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Development of “The Safe Psychiatric Ward Batteryâ€

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  • Maryam Vahidi
  • Hossein Namdar Areshtanab
  • Hossein Ebrahimi
  • Mohammad Asghari Jafarabadi

Abstract

This study reports the development process and psychometric testing of the safe environment in psychiatric wards instrument. In this mixed-methods study, the concept of a safe environment was explained with a qualitative study by performing semi-structured interviews with patients and staff and ward observation. Then, the items of the instrument were designed using qualitative data and a literature review. Content and construct validity, internal consistency, stability, and inter-rater agreement were evaluated. This study produced an instrument consisting of two sections. The first section was a scale (α = .920). Exploratory factor analysis of the scale identified two dimensions of “engagement†(α = .931) and “perception†of the physical environment (α = .760). The second section was a checklist with two dimensions, “accident-free living environment†and “staff empowerment.†The intra-class correlation coefficients for the scale and checklist were .912 and .809, respectively. This study suggests that this instrument is a valid and reliable tool to assess safety in psychiatric wards.

Suggested Citation

  • Maryam Vahidi & Hossein Namdar Areshtanab & Hossein Ebrahimi & Mohammad Asghari Jafarabadi, 2023. "Development of “The Safe Psychiatric Ward Batteryâ€," Clinical Nursing Research, , vol. 32(2), pages 375-383, February.
  • Handle: RePEc:sae:clnure:v:32:y:2023:i:2:p:375-383
    DOI: 10.1177/10547738221085614
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    1. Quirk, Alan & Lelliott, Paul & Seale, Clive, 2004. "Service users' strategies for managing risk in the volatile environment of an acute psychiatric ward," Social Science & Medicine, Elsevier, vol. 59(12), pages 2573-2583, December.
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