Alexandra Ursache, Spring Dawson-McClure, Jessica Siegel, Laurie Miller Brotman
Predicting early emotion knowledge development among children of colour living in historically disinvested neighbourhoods: consideration of child pre-academic abilities, self-regulation, peer relations and parental education
Cognition & emotion
safewards evidencebased practice improvement model minimise conflict inpatient mental health units limited published research implementing safewards acute medicalsurgical care wards identify nurses perspectives barriers facilitators implement four safewards interventions acute medicalsurgical care wards article reports qualitative findings funded mixedmethod evaluation safewards acute care pilot project six focus group interviews comprising 35 nursing staff four hospitals victoria australia completed april october 2022 semistructured interview guide included questions developed using capability opportunity motivation behaviour model data thematically analysed mapped matrix combining capability opportunity motivation behaviour model theoretical domains framework elucidate barriers facilitators implementing four safewards interventions acute medicalsurgical care wards three components capability opportunity motivation behaviour model three theoretical domains framework domains identified barriers adoption safewards acute medicalsurgical care wards specific barriers included physical opportunity challenges related environmental context resources domains key themes included time constraints competing priorities lack physical space infrastructure poor patient uptake due lack understanding gaps emerged psychological capability barrier within theoretical domains framework knowledge domain additionally resistance practice changes associated motivation component capability opportunity motivation behaviour model conversely six tdf domains relevant facilitating implementation safewards interventions memory attention decision processes physical skills social influences socialprofessional role identity goals beliefs consequences key facilitators included safewards interventions serving reminders focus compassionate nursing care nursing staff possessing skillset interventions peer pressure mandated change supportive passionate leadership presence champions drive momentum belief nursing staff ownership expertise leading implementation personal commitment improve work environments care quality belief safewards would improve ward culture addressing barriers leveraging facilitators inform strategies enhancing staff capability implement safewards acute care wards specifically tailored multilayered approach focusing leadership support training resources patient input feedback promote effective adoption safewards model adaptation discrete interventions safewards adaptation addressing barriers like resources space patient awareness leveraging peer modelling leadership strategies success