Patients' Views of Causes of Aggression by Patients and Effective Interventions

Fagan-Pryor, Ellen C.; Haber, Linda Cade; Dunlap, David; Nall, Judith Lynn; Stanley, G.L.; Wolpert, Russell

doi:10.1176/appi.ps.54.4.549

Cited by 30 publications

(22 citation statements)

References 7 publications

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“…Our previous work has shown an inverse relationship between the presence of regular nursing staff and violent incidents (Bowers, Allan, Simpson, Nijman, & Warren 2005a;Bowers, Nijman, Allan, Simpson, Warren, & Turner 2005c), as has that of others (Chou, Lu, & Mao 2002;Lanza et al 1994), and in surveys of staff or patients larger numbers are often seen as necessary to reduce levels of violence (FaganPryor et al 2003;Kumar, Guite, & Thornicroft 2001). However one other study has also reported a positive association between staffing numbers and patient aggression (Owen et al 1998).…”

Section: Discussionmentioning

confidence: 88%

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

Bowers

Allan

Simpson

et al. 2009

Issues in Mental Health Nursing

128

152

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This is the accepted version of the paper.This version of the publication may differ from the final published version. to ascertain those factors most strongly associated with verbal aggression, aggression towards objects and physical aggression against others. High levels of aggression were associated with a high proportion of patients formally detained under mental health legislation, high patient turnover, alcohol use by patients, ward doors being locked, and higher staffing numbers (especially qualified nurses). The findings suggest that the imposition of restrictions on patients exacerbates the problem of violence, and that alcohol management strategies may be a productive intervention. Permanent repository linkInsufficient evidence is available to draw conclusions about the nature of the link between staffing numbers and violence.3

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Section: Discussionmentioning

confidence: 88%

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

Bowers

Allan

Simpson

et al. 2009

Issues in Mental Health Nursing

128

152

View full text Add to dashboard Cite

show abstract

“…People who were subjected to violence consider it difficult to discuss it in public, however, the management of an organization marred with acts of aggression finds it even harder to admit to it, fearing that it may possibly besmirch the organization's good name or methods of its management. Due to the growing number of cases of violence in the workplace, especially in scope of that of psychological nature, finding efficient ways of counteracting violence has become an urgent need [3,9,10]. The aim of this study was to estimate the level of exposure and average intensity of aggression towards particular professional groups of healthcare workers.…”

Section: Resultsmentioning

confidence: 99%

Comparison of the level of aggression towards healthcare workers within Podlaskie Voivodeship

Kowalczuk

Jankowiak

Krajewska-Kułak

et al. 2011

International Journal of Occupational Medicine and Environmental Health

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Objectives: The aim of this study was to estimate the level of exposure and average intensity of aggression towards particular professional groups of healthcare workers. Materials and Methods: Study participants (n = 1498) were employed at open and closed healthcare units within Podlaskie Voivodeship: 493 nurses, 504 midwives and 501 physicians. The MDM Questionnaire was applied. Results: Aggression originating from patients was experienced by 92% of nurses, 86% of doctors, and 74% of midwives examined. Aggressive behavior of co-working physicians concerned 55% of midwives, 54% of nurses and 40% of physicians. The highest average levels of patient aggression, ranging between 2.20 and 3.31, were reported by nurses. Conclusions: Nurses are the group most exposed to most aggression forms and sources. Physicians are least exposed to aggression, except for aggression manifested by patients.

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“…Patients who had witnessed assaults by patients and were asked ''What causes patients to fight (or attack staff)?'' [5] cited both external (personal conflicts) and internal factors (cognitions, feelings, symptoms). Staff and patients report differing views of the reasons for aggressive incidents.…”

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confidence: 99%

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

et al. 2009

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Aggression is a serious problem in psychiatric hospitals. It is not clear whether reasons for aggression guide which therapeutic interventions are selected. Aggression was monitored in participants in a randomized clinical trial of the antiaggressive efficacy of adjunctive valproate in patients with schizophrenia. The Overt Aggression Scale was used to record aggression type and severity, reasons given by patients and staff, and interventions delivered. Forty two patients caused 317 aggressive incidents. Patients reported more often than staff that aggression was provoked by external factors (e.g., interpersonal conflict, limit-setting). Staff cited internal factors (e.g., psychotic symptoms, tension) more often than patients. Interventions administered were related to type and severity of aggression but not to either staff or patients' reasons. Responses to aggressive events do not take causes into account. It is possible that consideration of the reasons for the aggressive behavior might yield more targeted interventions.

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Patients' Views of Causes of Aggression by Patients and Effective Interventions

Abstract: 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.

Cited by 30 publications

References 7 publications

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

Comparison of the level of aggression towards healthcare workers within Podlaskie Voivodeship

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

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