‘It Gives Me Safety to Be Here’: Patients' Perspectives About Safety on Psychiatric Wards

Providing safe care within psychiatric wards is essential to promote the well-being and recovery of patients on the wards. This can however be complicated because patients' behaviours can present risks to themselves and others. Understanding what patients think about safety on psychiatric wards holds crucial insight about addressing and managing safety issues on the wards. The aim of this study is to understand safety on psychiatric wards from the perspective of the patients. The study is a systematic review that follows PRISMA guidance and registered with PROSPERO. A comprehensive search of five electronic databases was completed. Searches were limited to peer-reviewed academic journal articles published in English language from 2014 which examine safety on psychiatric settings from the patients' perspective. An initial result of 28 567 studies was filtered to six studies that met all the eligibility criteria. Quality assessment was completed using Critical Appraisal Skills Programme whereas data synthesis was conducted using thematic analysis. Four major themes that describe safety on psychiatric wards emerged: perception of safety; prevalence of lack of safety: perpetuating lack of safety; and promoting safety. Safety on psychiatric wards is like two sides of a coin: what promotes safety can also perpetuate lack of safety. The place (hospital), people (staff) and practice can both promote safety and perpetuate lack of safety. Finding and maintaining the right balance is crucial for achieving safety on psychiatric wards. These findings have implications for the effective management of safety issues on psychiatric wards.