@article{ref1,
title="Safewards Secure: a Delphi study to develop an addition to the Safewards Model for forensic mental health services",
journal="Journal of Psychiatric and Mental Health Nursing",
year="2022",
author="Maguire, Tessa and Ryan, Jo and Fullam, Rachael and McKenna, Brian",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Safewards is a model designed specifically for acute mental inpatient wards. Research investigating the introduction of Safewards has identified a need to consider factors relevant in forensic mental health services, such as offence and risk issues. <br><br>AIM: Identify adaptations needed to address gaps in the Safewards model to assist forensic mental health nurses to prevent and manage conflict and containment. <br><br>METHOD: A Delphi study was employed to engage a group of international Safewards and forensic mental health experts (n = 19), to elucidate adaptation of the Safewards model. <br><br>RESULTS: Experts identified necessary elements and reached consensus on key considerations for Safewards interventions. To ensure the Safewards Secure model was robust, and developed on a platform of research, all items suggested by Delphi experts were cross referenced, and dependent on empirical evidence in the literature. <br><br>DISCUSSION: This study identified a number of key differences between civil and forensic mental health services, which informed the development of Safewards Secure, an adjunct to the original Safewards model.   IMPLICATIONS FOR PRACTICE: The development of person-centred models of nursing care adapted to specific settings, such as forensic mental health, provides a potential solution to preventing and managing conflict and containment, and improving consumer outcomes.<p /> <p>Language: en</p>",
language="en",
issn="1351-0126",
doi="10.1111/jpm.12827",
url="http://dx.doi.org/10.1111/jpm.12827"
}