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To what extent are patients involved in researching safety in acute mental healthcare?

Brierley-Jones, Lyn; Ramsey, Lauren; Canvin, Krysia; Kendal, Sarah; Baker, John

To what extent are patients involved in researching safety in acute mental healthcare? Thumbnail


Authors

Lyn Brierley-Jones

Lauren Ramsey

Sarah Kendal

John Baker



Abstract

Background
There is a growing need to involve patients in the development of patient safety interventions. Mental health services, despite their strong history of patient involvement, have been slow to develop patient safety interventions, particularly in inpatient settings.

Methods
A systematic search was undertaken of both academic and grey literature. Whilst no lay member of the team worked directly on the review, they were part of the project steering group which provided oversight throughout the review process. This included people with lived experience of mental health services. From a research perspective the main focus for lay members was in co-producing the digital technology, the key project output. Smits et al.’s (Res Involv Engagem 6:1–30, 2020) Involvement Matrix was used to taxonomise levels of patient involvement. Studies were included if they were set in any inpatient mental health care context regardless of design. The quality of all selected studies was appraised using Mixed Methods Appraisal Methodology (MMAT).

Results
Fifty-two studies were classified, synthesised and their levels of patient involvement in the research and development of patient safety interventions were taxonomised. Almost two-thirds of studies (n = 33) researched reducing restrictive practices. Only four studies reported engaging patients in the research process as decision-makers, with the remaining studies divided almost equally between engaging patients in the research process as partners, advisors and co-thinkers. Just under half of all studies engaged patients in just one stage of the research process.

Conclusion
Involvement of patients in researching patient safety and developing interventions in an inpatient mental health context seems diverse in its nature. Researchers need to both more fully consider and better describe their approaches to involving patients in safety research in inpatient mental health. Doing so will likely lead to the development of higher quality safety interventions.

Journal Article Type Article
Acceptance Date Jan 20, 2022
Online Publication Date Feb 28, 2022
Publication Date Feb 28, 2022
Publicly Available Date Mar 29, 2024
Journal Research involvement and engagement
Print ISSN 2056-7529
Publisher BioMed Central
DOI https://doi.org/10.1186/s40900-022-00337-x
Publisher URL https://researchinvolvement.biomedcentral.com/articles/10.1186/s40900-022-00337-x
PMID 35227330