A narrative review of the effectiveness of aggression management training programs for psychiatric hospital staff (original) (raw)
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Nurse education today, 2015
Patient aggression is a longstanding problem in general hospital nursing. Staff training is recommended to tackle workplace aggression originating from patients or visitors, yet evidence on training effects is scarce. To review and collate current research evidence on the effect of aggression management training for nurses and nursing students working in general hospitals, and to derive recommendations for further research. Systematic, narrative review. Embase, MEDLINE, the Cochrane library, CINAHL, PsycINFO, pubmed, psycArticles, Psychology and Behavioural Sciences Collection were searched for articles evaluating training programs for staff and students in acute hospital adult nursing in a 'before/after' design. Studies published between January 2000 and September 2011 in English, French or German were eligible of inclusion. The methodological quality of included studies was assessed with the 'Quality Assessment Tool for Quantitative Studies'. Main outcomes i.e. att...
2020
Violence and aggression in inpatient units constitute a major workplace hazard for mental health nurses, who must take account of many considerations when dealing with potentially aggressive or violent patients. This paper discusses some of the problems that arise in connection with violence and aggression in mental health facilities, including incidence and prevalence, risk management processes, under-reporting, causes of aggression, the link between aggression and mental illness, difficulties in defining and categorising aggressive incidents, and the effect of such behaviour on the therapeutic relationship. Research into the effectiveness of aggression minimisation programs is in its infancy and it is difficult to draw conclusions about the effectiveness of relevant training systems. After a review of various national and international training courses, a description is given of methods of aggression minimisation conducted in The Hunter New England Health Service, NSW, Australia. ...
Prevention and Management of Aggression and Violence in Mental Health Settings
2019
Prevention and Management of Aggression and Violence in Mental Health Settings by Margaret Arotimi MSN, Walden University 2014 BSN, George Mason University 2003 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2019 Abstract Aggression and violence in healthcare settings can lead to severe psychological, physical, and economic consequences for the victims, institutions, and society in general. Empirical evidence indicated that patient-initiated physical and verbal aggression is a longstanding problem affecting nurses working in psychiatric hospital settings. At the project site, approximately 88% of the staff members reported having been assaulted byAggression and violence in healthcare settings can lead to severe psychological, physical, and economic consequences for the victims, institutions, and society in general. Empirical evidence indicated that patient-initiated physical and verbal aggression is a l...
The Cochrane library, 2020
Background Workplace aggression constitutes a serious issue for healthcare workers and organizations. Aggression is tied to physical and mental health issues at an individual level, as well as to absenteeism, decreased productivity or quality of work, and high employee turnover rates at an organizational level. To counteract these negative impacts, organizations have used a variety of interventions, including education and training, to provide workers with the knowledge and skills needed to prevent aggression. Objectives To assess the e ectiveness of education and training interventions that aim to prevent and minimize workplace aggression directed toward healthcare workers by patients and patient advocates. Search methods CENTRAL, MEDLINE, Embase, six other databases and five trial registers were searched from their inception to June 2020 together with reference checking, citation searching and contact with study authors to identify additional studies. Selection criteria Randomized controlled trials (RCTs), cluster-randomized controlled trials (CRCTs), and controlled before and a er studies (CBAs) that investigated the e ectiveness of education and training interventions targeting aggression prevention for healthcare workers. Data collection and analysis Four review authors evaluated and selected the studies resulting from the search. We used standard methodological procedures expected by Cochrane. We assessed the certainty of evidence using the GRADE approach. Education and training for preventing and minimizing workplace aggression directed toward healthcare workers (Review)
Aggression in Acute Inpatient Psychiatric Care: A Survey of Staff Attitudes
Canadian Journal of Nursing Research, 2019
Introduction Inpatient aggression poses consistent complications for psychiatric hospitals. It can affect patient and staff safety, morale, and quality of care. Research on staff attitudes toward patient aggression is sparse. Purpose The study explored staff attitudes toward patient aggression by hospital position types and years of experience in a psychiatric hospital. We predicted that staff experiencing patient aggression would be related to working in less trained positions, having less psychiatric work experience, and demonstrating attitudes that were consistent with attributes internal to the patient and not external. Methods Fifty-one percent completed online survey using Management of Aggression and Violence Attitude Scale, along with demographics, years of work experience, and number of times staff experienced aggressive event. Results Management of Aggression and Violence Attitude Scale scores, staff position types, and years of experience were related to the number of agg...
Staff perceptions of risk factors for violence and aggression in ambulatory care
Work-a Journal of Prevention Assessment & Rehabilitation, 2020
BACKGROUND: Management of violent acts of patients and their visitors in psychiatric and hospital settings has been studied. However, violence has not yet been addressed in the ambulatory care environment. OBJECTIVE: To identify potential risk factors for patient and visitor violence [PVV] and staff perceptions of the impact of these risk factors in ambulatory care. METHODS: A review of psychiatric inpatient research was conducted examining violence and aggression including risk factors for PVV. Identified risk factors for violence were incorporated into a survey tool and distributed to staff in a community clinic asking for their perception of the impact of these risk factors on aggression in their work environment. RESULTS: Risk factors for violence and aggression were categorized as static or dynamic or as related to characteristics of staff or the environment of care. All of the risk factors were identified as possible contributors to PVV by the staff while items related to substance abuse and the clinic environment were selected by the staff as "highly likely" to contribute to PVV in their setting. CONCLUSIONS: Continued research is needed in this area to better understand risk factors for PVV and develop appropriate safety interventions and crisis training for ambulatory care settings.
The antecedents of violence and aggression within psychiatric in-patient settings
Acta Psychiatrica Scandinavica, 2012
antecedents of violence and aggression within psychiatric in-patient settings. Objective: To systematically review the types and proportions of antecedents of violence and aggression within psychiatric in-patient settings. Method: Empirical articles and reports with primary data pertaining to violence and aggression within adult psychiatric in-patient settings were retrieved. For each study, prospective antecedent data were extracted. The extracted antecedent data were thematically analysed, and all higher-level themes were meta-analysed using rate data. Results: Seventy-one studies met the inclusion criteria, from which 59 distinct antecedent themes were identified and organised into nine higher-level themes. The higher-level antecedent theme Ôstaff-patient interactionÕ was the most frequent type of antecedent overall, precipitating an estimated 39% of all violent ⁄ aggressive incidents. An examination of the staff-patient interaction themes revealed that limiting patients freedoms, by either placing some sort of restriction or denying a patient request, was the most frequent precursor of incidents, accounting for an estimated 25% of all antecedents. The higher-level themes Ôpatient behavioural cuesÕ and Ôno clear causeÕ also produced other large estimates and were attributed to 38% and 33% of incidents overall. Conclusion: This review underscores the influence that staff have in making in-patient psychiatric wards safe and efficacious environments.