{"id":55018,"date":"2025-07-10T20:32:16","date_gmt":"2025-07-10T20:32:16","guid":{"rendered":"https:\/\/www.europesays.com\/us\/55018\/"},"modified":"2025-07-10T20:32:16","modified_gmt":"2025-07-10T20:32:16","slug":"safewards-model-of-care-pilot-reduced-violence-in-hospitals-to-be-rolled-out-across-act","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/55018\/","title":{"rendered":"Safewards model of care pilot reduced violence in hospitals \u2014 to be rolled out across ACT"},"content":{"rendered":"<p class=\"paragraph_paragraph__iYReA\">Health authorities are hoping a program which gives patients more information about their treatment and the people who&#8217;ll be providing it could reduce incidences of violence on ACT hospital wards.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">First trialled in Canberra in 2021, Safewards is an internationally recognised model-of-care which includes strategies to reduce the likelihood of conflict and make hospital wards a more positive environment.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">It has since been rolled out in 10 wards across Canberra&#8217;s public hospitals.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Practically, there&#8217;s things like photo boards with staff&#8217;s faces, names and personal interests near ward entrances, staff are trained in using &#8216;kinder&#8217; language when speaking to and around patients and visitors, and senior team members visit each patient daily to hear concerns directly.<\/p>\n<p><img decoding=\"async\" alt=\"Three women standing beside a medical bed with a fake person in it.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/07\/f75736788d6a12da4548de63b638ea87\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Clinical Nurse Consultant at North Canberra Hospital Leah Marshall (centre) says Safewards is helping patients feel heard while in hospitals. (ABC News: Harry Frost)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Clinical Nurse Consultant at North Canberra Hospital Leah Marshall said the morning conversation with patients and family members had significantly reduced complaints.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;It&#8217;s a great opportunity to address those issues at the point of care, so they don&#8217;t become bigger issues,&#8221; she said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;We get great feedback from patients and their family members about feeling more supported, knowing that the senior nursing team is looking out for them.<\/p>\n<p><a href=\"https:\/\/www.abc.net.au\/news\/2025-04-28\/nurse-safety-home-health-assaults\/105216758\" data-component=\"FullBleedLink\" class=\"RelatedCard_link__rsgR9 FullBleedLink_root__lTw_U interactive_focusContext__yRhc_ interactive_defaults__AKxUU FullBleedLink_showVisited__g3Xvz\" target=\"_blank\" rel=\"noopener\">&#8216;It could result in death&#8217;: Nurses assaulted during in-home visits<\/a><\/p>\n<p class=\"Typography_base__sj2RP RelatedCard_synopsis__cFwMW Typography_sizeMobile14__u7TGe Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Union representatives say it took four nurses getting assaulted and a prohibition order before Canberra Health Services listened to their calls for safety. Now they say safety is worse than before.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;They feel like they&#8217;re heard.&#8221;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">According to the ACT government, the pilot found more than half of Safewards nurses thought the model of care had an impact on conflict and containment in their workplace, two out of three thought their colleagues viewed the program favourably and nearly half had heard positive patient feedback.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Canberra Health Services (CHS) intends to roll out the program in two more wards, while practices learned by staff from Safewards will filter through other areas of the hospital system.<\/p>\n<p>Increasing incidence of violence<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Health Minister Rachel Stephen-Smith said it was part of a broader strategy aimed at improving the system&#8217;s safety culture.<\/p>\n<p><img decoding=\"async\" alt=\"A close-up photo of Rachel's face as she speaks in a hospital.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/07\/d32605aabfc598553049f4e9c6131095\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Rachel Stephen-Smith says the ACT government is working to make hospitals safer for staff. (ABC News: Stuart Carnegie)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;That has partly been around ensuring that staff feel safe and supported to report incidents of occupational violence and know that there will be a response to that,&#8221; Ms Stephen-Smith said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;Overall the feedback from staff and from patients and families and carers is that they&#8217;re feeling a more positive environment.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;They&#8217;re seeing a reduction in occupational violence but also a reduction in the use of restrictive practices like medication to keep patients calm.&#8221;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">The system encourages staff to report incidents of violence, which may be partly responsible for an increase in cases.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">CHS figures show there were 168 reported incidents of violence in the Canberra Hospital emergency department in the 2024-25 financial year \u2014 up from 95 the year before and 50 in 2022-23.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Earlier this year, the Australasian College of Emergency Medicine reported <a class=\"Link_link__kR0xA Link_link__5eL5m ScreenReaderOnly_srLinkHint__OysWz Link_showVisited__C1Fea Link_showFocus__ALyv2\" href=\"https:\/\/www.abc.net.au\/news\/2025-02-24\/violence-in-hospital-emergency-departments-national-crisis\/104964278\" data-component=\"Link\" data-uri=\"coremedia:\/\/article\/104964278\" target=\"_blank\" rel=\"noopener\">more than half of emergency doctors surveyed nationally said physical violence occurred in their department daily or weekly<\/a>.<\/p>\n<p>No single cause<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Australian National University Associate Professor David Caldicott, who is a full-time emergency consultant in Canberra, said it was impossible to trace more incidents of physical violence to a single cause.<\/p>\n<p><img decoding=\"async\" alt=\"David, a man with a beard and glasses, smiles into the camera.