Nurses’ Perceptions regarding Types of Aggressive Behaviour displayed by Patients in a Selected Psychiatric Hospital in Lesotho (original) (raw)
Related papers
2010
Inpatient aggression in mental health settings is a significant concern because it compromises the quality of care provided by health care workers. Nurses are one of the groups most affected by inpatient aggression because they are usually the client's first contact on admission. A number of studies have found that nurses are the most frequently assaulted professional group both inside and outside of the hospital setting, are more frequently assaulted than doctors and most are likely to experience some form of aggression in their career. The causes of inpatient aggression are frequently conceptualised as multidimensional and involving factors internal to the client e.g. age, factors relating to the environment such as inflexible ward routines and factors relating to the quality of the interaction between nursing staff and clients. Research studies suggest that nurses generally respond reactively and rely heavily on physical control strategies rather than on interpersonal strategies in managing inpatient aggression. Contemporary literature suggests that the perceptions nurses hold about aggression and its causes influences their management of the event and that this process is mediated by a number of client, environment and nurse-related variables including age, education, gender, nursing experience, perceptions of aggression and its causes. Although the causes and management of inpatient aggression in nursing is well documented in the United Kingdom and some other West European countries, this is not the case for Africa and in the case of this study, for Botswana. No studies have attempted to find the nurses' perception, perception on the cause, and management of inpatient aggression in Africa and more so in Botswana.
African Journal of Psychiatry, 2011
Objective: Aggression is a common feature in psychiatric in-patient units in Africa. The attitudes of psychiatric nurses and their perceptions of the frequency of in-patient aggression have not been explored in the Nigerian context. Method: Using a crosssectional study design, two self-report questionnaires (the Attitudes toward Aggression Scale (ATAS) and the Perception of the Prevalence of Aggression Scale (POPAS)) were administered to nursing staff (n=73) at two psychiatric facilities in Benin City, Nigeria. Results: Overall, nurses viewed aggression as offensive, destructive and intrusive. They were less likely to view it as a means of communication or serving protective functions. Verbal aggression was the commonest type of aggression experienced while sexual intimidation and suicide attempts were least common. Male nurses were more likely to experience physical violence and aggressive 'splitting' behaviours, while nurses with over a decade of professional experience were more likely to experience verbal and humiliating aggressive behaviours. In contrast to previous studies, fewer nurses required days off work due to aggressive behaviour. Conclusion: Aggression is commonly experienced by nurses in in-patient units in Nigeria. Their views were predominantly negative. Training programmes are required to change staff attitudes as well as research on the cultural factors mediating these attitude dispositions.
2022
BackgroundMeta-analysis of international literature indicate high frequencies of aggression in mental health setting. Several studies indicate that among professional health workers, nurses are more likely than other staff members to experience aggressive incidences from patients. Furthermore, based on cause, nurses apply range of interventions in managing aggression, however, despite their perceived value of their intervention in managing aggression, no single intervention is sufficient for handling aggressive patients to stay in control in wards. Despite high priority placed on patient aggression management, insufficient research studies have been conducted on nurses’ perceptions regarding current skills in minimizing patient’s aggression.ObjectivesThe purpose of the study was to describe nurses’ perceptions regarding current assessment skills in minimizing patient’s aggression at selected Psychiatric hospital.MethodologyNon-experimental, exploratory, descriptive research design w...
2013
Objectives: the purpose of the current study is to investigate and compare between the Egyptian and Saudi nurses’ perspectives of causes of inpatient aggression and violence in psychiatric mental health hospitals and the different ways to manage aggression and violence. Methods: A convenience sample of 128 nurses working in three different mental health hospitals (65 Egyptians “two hospitals”, 63 Saudi “one hospital”). Participants were asked to complete the Management of Aggression and Violence Attitude Scale. An explanation about the purpose and the nature of the study was offered for each individual potential participant. Agreement to complete the questionnaire worked as an informed consent. Subjects were assured about the confidentiality of the collected data and that it will be only used by the researcher for the purpose of the current study. Data were analyzed using SPSS version 18. Results: Nurses perceived the restrictive physical environment as contributing factor to the pa...
Iranian Nurses’ Experiences of Aggression in Psychiatric Wards: A Qualitative Study
Issues in Mental Health Nursing, 2013
Aggression from psychiatric patients is a constant problem for care providers that causes major problems in the therapeutic environment, and may have negative effects on the quality of care. Since recognition of aggression with regard to cultural background leads to better control of aggression in the psychiatric wards, this study has been done to clarify Iranian nurses' experiences of aggression in psychiatric wards. A qualitative content analysis study was conducted to explore experiences of nurses. Data analysis revealed four themes: (1) Damage resulting from aggression, (2) Aggression catalysts, (3) Contagious nature of aggression, and (4) Various control strategies. There are various causes for in-patients' aggression, and nurses use various approaches to control it. These approaches are influenced by personnel, facilities, and ward environment. Identifying these factors and strategies can contribute to better management of aggression and, thus, better quality of care in psychiatric wards. Aggression from psychiatric patients is an ongoing problem for care providers (Woods & Ashley, 2007) and has long been known as a major and growing problem in psychiatric settings (Grassi, Peron, Maragoni, Zanchi, & Vanni, 2001). Its prevalence in psychiatric wards is two and a half times more than in public hospitals (National Audit Office, 2003) with a prevalence range between 5-20% (Chukwujekwu & Stanley, 2011). It causes major problems in creating a therapeutic environment and for other patients and staff (Davies, 2001; Woods & Ashley, 2007). Those most vulnerable to this aggression are mental health providers, especially nurses (Fry, The authors thank the nurses of Ahvaz hospitals for their sincere cooperation in this study and we thankfully acknowledge the Deputy of Research Affairs at the Ahvaz Jundishapur University of Medical Sciences for the financial support for this research.
IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2021
Abstract Patient Aggression has always been recognized as one of the most critical concerns in the healthcare sector, but even after all these considerations, it shows quite an increase with time. Nurses are around the patients 24 hours, providing those healthcare services; they get impacted by this aggression the most (Wong & Chien, 2017). Hence staying under this constant stress can lead them to consider leaving nursing as a profession. And for those trying to maintain their spaces in this profession, handling such aggressive and violent patients is one big task which stands at 16% as indicated by (Wong & Chien, 2017). Aim: To assess the perception and attitude of nurses towards Aggression and violence and in mental health services (HMC). Participants: All the nurses in Mental Health Service in Hamad Medical Corporation (HMC) were invited to participate in the questionnaire. The choice of one particular setting helped reduce the bias related to the environment. Methodology: A cross-sectional research design was applied to assess nurses’ perceptions and attitudes regarding aggression and violence exhibited by patients in Mental Health Service The results are presented in five sections from Demographic factor such as years of experience, position and PMVA training, while the The Perception of Aggression Scale Short (POAS-S) Version Questionnaire and the Impact of Patient Aggression on Carers Scale (IMPACS) used for assess the nurses perception and attitude towards aggression and violence. Hence, the Relationship between demographic data of the studied nursing staff and their attitude toward violence behaviours that exhibited by mental health patients in HMC. SPSS software was used for data analysis, Shapiro Wilk test to define population distributed, , interquartile range [IQR] was presented to measure statistical dispersion and ANOVA test was used for comparing variables. Conclusion: The study found that there is a statistically significant relationship between overall dysfunctional/ undesirable phenomenon of aggression among nursing staff and attending PMVA. while there was statistically significant relationship between overall functional/ comprehensible phenomenon of aggression among nursing staff and attending refresher training, , it is clear that some of the nurses feel offended and hurt and this may affect their work performance. The study verified that there was no statistically significant relationship between overall violence perception and demographic characteristics of nursing staff except experience years in mental health service, especially between nursing staff who having experience years between 4-7 years and more than 7 years.
Aggressive Behavior, 2006
Professional skills to adequately manage patient aggression are a prerequisite for nurses working in psychiatric hospitals. These 'technical' skills, however, are necessary but not sufficient for effective nurse intervention. The attitude of nurses' towards client aggression also contributes to their response to a patient's behaviour. In order to study the domains (types) of attitudes towards aggression, a sample was taken of nurses working in the fields of general psychiatry (n = 288), psychiatry for children and adolescents (n = 242) and psychogeriatrics (n = 88). A cross-sectional survey design was adopted for the study. The Attitudes Towards Aggression Scale (ATAS) consisting of 32 items is presented, representing three types of attitudes towards aggression: aggression as a 'harming' reaction, a 'normal' reaction and a 'functional' reaction. The strongest predictors of the type of attitude respondents had towards the aggressive behaviour of their clients were (1) field, (2) setting they worked in, (3) gender and (4) type of shifts they predominantly had. Although the measure of domains of nurses' attitudes towards aggression needs further psychometric testing, it can be a useful tool in clinical practice for the assessment of staff attitudes towards aggression. This can support the decision-making about the management of aggressive behaviour on a ward. Aggr. Behav. 32:44-53, 2006. r
Objectives: the purpose of the current study is to investigate and compare between the Egyptian and Saudi nurses' perspectives of causes of inpatient aggression and violence in psychiatric mental health hospitals and the different ways to manage aggression and violence. Methods: A convenience sample of 128 nurses working in three different mental health hospitals (65 Egyptians "two hospitals", 63 Saudi "one hospital"). Participants were asked to complete the Management of Aggression and Violence Attitude Scale. An explanation about the purpose and the nature of the study was offered for each individual potential participant. Agreement to complete the questionnaire worked as an informed consent. Subjects were assured about the confidentiality of the collected data and that it will be only used by the researcher for the purpose of the current study. Data were analyzed using SPSS version 18. Results: Nurses perceived the restrictive physical environment as contributing factor to the patient aggression, manipulating this restrictive environment might help in reducing the patients' aggression and violence. More Saudi nurses believe that physical restraint is sometimes used more than necessary (p = .003), Alternatives to the use of containment and sedation to manage patient violence could be used more frequently (p = .001), while more Egyptian nurses agreed upon prescribed medication can sometimes lead to aggression (p = .01) and that prescribed medication should be used more frequently for aggressive patients (p = .000). Findings revealed statistically significant relationship between years of experience as a psychiatric nurse and total MAVAS score, internal factors, external factors, situational factors scores (p = .000, .004, .000, .000 respectively) surprisingly, years of experience had no significant relationship with the management factor score. On the other hand the number of managed aggression/ violence cases added to the nurses opinions in relation to the management factor score as revealed in the statistically significant relationship between the two variables (p = .000). Conclusion: Psychiatric inpatient aggression and violence is commonly reported emergency that requires immediate, prompt nursing interventions to reduce and prevent its negative consequences on both patients and staff in inpatient psychiatric settings. In-service continuing educational programs concerning aggression and violence management are required to train and update nursing staff on provoking factors and proper methods of management of aggression and violence.