Citation

Fowler L, Vara A, Ng L. BJPsych Bull 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, Royal College of Psychiatrists)

DOI

10.1192/bjb.2024.6

PMID

38436095

Abstract

AIMS AND METHOD: We aimed to explore experiences of workplace violence in a New Zealand sample of psychiatric trainees and to identify barriers to achieving safe practice and ways of enhancing workplace safety. In a qualitative study, we used interpretive description to inform and design in-depth exploration of participants' experiences. We interviewed 12 psychiatric trainees. Data were analysed using reflexive thematic analysis.

RESULTS: There were three main themes: (a) violence as 'part of the job', leading to a culture of silence; (b) empowering trainees to address a sense of learned helplessness; and (c) conflict embedded within the unique nature of psychiatry. CLINICAL IMPLICATIONS: Organisation-led systems-based procedures are instrumental in promoting workplace safety. Specific measures include peer-based support and implementing clear, tailored safety protocols, particularly for situations of crisis assessment. Training should include culturally focused education with specific guidance to mitigate violence.

Language: en

Keywords

Education and training; mental health services; qualitative research; risk assessment; violence