The participants indicated that both patients and staff play important parts in causing and in intervening to prevent violence. This information can be used to help plan programs to prevent and intervene in aggressive behavior.
This article extends the work conducted by Fagan-Pryor, Femea, and Haber (1994), in which factor analyses were used to examine the congruence between aggressive behavior and type of intervention warranted (verbal, chemical, or physical), as rated by nursing personnel. The purpose of this study was to determine if 88 registered nurses (RNs) and 84 nursing assistants (NAs) would choose similar interventions for 84 aggressive behaviors. The three scales used (labeled Precursor, Defensive, and Acting Out) obtained Cronbach alpha internal consistency reliabilities ranging from .79 to .96. Analyses of variance indicated that RNs and NAs agreed on a set of precursor behaviors for which they would use therapeutic verbal intervention. RN and NA responses differed significantly only in prescribing the use of physical intervention for behaviors on the Defensive and Acting Out scales. In both situations, RNs selected fewer behaviors that required physical intervention than did NAs. Implications for clinical practice are presented.
Bronfenbrenner's (1979) ecological transition model provides a framework to study coming out in lesbians. The model takes into account activities such as sexual behavior, perceptions of the behavior, and social context in which behavior takes place. The importance of context makes this model useful in identifying possible connections between sexual identity alterations and larger social forces. Interventions based on this framework can reduce stress and promote health during coming out.
In this pilot study, nursing staff matched three levels of intervention (verbal, chemical, and physical) with 84 aggressive behaviors. It was a preliminary step in the development of a theoretical framework regarding how nurses select interventions for aggressive patients. Specifically, it was an attempt to address the following: Do nurses intervene with aggressive behaviors based on learned stereotypes or do nurses perceive behavior as aggressive because there is consistency in the behavior and level of aggression? All 442 members of the nursing staff were invited to participate in the study; and 211 (48%) responded. Factor analyses were conducted on responses to the behaviors of subjects matched with each intervention. The same three factors were identified for verbal and chemical intervention: behaviors that are precursors to an actual aggressive episode, aggressive behaviors directed inwardly, and aggressive behaviors directed outwardly. The last two behaviors were also identified for physical intervention. The results suggest that the nursing staff did differentiate among behaviors reflecting differing levels of aggression and that they were not responding in a stereotypical manner.
The purpose of this study was to explore relationships between differences in perceptions of mothers and fathers and self-concept and symptoms of depression, respectively, in 69 youth with epilepsy. Multiple regression was used to test whether the absolute difference scores between mothers’ and fathers’ perceptions of family adaptive resources, stigma, their children’s negative coping behaviors, and their attitudes toward epilepsy were predictors of child self-concept and depression after adjusting for epilepsy severity, children’s attitudes toward epilepsy, and children’s ratings of family adaptation. Only the mother-father differences related to children’s negative coping behaviors significantly predicted children’s self-concept and depressive symptoms. Findings suggest that differences in perceptions related to children may be more highly associated with the children’s outcomes than differences related to family characteristics or the children’s illness.
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