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/07\/7636e66b722d0be39a6c8a2cc6f2e258\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">David Caldicott says the community needs to understand violence towards healthcare staff is not on. (ABC News: Stuart Carnegie)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;It might be a reporting bias, it might be the fact that a different demographic of people is presenting to the emergency department because they&#8217;re finding it harder to get healthcare elsewhere,&#8221; Mr Caldicott said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">The government says the Safewards program would be difficult to implement in environments like emergency departments, but Mr Caldicott said there was great merit in fostering a kinder culture within the health system.<\/p>\n<blockquote class=\"EmphasisedText_quote__TE6kn\"><p>&#8220;We should accept, as a community, that it&#8217;s kind of out-of-order to take out your frustrations with regards to healthcare on the people who have been asked to provide you with that healthcare,&#8221;<\/p><\/blockquote>\n<p>  Mr Caldicott said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;The emergency departments, particularly, are designed for the addressing of emergencies.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;While we&#8217;ll see anybody with any medical problem at any time, they may be asked to wait a little longer and that can be very frustrating if you are uncertain about the nature of your medical problem, if you are in pain, if you&#8217;re angry or you&#8217;re anxious.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;But we would ask people to be patient with us because there&#8217;s not one member of the healthcare profession who isn&#8217;t trying their very best to get at the problem.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;The exhortation to the general public is that we have zero tolerance or no tolerance [to violence]. That&#8217;s fantastic but it doesn&#8217;t change anything.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;So we should be more sophisticated than that and look at the reasons why people might find themselves resorting to verbal or physical abuse and try to address each of those in their individual manner.&#8221;<\/p>\n<p>&#8216;Absence of a safety culture&#8217;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">The Australian Nursing and Midwifery Federation was consulted on development of the government&#8217;s current <a class=\"Link_link__5eL5m ScreenReaderOnly_srLinkHint__OysWz Link_showVisited__C1Fea Link_showFocus__ALyv2\" href=\"https:\/\/www.health.act.gov.au\/health-professionals\/nursing-and-midwifery-office\/towards-safer-culture\" data-component=\"Link\" target=\"_blank\" rel=\"noopener\">Towards a Safer Culture strategy<\/a>.\u00a0<\/p>\n<p><img decoding=\"async\" alt=\"A woman with dark curly hair looks serious.\" class=\"Image_image__5tFYM ContentImage_image__DQ_cq\"  src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/07\/c476923f5319a3e27ae3aa8e70941d78\" loading=\"lazy\" data-component=\"Image\" data-lazy=\"true\"\/><\/p>\n<p class=\"Typography_base__sj2RP FigureCaption_text__zDxQ5 Typography_sizeMobile12__w_FPC Typography_lineHeightMobile20___U7Vr Typography_regular__WeIG6 Typography_colourInherit__dfnUx\" data-component=\"Typography\">Carlyn Fidow says nurses and midwives in the Territory consistently feel let down when it comes to safety. (ABC News: Mark Moore)<\/p>\n<p class=\"paragraph_paragraph__iYReA\">But the union&#8217;s ACT branch secretary Carlyn Fidow argues ongoing incidences of occupational violence, &#8220;highlight significant gaps in workplace safety settings and the absence of a safety culture at CHS&#8221;.<\/p>\n<blockquote class=\"EmphasisedText_quote__TE6kn\"><p>&#8220;The safety culture at CHS is something that has consistently let nurses and midwives down,&#8221;<\/p><\/blockquote>\n<p>  Ms Fidow said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;We have seen the ability of CHS to be somewhat responsive to safety issues with the recent notices issued by WorkSafe ACT, but this has been a reactive response.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;What our members want to see is safety being embedded into everyday practices at CHS in a proactive way.&#8221;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">Ms Fidow said improving safety settings included bridging the gap between safety and clinical practice through fit for purpose policies and procedures, as well as ensuring there was adequate training, encouragement of the reporting of safety issues and empowerment of workers to assess risk to themselves in any given situation and remove themselves if necessary.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">The union also wants better consultation in the workplace and action on psychological and psychosocial hazards and impacts.<\/p>\n<p>Any assault &#8216;one too many&#8217;<\/p>\n<p class=\"paragraph_paragraph__iYReA\">A CHS spokesperson said providing a safe working environment was a key priority and support services were available for staff who experienced violence.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;Any assault is one too many,&#8221; the spokesperson said.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;These incidents don&#8217;t just impact the individuals involved but the whole team \u2014 and potentially other patients.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;CHS is always seeking to improve workplace safety across the organisation and the ACT government has made a number of significant investments to reduce the incidence and impact of occupational violence.<\/p>\n<p class=\"paragraph_paragraph__iYReA\">&#8220;We continue to foster a positive reporting culture to better understand the factors contributing to occupational violence.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"Health authorities are hoping a program which gives patients more information about their treatment and the people who&#8217;ll&hellip;\n","protected":false},"author":3,"featured_media":55019,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[4746,4740,40610,4745,40605,6478,50,40608,40607,8152,40609,40606],"class_list":{"0":"post-55018","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-news","8":"tag-act","9":"tag-australia","10":"tag-better-healthcare","11":"tag-canberra","12":"tag-canberra-hospital","13":"tag-hospital","14":"tag-news","15":"tag-nurses-and-midwives","16":"tag-occupational-violence","17":"tag-safety","18":"tag-safewards-program","19":"tag-violence-in-hospital"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/114830845171476127","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/55018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=55018"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/55018\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/55019"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=55018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=55018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=55018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}