Laparoscopic Endoscopic Surgical Science [J Psy Nurs]
J Psy Nurs. 2023; 14(3): 240-247 | DOI: 10.14744/phd.2023.69926

“Know Safety, No Pain”: Exploring perceptions of nursing staff on Patient Safety in a mental health-care setting in Pakistan

Taskeen Mansoor1, Sawera Mansoor2
1Department of Social and Behavioral Sciences, National University of Medical Sciences, Rawalpindi, Pakistan
2Department of Psychiatry, Foundation University Medical College, Islamabad, Pakistan

INTRODUCTION: In psychiatric wards, nursing staff plays a central role in handling unique patient safety issues due to their proximity and extended interaction with the patients. This qualitative exploratory study aims to understand the socio-cultural and institutional factors that act as opportunities and/or barriers to provision of patient safety in an in-patient psychiatric unit.
METHODS: Employing participant observation and critical incident technique that guided the semi-structured interviews, 23 nursing staff of a tertiary care hospital in Rawalpindi, Pakistan, were approached in their natural setting, that is, the wards or outpatient departments during the months of March–June 2021.
RESULTS: Using a-priori and emerging codes, six themes were revealed: “Socialization” of mental health, Role Conflict: Nurturing versus Controlling, Approaches: Proactive versus Reactive, Potential Risks to Patient Safety, Indigenous “Pain-less” procedures for physical restraint, Gender roles matter. The study discusses how the increasing awareness around mental health influences care decisions, how family members act as extensions to nursing role and how the nurses exhibit ambivalence toward the use of restraints.
DISCUSSION AND CONCLUSION: The study concludes that the conceptualization of nurses regarding mental health issues, patient safety, physical restraints, seclusion, cultural, and gender norms is also reflected in their care provision. Nurses’ autonomy, decision-making, cultural context, and training in clinical interventions are significant for patient safety in psychiatric nursing practice.

Keywords: Culture, mental health, nursing, patient safety.

Taskeen Mansoor, Sawera Mansoor. “Know Safety, No Pain”: Exploring perceptions of nursing staff on Patient Safety in a mental health-care setting in Pakistan. J Psy Nurs. 2023; 14(3): 240-247

Sorumlu Yazar: Taskeen Mansoor, Pakistan
Makale Dili: İngilizce
LookUs & Online Makale