Patient Aggression and the Wellbeing of Nurses: A Cross-Sectional Survey Study in Psychiatric and Non-Psychiatric Settings (original) (raw)
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Violence on Hospital Nurses and Job Satisfaction
Workplace violence is a serious phenomenon involving the health care settings, and presents challenges to management. Literature indicates that the majority of nurses experience some form of violence during their working lives. Managing workplace violence presents a problem which stems from lack of consistency among those perceiving and defining it. The consequences can be devastating, since it affects nurses' morale, decreases job satisfaction and altered job performance. The present multidisciplinary study aims at investigating the phenomenon of workplace violence among nurses and its association to their job satisfaction. The main results are that about three quarters of the subjects experienced violence in the workplace, verbal abuse and psychological/emotional stressing acts are highly perceived by the subjects to define violence, and that the later one is the most frequent type experienced by nurses. Clients and their relatives, as well as the administrative staff are the most significant perpetrators. The most precipitating factors are violating privacy, inadequacy of available nurses, equipment supplies, and treatments, as well as visits from outside the hospital. Nurses who experienced workplace violence reported their dissatisfaction. About half of them did not like their work, and had the tendency to leave due to violence. Presently, more than quarter of the sample is searching for a career other than nursing.
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Demographic profile of the participants 5.2.3 Researcher's observation 162 5.4 Discussion of the results 5.4.1 Overview 165 5.4.2 The relevance of the model implementation met the psychiatric nurses' expectations VIII 5.4.2.1 The model answered to the psychiatric nurses' workplace challenges 5.4.2.2 The suggested interventions were part of what psychiatric nurses are supposed to do 170 5.4.2.3 The model implementation increased awareness of the participants 171 5.4.2.4 The suggested interventions were part of what psychiatric nurses are supposed to do 170 5.4.3 The model implementation increased awareness of the participants 171 5.4.3.1 The increased awareness led to teamwork 5.4.3.2 The increased awareness led to improved quality patient care 174 5.4.4 The participants to the model implementation experienced mixed feelings ranging from empowerment to frustration 5.4.4.1 The participants who had a feeling of empowerment also felt urged to share their new experience 176 5.4.4.2 The participants who felt frustrated attributed it to either negative staff attitude, lack of consistency in dealing with aggressive patients or lack of confidentiality 182 5.4.5 The implementation of the model met with some challenges 5.4.5.1 Unpredictability of patients' aggression 185 5.4.5.2 Mixing of all categories of patients 185 5.4.5.3 Lack of resources IX 5.4.5.4 Lack of support from nursing management 186 5.5 The psychiatric nurse participants' experience of the model implementation 188 5.5.1 The model was understandable 5.5.2 The model was easy to implement 189 5.5.3 The model was relevant 5.5.4 Usefulness of the model 191 5.5.5 The overall impression of the model implementation 192 5.6 Summary 194 CHAPTER SIX: CONCLUSIONS, LIMITATIONS AND RECOMMENDATIONS 195 6.1 Introduction 195 6.2 Conclusion of the research study 195 6.3 Limitations 6.3.1 Structural environment 6.3.2 Types of participants 6.3.3 The workplace environment for the researcher 6.3.4 The working environment of the participants 6.3.5 The use of English as medium of communication 6.3.6 The scarcity of information on aggression self-management in the South African context 202 6.3.7 The method of data collection 203 6.3.8 The researcher serving also as interventionist X 6.4 Recommendations for nursing practice, education and research 203 6. 4.1 Recommendations for Psychiatric Nursing Practice 6. 4.2 Recommendations for nursing education 6.4.3. Recommendation for the nursing research 6.5 Summary 205 6.6 Original contribution 206
Aggression and its consequences in nursing: A more complete story by adding its social context
2009
Using a 471-case nursing sample, the current study examined the direct and indirect relationships between workplace aggression (including physical and psychological) against nurses and their health and safety consequences. Specifically, physical and psychological aggression nurses experienced were related to their job dissatisfaction, turnover intention, physical symptoms, injuries and exposure to contagious disease directly and/or indirectly through their emotional strain (irritation, anxiety, and depression). In addition, my findings demonstrated that stronger violence prevention climate (i.e., good prevention practices/response and low pressure for unsafe practices) was related to less frequent violence and psychological aggression incidents nurses experienced. Also, my results indicated significant moderating effect of organizational violence prevention practices/response (one dimension of violence prevention climate) in the relationships of nurses' physical and psychologica...
The psychological impact of aggression on nursing staff
British journal of nursing (Mark Allen Publishing)
Aggression and violence towards nursing staff in UK health care is a growing problem. While the National Institute for Health and Clinical Excellence's (NICE, 2005a) guidelines 'The Short-Term Management of Disturbed/Violent Behaviour in In-Patient Psychiatric Setting and Emergency Department' offer a way forward in managing aggression for healthcare staff, the psychological impact of aggression remains an area of concern. Post-incident review has been identified as an approach to considering untoward incidents of aggression, yet post-incident support and interventions for staff experiencing the psychological effects of aggression remain inconsistent and curtailed in many areas. This article discusses the care of a nurse who experienced post-traumatic stress disorder as a result of aggression in the workplace. The process of assessment and treatment is presented with underpinning theories of trauma used to illuminate the discussion. Practical use of current recommended t...
Archives of Psychiatric Nursing, 2018
Workplace violence and its impact on mental health nurses have yet to be thoroughly explored in China. This study aims to investigate the incidence, type, related factors, and effects of workplace violence on mental health nurses as well as identifying coping strategies. METHODS: A researcher-designed workplace violence questionnaire and the Maslach Burnout Inventory-General Survey were distributed to nurses at a mental health hospital in Wuhan, China. RESULTS: Most nurses reported a high incidence of workplace violence (94.6%) in the past year ranging from verbal aggression, sexual harassment, to physical attack. The forms of violence significantly correlated with each other (r > 0.5, p = 0.000). Working on the psychiatric intensive care unit for adult males and being a male nurse placed nurses at significantly higher risk for workplace violence. Providing routine treatment, caring for male patients, and working the night shift increased the risk of sexual harassment. Nurses who believed that workplace violence was preventable experienced a significantly lower incidence of violence. Burnout levels of the mental health nurses were relatively mild, but increased with age, professional title, years of employment and frequency of workplace violence. CONCLUSION: The incidence of workplace violence among mental health nurses is common, and its frequency is correlated with nurses' level of burnout. Management and clinical nurses should work together on an organization-wide strategy targeting the major identified risk areas to reduce the incidence of workplace violence and minimize its impact on nurses.