ArticleJournal of psychiatric and mental health nursing2025
'I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe': Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings.
Article in Journal of psychiatric and mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Staff Perspectives on Safety on Psychiatric Wards.Nursing & health sciences · 2025Pooled it
- De-Escalation in United Kingdom Inpatient Mental Health Care: A Structured Critical Narrative Synthesis of People, Capability and Context.International journal of mental health nursing · 2026Review
- Assessing interpersonal violence involvement in psychiatric patients: exploratory findings on the Interpersonal Violence Questionnaire (IVIQ).BMC psychiatry · 2026Article
- Nurses' Experiences of Psychological Safety in Ad Hoc Teams During Emergency Care: An Interview Study.Journal of advanced nursing · 2026Article
- Sexual Violence Against Mental Health Nurses in Inpatient Psychiatric Settings: A Systematic Review of Prevalence, Outcomes, and Risk Factors.Nursing reports (Pavia, Italy) · 2026Review
- How stressful life events are associated with depression: the mediating pathway of security in a clinical adolescent sample.Frontiers in psychiatry · 2026Article
- How can we measure psychological safety in mental healthcare staff? Developing questionnaire items using a nominal groups technique.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionWhile the concept of psychological safety has been gaining momentum, research concerning psychological safety in inpatient mental health wards is lacking.
aimTo investigate how psychological safety is conceptualised by healthcare staff in inpatient mental health units, and what barriers and facilitators exist.
methodReflexive Thematic Analysis was used to analyse 12 interviews.
resultsParticipants conceptualised psychological safety as feeling safe from physical harm, being able to develop meaningful relationships and feeling valued at work. Participants often did not feel physically safe at work, which led them to feel psychologically unsafe. Barriers to psychological safety were reliance on agency workers, punitive management approaches and the inherent risk in working with mental health inpatients. Facilitators included appropriate staffing ratios and skill mix, being able to form meaningful relationships and having access to support. DISCUSSION: The emphasis on the physical safety element within psychological safety means that existing definitions of psychological safety require extension for the mental healthcare context. However, large-scale research is needed to further understand experiences of psychological safety in this group. IMPLICATIONS FOR PRACTICE: A better understanding of the dimensions of psychological safety in inpatient mental health settings could support the development of tools to investigate psychological safety interventions. Organisations could support psychological safety through regular staff supervision and improved staffing ratios and skill mix.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.