Survey results from psychiatric inpatient settings. International Journal of Environmental Research and Public Health, 18(13). https://doi.org/10.3390/ijerph18136747
McLaughlin, P., Giacco, D., & Priebe, S. (2016). Use of coercive measures during involuntary psychiatric admission and treatment outcomes: Data from a prospective study across 10 European countries. PLOS ONE, 11(12), 1–8. https://doi.org/10.1371/journal.pone.0168720
Permenkes. (2017). Regulation of the Minister of Health of the Republic of Indonesia Number 11 of 2017 concerning patient safety. Progress in Physical Geography, 14(7), 450. https://tel.archives-ouvertes.fr/tel-01514176
Minister of Health Regulation No. 40. (2017). Regulation Of The Minister Of Health Of The Republic Of Indonesia Number 40 Of 2017 Concerning The Development Of Professional Career Levels Of Clinical Nurses.
Minister of Health Regulation No. 66. (2016). Regulation Of The Minister Of Health Of The Republic Of Indonesia Number 66 Of 2016 Concerning Occupational Safety And Health In Hospitals.
Sastroasmoro, S. (2011). Sample Size Estimation in Clinical Research. In Fundamentals of Research Methodology.
Sitohang, R. (2017). The relationship between ..., Romaully Sitohang, FIK UI, 2017.
Tarmansyah, D. (2017). The relationship between levels of..., Didan Tarmansyah, FIK UI., 2017.
Law No. 18. (2014). Law of the Republic of Indonesia on Mental Health No. 18 of 2014. Law on Mental Health, 1, 2.
Republic of Indonesia Law. (2014). Republic of Indonesia Law no. 38. On Nursing, 10, 2–4.
Whitmore, C. (2017). Evaluation of Safewards in forensic mental health: a response. Mental Health Practice, 20(8), 26–29. https://doi.org/10.7748/mhp.2017.e1203
ANA, APNA, & ISPN. (2014). Psychiatric Mental health Nursing: Scope and Standards of Practice. In Silver Spring.
Budiman, & Riyanto, A. (2013). Selected Chapters of Knowledge and Attitude Questionnaire in Health Research. In Salemba Medika. Salemba Medika.
Faisal Rinaldi, S., & Mujianto, B. (2017). Research Methodology and Statistics. Ministry of Health of the Republic of Indonesia.
Irwan. (2018). Health Ethics and Behavior. Absolute Media.
English: Nursing care for the Psychiatric Patients. EGC.
Kurniadi, A. (2013). Nursing management and its prospects: theory, concept and application (First Edit). FKUI Publishing Agency.
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application. In Leadership Roles and Management Functions in Nursing: Theory and Application (9th editio). Wolters Kluwer Health | Lippincott Williams & Wilkins. https://doi.org/10.1097/00006216-200407000-00013
Stuart, GW (2016). Principles and Practice of Stuart Mental Health Nursing Indonesian edition book 1 (BA Keliat & J. Pasaribu (ed.); 1 st Indon). Elsevier Inc.
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