Assaults by Patients: The Experience and Attitudes of Psychiatric Hospital Nurses

Baxter, Emma; Hafner, R. Julian; Holme, Gwili

doi:10.3109/00048679209072090

Cited by 60 publications

(43 citation statements)

References 7 publications

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“…It is likely that a number of incidents of aggressive behavior by patients are considered "part of the job" and are not recorded 28,29) . In fact such episodes are not perceived as occupational risks by hospital managers, the police, and the courts leaving nursing staff in a vulnerable and isolated condition 30) .…”

Section: Discussionmentioning

confidence: 99%

Occupational Risk due to Violence in a Psychiatric Ward

Salerno

Dimitri

Talamanca

2009

Journal of Occupational Health

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Section: Discussionmentioning

confidence: 99%

Occupational Risk due to Violence in a Psychiatric Ward

Salerno

Dimitri

Talamanca

2009

Journal of Occupational Health

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“…The focus of most studies has been on training staff to more effectively manage aggressive behaviour. 10,11 While the training of mental health staff has produced mixed outcomes, 12 it does seem to improve job satisfaction 13 and confidence in the management of violent individuals. 14 Providing support to victims of patient assault through a program of peer support has also been found to reduce the frequency of violence in mental health facilities.…”

Section: What Are the Implications For Practice?mentioning

confidence: 99%

Reducing aggressive behaviour and staff injuries: a multi-strategy approach

Meehan¹,

Fjeldsoe²,

Stedman³

et al. 2006

Aust. Health Review

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Objective: To evaluate the impact of a multistrategy approach on the management of patient aggression and staff injury rates at a stand-alone mental health facility. Methods:A multi-strategy aggression management program was developed and introduced over a 2-year period. The program had four components; staff education/training, a staff support program, risk assessment tools, and a computerised incident monitoring system. Aggressive incidents by patients, staff injuries due to patient aggression and compensation payments to staff for the 2-year period before implementation of the aggression management program were compared with the 3-year period following implementation of the program.Results: There was a significant decrease in the number of staff injuries reported in the 3-year period following the implementation of the aggression management program. Although the number of aggressive incidents reported did decrease over the study period, the decrease was not statistically significant. Conclusions:Despite the increasing acuity of the clients at the study facility, there was a significant decrease in staff injuries due to aggressive behaviour. The strategies implemented seem to offset the potential for violence. It is likely that the combined impact of the strategies is greater than the impact of individual strategies implemented

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“…1 2 Workers in certain occupations, including nursing, are at increased risk of non-fatal work related assault. [3][4][5][6][7][8] Primarily, descriptive studies have been used to identify the prevalence of violence focused on particular facilities, units, or sub-groups of nurses; however, it is difficult to compare these data when definitions of violence, study populations, and study periods differed. Estimates range from 87% of staff being assaulted five times per year 9 to 57% of staff per year, 10 with numerous studies reporting percentages in between.…”

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confidence: 99%

Relation between policies and work related assault: Minnesota Nurses’ Study

et al. 2005

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Aims: To assess the relation between violence prevention policies and work related assault. Methods: From Phase 1 of the Minnesota Nurses' Study, a population based survey of 6300 Minnesota nurses (response 79%), 13.2% reported experiencing work related physical assault in the past year. In Phase 2, a case-control study, 1900 nurses (response 75%) were questioned about exposures relevant to violence, including eight work related violence prevention policy items. A comprehensive causal model served as a basis for survey design, analyses, and interpretation. Sensitivity analyses were conducted for potential exposure misclassification and the presence of an unmeasured confounder. Results: Results of multiple regression analyses, controlling for appropriate factors, indicated that the odds of physical assault decreased for having a zero tolerance policy (OR = 0.5, 95% CI 0.4 to 0.8) and having policies regarding types of prohibited violent behaviours (OR = 0.5, 95% CI 0.3 to 0.9). Analyses adjusted for non-response and non-selection resulted in wider confidence intervals, but no substantial change in effect estimates.Conclusions: It appears that some work related violence policies may be protective for the population of Minnesota nurses.O ver 600 work related homicides occurred in the USA during 2002 alone, and it is estimated that approximately 1.7 million non-fatal acts of violence occurred at work annually between 1993 and 1999.1 2 Workers in certain occupations, including nursing, are at increased risk of non-fatal work related assault.3-8 Primarily, descriptive studies have been used to identify the prevalence of violence focused on particular facilities, units, or sub-groups of nurses; however, it is difficult to compare these data when definitions of violence, study populations, and study periods differed. Estimates range from 87% of staff being assaulted five times per year 9 to 57% of staff per year, 10 with numerous studies reporting percentages in between.Currently, there is no mandate, only recommendations, from the federal Occupational Safety and Health Administration (OSHA) regarding work related violence prevention measures. In 1996, OSHA published Guidelines for preventing workplace violence for health care and social service workers.11 These guidelines are advisory in nature, neither standards nor regulations. The recommendations state that employers should create ''a clear policy of zero-tolerance for workplace violence, verbal and non-verbal threats, and related actions''.11 Few data exist to support recommendations from many researchers and OSHA to implement policies;11-21 therefore, evaluation of these recommendations is necessary.It is unclear how many organisations have policies regarding work related violence.22 23 However, simply having a violence prevention policy does not ensure a safe work environment. 24 25 What is included within a violence prevention policy varies by institution. Some authors have recommended a ''zero-tolerance policy' ', 11 26-30 while others cautioned against its ...

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Assaults by Patients: The Experience and Attitudes of Psychiatric Hospital Nurses

Cited by 60 publications

References 7 publications

Occupational Risk due to Violence in a Psychiatric Ward

Occupational Risk due to Violence in a Psychiatric Ward

Reducing aggressive behaviour and staff injuries: a multi-strategy approach

Relation between policies and work related assault: Minnesota Nurses’ Study

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