Nursing - Research Publications

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    Safewards in Acute Care: Evaluation of the adaptation and impact of Safewards in Acute Care wards
    Yap, C ; Daniel, C ; Gerdtz, M (Department of Nursing, University of Melbourne, 2022)
    Safewards is a model of practice improvement that has previously been trialled to promote a therapeutic response to minimise conflict events in mental health in-patient wards and emergency departments. This project (Safewards Acute Care) piloted the innovative strategies to implement Safewards interventions in four acute care wards within two metropolitan health services in Victoria, Australia. Due to workforce shortages and increased staff pressure caused by Omicron outbreak during project implementation phase, four instead of ten Safewards interventions were selected to be trialled in this pilot project. These four interventions (Know Each Other, Neat, Smart and Tidy, Calming Methods, and Meaningful Messages) were considered most relevant to both patients and staff, and highly favourable based on the feedback received from staff focus group. The evaluation was conducted to examine how four Safewards interventions including the design and implementation strategies were relevant, acceptable, feasible, impactful, and sustainable in acute care wards. Both quantitative and qualitative data were collected using mixed-method approach.
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    Safewards in Three Emergency Departments: Evaluation of the adaptation and impact of the Safewards Model in Emergency Departments
    Gerdtz, M ; Daniel, C ; Yap, C ; Knott, J ; Hamilton, B ( 2021-02-01)
    Safewards is a model of practice improvement that has been used to promote a therapeutic response to minimise conflict events in mental health in-patient settings. This pilot project (Safewards ED) evaluated the impact of nine modified Safewards interventions in three emergency departments (EDs) within 2 health services in Victoria, Australia. A mixed method approach including: (a) questionnaire, (b) focus groups, and (c) observational cohort studies of conflict events (code grey) and coercive interventions (restraint and medication used to manage patient behaviour); was used to evaluate the Safewards ED interventions 12 months before and 6 months after the implementation. The aim of the evaluation was to explore the applicability and impact of Safewards ED interventions.