Pendahuluan: Safewards adalah evidence based practice untuk mengurangi konflik dan pengekangan. Efektifitasnya telah teruji pada beberapa penelitian dapat menurunkan angka kejadian konflik dan pengekangan. Namun pelaksanaan safewards masih menemui banyak kendala. Sejauh ini penelitian pelaksanaan safewards di Indonesia belum pernah dilakukan. Penelitian ini bertujuan untuk menggali pengalaman manajer perawat, perawat, dan pasien dalam pelaksanaan safewards di rumah sakit jiwa. Metode: Penelitian ini menggunakan desain kualitatif dengan pendekatan deskriptif fenomenologi. Partisipan terdiri dari 8 orang manajer perawat, 9 orang perawat, dan 5 orang pasien yang dipilih menggunakan teknik purposive sampling. Proses pengumpulan data menggunakan teknik wawancara mendalam lalu dianalisis dengan analisis tematik. Hasil: Hasil penelitian memunculkan 3 tema utama yaitu proses manajerial safewards kurang optimal, kompetensi pelaksanaan safewards belum memadai, dan hubungan interpersonal pasien dan perawat belum optimal. Kesimpulan: Pelaksanaan safewards secara umum belum optimal dan perlu dilaksanakan proses manajerial yang berkelanjutan dan konsisten, pengembangan strategi pelatihan yang lebih komprehensif, dan peningkatan kesadaran perawat akan pentingnya komunikasi dalam pelaksanaan asuhan keperawatan. Kata Kunci: Keselamatan pasien, safewards, manajemen keperawatan, kompetensi perawat, hubungan interpersonal

Introduction: Safewards is an evidence-based practice for reducing conflict and restraint. Its effectiveness has been tested in several studies to reduce the incidence of conflict and restraint. However, safewards implementation is still face many obstacles. So far research on the implementation of safewards in Indonesia has never been conducted. This study aims to explore the experiences of nurse managers, nurses, and patients in the implementation of safewards in mental hospitals. Methods: This study uses a qualitative design with a descriptive phenomenological approach. Participants consisted of 8 nurse managers, 9 nurses, and 5 patients who were selected using the purposive sampling technique. The data collection process uses in-depth interview techniques and is then analyzed with thematic analysis. Results: The results of the study raised 3 main themes, namely the managerial process of safewards is not optimal, the competence of safewards implementation is inadequate, and the interpersonal relationship between patients and nurses is not optimal. Conclusion: The implementation of safewards in general is not optimal and it is necessary to implement a continuous and consistent managerial process, develop a more comprehensive training strategy, and increase nurses' awareness of the importance of communication in the implementation of nursing care. Keywords: Patient safety, safewards, nursing management, nurse competence, interpersonal relationships