Managing Assault

Morton, Paula G.

doi:10.2307/3425536

Cited by 5 publications

(4 citation statements)

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“…One individual after another described their feelings of confinement, restricted freedom and lack of control over their lives, which were characteristic of their situation as hospitalized patients. A number of writers have argued strongly and eloquently for a re-examination of the kinds of controlling policies that staff members in psychiatric institutions have come to accept as necessary (Lathrop 1978, Morton 1986, Blair 1991. Control over patients must be exerted only when there is the conviction that it is absolutely necessary for a particular patient at a particular time and, even then, it must be done with great respect and restraint.…”

Section: Implication For Education and Practicementioning

confidence: 99%

The experience of thought‐disordered individuals preceding an aggressive incident

Johnson

Martín

Guha

et al. 1997

Psychiatric Ment Health Nurs

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The purpose of this qualitative study was to increase the understanding of the experiences of individuals with thought disorders, which precede incidents of aggression. Twelve individuals, from two hospitals, who had a nursing diagnosis of thought disorder and a history of aggression were interviewed, between one and four times, to collect baseline information and information about particular aggressive incidents. The participants described in their own words their thoughts, feelings and experiences preceding the aggressive incidents. Three themes emerged. First, participants perceived themselves to be strongly affected by the external environment; their responses to aspects of the environment were influential in precipitating the aggressive incident. Second, participants perceived themselves, paradoxically, to be both powerful and powerless; the act of aggression becomes an incident of brief self-empowerment. Third, the aggressive incident occurred in spite of the participants' acknowledgement and previous use of anger-controlling strategies; the participants' perceptions of themselves as powerless in an oppressive environment may have mitigated against the success of these strategies. Nurses need to know what triggers aggressiveness in psychiatric patients, in order to intervene effectively. Mental health professionals must also reexamine the psychiatric hospital environment, to make sure they are not needlessly exacerbating their patients' powerlessness with policies that are unjustifiably controlling.

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Section: Implication For Education and Practicementioning

confidence: 99%

The experience of thought‐disordered individuals preceding an aggressive incident

Johnson

Martín

Guha

et al. 1997

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…To muster enough resources, mobilize a team of four to six people with a designated leader. All staff involved must act promptly and consistently under the team leader's direction, as you would in a cardiovascular code (12).…”

Section: Ride (Librium) Diazepam (Valium) or Lorazepam (Ativan) Po mentioning

confidence: 99%

For CE Credit: Violence in the Emergency Department

Kurlowicz¹

1990

The American Journal of Nursing

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“…Morton (1986) describes emotional intensity,, states before and after the assault. The first two stages are mild and moderate and are functional states.…”

Section: Preventionmentioning

confidence: 99%

“…The need for analysis after the event has been documented (Morton 1986). A standardized method of recording verbal violence needs to be developed similar to Fottrelles scale for physical violence or the Staff Observation Aggression Scale which includes a verbal measure (Palmistierna & Wistedt 1987).…”

Section: Future Researchmentioning

confidence: 99%

Violence at work.

Schnieden¹

1993

Emergency Medicine Journal

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Managing Assault

Cited by 5 publications

References 0 publications

The experience of thought‐disordered individuals preceding an aggressive incident

The experience of thought‐disordered individuals preceding an aggressive incident

For CE Credit: Violence in the Emergency Department

Violence at work.

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