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Background: Safety in acute mental health units (acute units) is a priority for consumers, carers, nurses, and mental health services. Safety in acute units is frequently conceptualised as the prevention of adverse events. This meaning of safety compels nurses to practice in ways that are focused on risk. This is timeintensive and requires nurses to be hypervigilant to risk. Anomalously, this meaning of safety has been associated with a reduced experience of safety by many consumers. This suggests the meaning of safety applied as the dominant paradigm in mental health services is not consistent with the meaning of safety held by consumers who experience admission to acute units. Consumers are vulnerable when admitted to an acute unit, and there is little understanding about what safety means for them in this setting. As a result, consumers’ safety needs may not be adequately prioritised. This is significant in that feeling safe can assist consumers in their recovery. Assisting consumers’ recovery is a primary objective of mental health services. Aim: This Doctoral Project seeks to explore what safety means for consumers who have experienced admission to acute units. Methods: A qualitative descriptive study, informed by naturalistic inquiry was undertaken. Fifteen people who had experienced admission to an acute unit were individually interviewed. Data were collected via individual semi-structured interviews and analysed inductively using thematic analysis. Findings: Three themes were identified. The first theme, Influence of Nurses related to participants’ descriptions of the important role played by nurses in supporting consumers’ safety. This theme included sub-themes of availability, responsiveness and caring. Each sub-theme explored nursing actions that enhanced participants’ sense of safety in acute units. The second theme, Personhood related to the need for participants’ identity as a person to be acknowledged when they were admitted to an acute unit. This the

Being admitted to an acute mental health unit can lead to feelings of shame, and loss of personhood for some consumers. Promoting safety for consumers is a function of acute mental health units. This paper explores how consumers' personhood influences their perception and experience of safety in acute mental health units. Semi‐structured interviews were conducted with 15 participants who had previously been admitted to an acute mental health unit. Thematic analysis was used to analyse the data. Participants perceived safety as being intrinsically linked to their personhood. When participants' innate worth was affirmed in their interactions with staff, participants felt safe. Three subthemes were identified: 'Seen as an equal', 'Being respected', and 'Able to make choices'. These findings can be used to inform nursing practices that enhance consumers' sense of personhood and, in so doing, promote consumers' safety and recovery in acute mental health units.

Aims and objectives To explore how nurses influence the perceptions and experience of safety among consumers who have been admitted to an acute mental health unit. Background Safety is a priority in acute mental health inpatient units, yet consumers do not always experience acute units as safe. Despite being primary stakeholders, little is known about what safety means for consumers in acute mental health units. Design A qualitative descriptive study informed by naturalistic enquiry was conducted and is reported using the COREQ checklist. Methods Fifteen consumers with experience of mental illness participated in semi‐structured individual interviews. These interviews explored what safety meant for them during their acute mental health unit admissions. Thematic analysis was used to analyse the data. Findings: The theme Influence of Nurses reflected that the way nurses engaged in acute mental health units had a profound impact on participants’ sense of safety. Three sub‐themes emerged: i) Availability: “It’s about nurses spending time with you” ii) Being responsive: “They would listen if you had a concern” iii) Caring: “Little acts of kindness”. Conclusions These findings challenge the dominant discourse around safety in mental health organisations, in which nursing practice is often oriented toward the management of risk, rather than the promotion of safety. The findings demonstrate that, through their clinical practice, nurses can enhance consumers’ feelings of safety in the acute mental health unit. Relevance to clinical practice: Nurses play a key role in providing care within acute mental health units. It is vital that the behaviours and actions nurses can enact in order to promote feelings of safety among consumers in this setting are enabled at individual, unit and organisational levels.

Background and Aim: Safety is a priority in the acute mental health inpatient setting (ACQSHC 2014). Safety is commonly represented in government policy as the reduction or elimination of risk (AIHW 2018). Defining safety as the reduction or elimination of risk means this is where funding and resources are likely to be directed. This has limitations however, as it can lead to environments and processes considered by mental health services to be safe, but are not aligned with what people with lived experience of mental illness deem to be safe (Cutler, Moxham & Stephens 2015). This PhD study explored the ways in which safety is conceptualised by people who have experienced admission to an acute mental health inpatient unit. Materials and Methods: The study used a phenomenographic research design to determine what safety means for people who have experienced admission to an acute mental health inpatient unit. Phenomenography is a qualitative research approach that allows the diverse meanings held by people about a phenomenon to be identified (Marton 1981). The meanings of the phenomenon, rather than the phenomenon itself, are the focus of this research approach. Fifteen participants were individually interviewed for the study, using semi-structured interviews.

Background and Aim: Safety is a priority in the acute mental health inpatient setting (ACQSHC 2014). Safety is commonly represented in government policy as the reduction or elimination of risk (AIHW 2018). Defining safety as the reduction or elimination of risk means this is where funding and resources are likely to be directed. This has limitations however, as it can lead to environments and processes considered by mental health services to be safe, but are not aligned with what people with lived experience of mental illness deem to be safe (Cutler, Moxham & Stephens 2015). This PhD study explored the ways in which safety is conceptualised by people who have experienced admission to an acute mental health inpatient unit. Materials and Methods: The study used a phenomenographic research design to determine what safety means for people who have experienced admission to an acute mental health inpatient unit. Phenomenography is a qualitative research approach that allows the diverse meanings held by people about a phenomenon to be identified (Marton 1981). The meanings of the phenomenon, rather than the phenomenon itself, are the focus of this research approach. Fifteen participants were individually interviewed for the study, using semi-structured interviews.

