Evidence map›Paper›PMID 41813045›Full record

ArticleBMJ open2026

How do staff and team characteristics relate to ward safety incidents in adult inpatient mental health settings? A protocol for a systematic integrative review.

Katy Greenfield, Bethany Griffin, Sarah Kendal, Samuel Woodnutt, Nutmeg Hallett, Judith Johnson, Kathryn Berzins, Chris Bojke, Max Henderson, Jo Lomani and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Katy GreenfieldSchool of Healthcare, University of Leeds, Leeds, UK.
Bethany GriffinSchool of Healthcare, University of Leeds, Leeds, UK B.Griffin@leeds.ac.uk.ORCID http://orcid.org/0000-0002-2563-1509
Sarah KendalSchool of Healthcare, University of Leeds, Leeds, UK.
Samuel WoodnuttSchool of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-6821-3158
Nutmeg HallettSchool of Nursing and Midwifery, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0003-3115-8831
Judith JohnsonDivision of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
Kathryn BerzinsHealth Technology Assessment Unit, Applied Health Research Hub, University of Central Lancashire, Preston, UK.
Chris BojkeAcademic Unit of Health Economics, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0003-2601-0314
Max HendersonLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Jo LomaniNHS England North, Leeds, UK.
Emma WadeyHertfordshire Partnership University NHS Foundation Trust, Hatfield, UK.
John BakerSchool of Healthcare, University of Leeds, Leeds, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA neglected area of patient safety research is how the characteristics of mental health staff and teams may influence incidents, specifically, through unintended and harmful consequences of clinical care. While the research literature into patient safety has increased, there is still a need to further consider safety on mental health wards, for example, the role of the staff team in containment and conflict. This review aims to explore the question, 'How do staff and team characteristics relate to safety incidents in adult inpatient mental health settings?'. METHODS AND ANALYSIS: The review will follow Whittemore and Knafl's integrative review framework. CINAHL, Cochrane, Embase, MEDLINE, PsycINFO, Web of Science will be searched. Literature published after 1999, that includes extractable quantitative, qualitative and mixed methods data exploring the relationship between staff and team characteristics on incidents in adult inpatient mental health settings, will be suitable for inclusion. The Mixed Methods Appraisal Tool will be used for quality appraisal and data analysis and will comprise data reduction, display and comparison. ETHICS AND DISSEMINATION: No new data or access to participants will be involved in this review. As such, ethical review will not be required. Dissemination will include publication in peer-reviewed journals and presentations at national and international conferences. PROSPERO REGISTRATION NUMBER: This review has been registered on PROSPERO (ref. CRD420251119981; https://www.crd.york.ac.uk/PROSPERO/view/CRD420251119981).

Indexed as

InpatientsPatient Care TeamPatient SafetyPsychiatric Department, HospitalAdultHumansResearch DesignSystematic Reviews as TopicInpatientsMENTAL HEALTHNursing researchReviewSafety

Identifiers

PMID41813045
PMCPMC12983825

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.