Prevention and Management of Aggression Training and Violent Incidents on U.K. Acute Psychiatric Wards

Bowers, Len; Nijman, Henk; Allan, Teresa; Simpson, Alan; Warren, Jonathan; Turner, Lynny

doi:10.1176/ps.2006.57.7.1022

Cited by 49 publications

(36 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Richter, Needham, and Kunz (2006) systematically reviewed 39 published studies on the effects of aggression management training (mostly in psychiatric settings and institutions for the disabled), but could not demonstrate a decrease in aggression rate. Similar results have been highlighted since this review (Bowers et al, 2006;Hills, 2008).…”

Section: Possible Moderators Of the Stressor-strain Relationshipsupporting

confidence: 90%

Moderators of Workplace Aggression: The Influences of Social Support and Training

Brown

Loh

Marsh

2012

The Australian and New Zealand Journal of Organisational Psycho

View full text Add to dashboard Cite

Reception and administrative employees may be particularly vulnerable to patient aggression in mental health services. This study examined whether satisfaction with social support and primary aggression training moderated the effects of perceived aggression on psychological distress and somatic symptoms in a sample of 101 employees. The biophysical model of threat and challenge, the stressor-stress-strain model, and the stress-buffering hypothesis served as theoretical frameworks. Results showed perceived aggression correlated positively with psychological distress, but not with somatic symptoms. Significant interactions were found for social support (buffering effect) and training (interaction effect) for somatic symptoms, but not for psychological distress. It is suggested that, for somatic symptoms, the moderation effects of social support and training on perceived aggression involve similar mechanisms (increased knowledge, self-esteem, perceived control, coping capacity). These findings provide support for the benefits of staff training and the incorporation of knowledge-based components in training programs.

show abstract

Section: Possible Moderators Of the Stressor-strain Relationshipsupporting

confidence: 90%

Moderators of Workplace Aggression: The Influences of Social Support and Training

Brown

Loh

Marsh

2012

The Australian and New Zealand Journal of Organisational Psycho

View full text Add to dashboard Cite

show abstract

“…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%

“…In the UK, there has been a considerable investment in the training of mental health nurses and their unqualified assistants in de-escalation and manual restraint, although the efficacy of that training is uncertain (Bowers et al 2005c). In the US there has been a greater emphasis on reducing the use of seclusion and mechanical restraint (Belanger 2001).…”

Section: Introductionmentioning

confidence: 99%

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

Bowers

Allan

Simpson

et al. 2009

Issues in Mental Health Nursing

Self Cite

128

152

View full text Add to dashboard Cite

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

show abstract

“…Noorthoorn et al (2015) found positive effects on the duration -not the frequency -of specific coercive measures in psychiatry. A study in British mental health care institutions did not show a reduction in aggressive incidents after staff training programs (Bowers et al, 2006). Research of Heckemann et al (2014) in acute hospital settings, found comparable results.…”

Section: Aim Of This Studymentioning

confidence: 93%

“…In the past decade, the aims of research on aggressive incidents in mental health care institutions have largely been limited to reducing the use of coercive measures (Noorthoorn et al, 2015;Vruwink et al, 2012;Steinert et al, 2010;Raboch et al, 2010;Bowers et al, 2006).…”

Section: Aggressive Incidentsmentioning

confidence: 99%

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

Schutter¹,

Kramer²,

Franken³

et al. 2016

Psychiatry Research

View full text Add to dashboard Cite

Current approaches in Dutch mental health care institutions towards inpatients' aggression have focused predominantly on environmental factors, such as training the staff in aggression management. However, personality traits might be an important factor in patients' aggressionas shown by incidents in the wards. This study explores the influence of dysfunctional impulsivity and alexithymia on psychiatric patients' aggressive behavior, through self-reports and through involvement in aggressive incidents. Personality traits influencing patients' aggression emphasize the importance of a more direct approach to their aggression. Clinical patients at Dutch mental health care institution Emergis (n = 84) filled out questionnaires about their aggressiveness (using Buss and Perry's Aggression Questionnaire Short Form), dysfunctional impulsivity and alexithymia. Multiple regression analyses indicated that dysfunctional impulsivity positively related to self-reported aggressive behavior. The relationship, however, could not be confirmed for inpatients' aggression as reported by the staff on the wards. Unexpectedly affective alexithymia negatively related to hostility. Gender differences in self-reported aggression were found. Female patients showed higher levels of hostility. Regression analyses indicated that the male gender positively related to physical aggression. Findings emphasize the importance of a new approach in Dutch mental health care, in which patients may engage in aggression-regulation training programs.

show abstract

Prevention and Management of Aggression Training and Violent Incidents on U.K. Acute Psychiatric Wards

Abstract: This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link:

Cited by 49 publications

References 11 publications

Moderators of Workplace Aggression: The Influences of Social Support and Training

Moderators of Workplace Aggression: The Influences of Social Support and Training

Identifying Key Factors Associated with Aggression on Acute Inpatient Psychiatric Wards

The influence of dysfunctional impulsivity and alexithymia on aggressive behavior of psychiatric patients

Contact Info

Product

Resources

About