For more than four decades, people with lived experience of mental health concerns have been redefining the concept of recovery. No longer just synonymous with cure, recovery is understood in contemporary terms as a personal journey; a process. This process is known as personal recovery. A desire to work in alignment with the principles of personal recovery, while exploring the ways in which the phenomenon of safety is understood by people who have experienced acute mental health inpatient admission, led the authors to apply the research approach known as phenomenography. The aim of this paper is to propose the ways in which phenomenography and the principles of personal recovery align. The philosophy, characteristics and processes of phenomenography and of personal recovery are compared.

For more than four decades, people with lived experience of mental health concerns have been redefining the concept of recovery. No longer just synonymous with cure, recovery is understood in contemporary terms as a personal journey; a process. This process is known as personal recovery. A desire to work in alignment with the principles of personal recovery, while exploring the ways in which the phenomenon of safety is understood by people who have experienced acute mental health inpatient admission, led the authors to apply the research approach known as phenomenography. The aim of this paper is to propose the ways in which phenomenography and the principles of personal recovery align. The philosophy, characteristics and processes of phenomenography and of personal recovery are compared.

Background University of Wollongong (UOW) delivers two Transnational International Programmes (TNEP) in Hong Kong (HK): a 1-year undergraduate Bachelor of Nursing (Conversion) degree and a 2-year postgraduate Master of Nursing degree. A curriculum review of these programmes has been undertaken to ensure the quality of the programme remains consistently high and competitive in an international environment. Aim The aim of the Curriculum Review Project was to utilise the experience of expert academic staff to review the TNEP curricula delivered by an Australian University in Hong Kong (HK) to ensure it met contemporary needs of students, the university, and the Hong Kong Authority. Methods The curriculum review projects followed a qualitative research methodology. Thematic analysis was undertaken utilising Braun and Clarke's six-phase method (2006), as this method facilitated an inductive semantic approach where themes are strongly linked to the data and sourced from the explicit meaning of the discourse within the interview (Braun and Clarke, 2006). Results In total, there were 6 participants who were all permanent academic staff members within the School of Nursing at the UOW. The results of this project have been reported within a strengths, weaknesses, opportunity, and threats (SWOT) framework. Participants recognised the value and challenges to both individual students and the broader nursing profession in HK. Overall, there was a perception that being involved as an academic staff member in a TNEP developed both their subject knowledge and teaching skills. Conclusions This project has demonstrated that the TNEP makes an important contribution to the nursing profession in HK, while also facilitating the growth and development of academic staff at UOW.

Background University of Wollongong (UOW) delivers two Transnational International Programmes (TNEP) in Hong Kong (HK): a 1-year undergraduate Bachelor of Nursing (Conversion) degree and a 2-year postgraduate Master of Nursing degree. A curriculum review of these programmes has been undertaken to ensure the quality of the programme remains consistently high and competitive in an international environment. Aim The aim of the Curriculum Review Project was to utilise the experience of expert academic staff to review the TNEP curricula delivered by an Australian University in Hong Kong (HK) to ensure it met contemporary needs of students, the university, and the Hong Kong Authority. Methods The curriculum review projects followed a qualitative research methodology. Thematic analysis was undertaken utilising Braun and Clarke's six-phase method (2006), as this method facilitated an inductive semantic approach where themes are strongly linked to the data and sourced from the explicit meaning of the discourse within the interview (Braun and Clarke, 2006). Results In total, there were 6 participants who were all permanent academic staff members within the School of Nursing at the UOW. The results of this project have been reported within a strengths, weaknesses, opportunity, and threats (SWOT) framework. Participants recognised the value and challenges to both individual students and the broader nursing profession in HK. Overall, there was a perception that being involved as an academic staff member in a TNEP developed both their subject knowledge and teaching skills. Conclusions This project has demonstrated that the TNEP makes an important contribution to the nursing profession in HK, while also facilitating the growth and development of academic staff at UOW.

Safety is a priority in acute mental health inpatient services (MHS). In the health context, safety is defined and measured as the absence or reduction of risk (AIHW 2013; ACSQHC 2012). National safety priorities in MHS (AHMAC 2005) focus on reducing adverse events such as suicide, restraint and medication errors, and the primary performance indicator for safety in Australian public MHS is the rate of seclusions per 1,000 patient days (AHMAC 2011).

of a presentation at 41st International Mental Health Nursing Conference, 7-9th Oct, Brisbane, QLD, Australia.

of a presentation at 41st International Mental Health Nursing Conference, 7-9th Oct, Brisbane, QLD, Australia.

Safety is a priority in acute mental health inpatient services (MHS). In the health context, safety is defined and measured as the absence or reduction of risk (AIHW 2013; ACSQHC 2012). National safety priorities in MHS (AHMAC 2005) focus on reducing adverse events such as suicide, restraint and medication errors, and the primary performance indicator for safety in Australian public MHS is the rate of seclusions per 1,000 patient days (AHMAC 2011).

of a poster that was presented at ACMHN's 40th International Mental Health Nursing Conference - Honouring the Past, Shaping the Future, 7-9 October 2014, Melbourne, Vic Australia.

of a poster that was presented at ACMHN's 40th International Mental Health Nursing Conference - Honouring the Past, Shaping the Future, 7-9 October 2014, Melbourne, Vic Australia.