Aggression Management Training in Undergraduate Nursing Students: A Scoping Review

Searby, Adam; Snipe, Jim; Maude, Phil

doi:10.1080/01612840.2019.1565874

Cited by 11 publications

(5 citation statements)

References 32 publications

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“…For example, some Australian states have previously announced that all wards should lock their doors in response to the perceived risk of absconding, compounded by the community's fear of people with mental ill health who have been hospitalized (Gill et al, 2021). In our experience, several Victorian wards remain locked under local direction to prevent absconding, despite an absence of evidence that this reduces absconding in comparison to open wards (Searby et al, 2023). The nature of locked wards has been described as creating a custodial environment which is often detrimental to the therapeutic relationship, and arguably is a driver of a culture where restrictive interventions continue to be used; this is evident in research studies that have found that seclusion and restraint are used more often in locked wards (Fletcher et al, 2019;Hochstrasser et al, 2018;Schneeberger et al, 2017).…”

Section: Bac Kgrou N Dmentioning

confidence: 89%

Elimination of restrictive interventions: Is it achievable under the current mental healthcare landscape?

Snipe¹,

Searby

2023

Int J Mental Health Nurs

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The 2021 release of the report from the Royal Commission into Victoria's Mental Health System suggested 65 recommendations to improve a mental healthcare system that was described as “broken”. Several of these recommendations relate to the use of restrictive interventions, such as restraint (both physical and mechanical) and seclusion. These interventions continue to be used in Victorian inpatient mental health facilities today, often in response to aggression and violence towards staff, visitors, family and other consumers. Several health services have committed to the substantial reduction or elimination of the use of restrictive interventions. In this perspective paper, we argue that significant investment is required to achieve this goal. Pressure on mental health nursing staff to cease using restrictive interventions without viable alternatives to de‐escalation, restrictions in the built environment, workforce constraints and a lack of education provided early in nursing careers need to be addressed before we can achieve the elimination of restrictive interventions. We recommend that substantial investment in mental health inpatient units, the mental health nursing workforce, and a systemic shift in the role of the mental health nurse are required to attain sustained reduction and potential elimination of restrictive interventions.

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Section: Bac Kgrou N Dmentioning

confidence: 89%

Elimination of restrictive interventions: Is it achievable under the current mental healthcare landscape?

Snipe¹,

Searby

2023

Int J Mental Health Nurs

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“…Our study also indicates that working experience in psychiatric nursing is associated with psychological consequences of violence. In terms of education, there is some evidence to suggest that there is variation in how aggression management training is provided to nursing students (Searby et al, 2019), and we perceive that appropriate education is important from two perspectives. Firstly, and agreeing with Searby et al., (2019), nursing students need certain skills and abilities to manage violence when they become employed.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of education, there is some evidence to suggest that there is variation in how aggression management training is provided to nursing students (Searby et al, 2019), and we perceive that appropriate education is important from two perspectives. Firstly, and agreeing with Searby et al., (2019), nursing students need certain skills and abilities to manage violence when they become employed. Secondly, as Foster et al., (2019) indicated, mental resilience plays an important role when facing violence, and thus, it is important to discuss how education responds to nursing students’ individual needs and strengthens their resilience for working life.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of workplace violence and the psychological consequences of it among nurses working in psychiatric outpatient settings

Konttila

Holopainen²,

Pesonen

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? There is a scarcity of studies concerning violence in psychiatric outpatient settings in the 2010s in spite of the deinstitutionalization of psychiatric services. Previous research on violence in psychiatric outpatient settings has failed to consider the association between the psychological consequences of violence, exposures to violence and background factors. What the paper adds to existing knowledge? It has been known for some time that exposures to violence are harmful for psychiatric inpatient nurses; the paper demonstrates that psychiatric outpatient nurses are also at risk. The psychological consequences of exposure to violence are highly individualized and influenced by background factors. Nurses who face harassment have a greater risk of suffering psychological symptoms. What are the implications for practice? De‐escalation interventions should be implemented in psychiatric outpatient settings. Organizations should consider the possibility of internal violence occurring when planning preventive interventions to manage and reduce workplace violence. Education targeted at violence prevention, management and debriefing should be organized systematically in psychiatric outpatient units and be taken into consideration in the mental health nursing curriculum. Abstract IntroductionThere is a scarcity of studies concerning violence and its consequences in psychiatric outpatient setting. AimThis study aimed to explore the occurrence of workplace violence and the psychological consequences of exposure to violence among nurses working in psychiatric outpatient settings. MethodResearch followed a cross‐sectional survey design. Data were collected with the VIA‐Q instrument. ResultsDuring the 12 months prior to the study, nurses (n = 181) had most often experienced psychological violence, with fatigue being the most common consequence. Harassment most often caused feelings of violated integrity, whereas physical violence most often caused insomnia. Significant relationships between exposure to violence and psychological consequences were identified. DiscussionWorkplace violence can manifest in a broad array of psychological symptoms and be harmful for nurses in psychiatric outpatient settings. It is important to discuss the subject of workplace violence and its place in the nursing curriculum and to reflect on how nurses are educated and trained to face violence in psychiatric nursing. Implications for PracticeDe‐escalation interventions should be implemented in psychiatric outpatient settings. Organizations should take steps to abolish internal violence. Nurses need appropriate education in order to prepare them to manage workplace violence.

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“…Compared to addiction medicine, the nursing workforce is larger, comprising 10–20% of all clinical staff, with a growing pipeline of alcohol and other drug nurse practitioners across the region. However, attracting and retaining the nursing and nurse practitioner workforce has raised similar issues to those relevant for addiction medicine [4].…”

Section: Addictions Workforce In Australia and New Zealandmentioning

confidence: 99%

Addiction Medicine and Psychiatry Workforce Training and Planning across Australia and New Zealand: Commentary on “Education and Training in Addiction Medicine and Psychology across Europe: a EUFAS Survey”

Arunogiri,

Lubman,

Foulds

2024

Eur Addict Res

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Aggression Management Training in Undergraduate Nursing Students: A Scoping Review

Cited by 11 publications

References 32 publications

Elimination of restrictive interventions: Is it achievable under the current mental healthcare landscape?

Elimination of restrictive interventions: Is it achievable under the current mental healthcare landscape?

Occurrence of workplace violence and the psychological consequences of it among nurses working in psychiatric outpatient settings

Addiction Medicine and Psychiatry Workforce Training and Planning across Australia and New Zealand: Commentary on “Education and Training in Addiction Medicine and Psychology across Europe: a EUFAS Survey”

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