Enhancing safety in forensic units: insights from South African psychiatric nurses

Abstract

This qualitative study delves into the perspectives of psychiatric nurses in South Africa regarding safety enhancements in forensic units. Working in forensic units is linked to safety concerns due to frequent incidences of interpersonal violence and the nature of patients admitted to such units. As such, the need to explore measures to address safety concerns arose. In-depth interviews and reflexive thematic analysis revealed a consensus among nurses on the importance of various interventions, including improving security measures, enhancing the physical environment, fostering collaboration among staff members, increasing staffing levels, and garnering support from management. Notably, support from management emerges as a crucial factor in facilitating open discussions and sustained engagement in safety improvement initiatives. The study underscores the pivotal role of management support in realizing safer forensic units. The findings offer valuable insights applicable to forensic units in psychiatric settings globally, where safety concerns for both personnel and patients persist.