De‐escalating aggression and violence in the mental health setting

Abstract

Aggressive and violent incidents in the health-care setting are increasing phenomena around the world. The evidence from current literature suggests that changes in health-care access, nursing staff shortages and patient acuity are some of the possible causes. De-escalation is a valuable intervention that can be used by nurses to help counter the growing problems of aggression and violence. The de-escalation project, discussed in the present paper, aimed to explore de-escalation as an important therapeutic process and is an event of considerable potential in the management of aggression and violence. While de-escalation is not a new tool, particularly in the mental health-care setting, an educative programme aimed at renewing nurses' knowledge and skills in de-escalation is a timely project. The final de-escalation kit included a large glossy poster, a nursing staff survey, an in-service education session and a literature-based discussion paper. The de-escalation kit can be of considerable benefit to those nurses who are transient within the workplace, such as casual and agency nurses.

Aggression in Psychiatry Wards

“…Agresif davranıştan hem hastanın hem de çalışanın olumsuz şekilde etkilenmesi, kavrama yö-nelik dikkat ve ilginin sürekliliğini sağlayarak psikiyatride en önemli uğraş alanlarından birini meydana getirmektedir. [1][2][3][4][5][6][7][8] Bu derleme, psikiyatri bakımında agresif olayların giderilmesini/en aza indirilmesini sağlayacak "koruyucu önlemlerin geliştirilmesinde", doğası, oluşumu, ortaya çıkışına katkıda bulunan faktörler ve etkileri çerçevesinde agresyon kavramı-nı tanıtmak amacıyla literatür doğrultusunda bilgi vermeyi amaçlamıştır.…”

Tradução e adaptação cultural da Management of Aggression And Violence Attitude Scale – MAVAS – em enfermeiros brasileiros

“…De-escalation is the gradual resolution of a potentially violent or aggressive person via verbal and physical expressions of empathy, alliance, and non-confrontational limit setting based on the respect between the professional and the patient (18) .…”

Contentions mécaniques en psychiatrie : étude phénoménologique de l’expérience vécue du personnel infirmier

“…En s'appuyant sur une perspective post-moderne, Brookbanks (2014) décrit comment une initiative « post-psychiatrique » peut défier les hypothèses actuelles en ce qui a trait à la gestion des patients psychiatriques et soulever des inquiétudes quant à l'usage de méthodes coercitives (Brookbanks, 2014 Malgré ces dispositions légales pour limiter son usage, l'efficacité des contentions mécaniques semble être un fait largement accepté dans la croyance populaire (Whittington et al, 2009), si bien qu'elles sont devenues l'intervention principale de gestion de la violence dans nombre de milieux de soins (Cowin et al, 2003;Foster, Bowers & Nijman, 2007;Kynoch, Wu & Chang, 2011 Whittington & Wykes, 1994 Le comportement du patient est la raison première de l'utilisation d'une telle intervention:…”