Student psychiatric nurses’ approval of containment measures: Relationship to perception of aggression and attitudes to personality disorder

Bowers, Len; Alexander, Jane; Simpson, Alan; Ryan, C; Carr-Walker, Paola

doi:10.1016/j.ijnurstu.2005.03.002

Cited by 43 publications

(50 citation statements)

References 19 publications

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“…These methods aim to prevent patients and staff from being harmed through conflict behaviours that arise from patients' absconding, treatment refusal or similar behaviours (Bowers et al . ,b, Tekkas & Bilgin ). PCMs are still widely used in many countries including Turkey despite the long‐standing ethical controversies regarding their use and types (Sailas & Wahlbeck , Paterson & Duxbury , Muir‐Cochrane et al .…”

Section: Introductionmentioning

confidence: 97%

“…It is known that many staff‐related factors influence the choice of containment method (Bowers et al . ,b, Tekkaş & Bilgin ).…”

Section: Introductionmentioning

confidence: 99%

“…The most frequently used methods are isolation, observation (intermittent and constant), restraint (physical and mechanical), chemical restraint [pro re nata (PRN) medication, compulsory intramuscular (IM) medication] and transfer into the psychiatric intensive care unit (PICU) (Bowers et al . ,b).…”

Section: Introductionmentioning

confidence: 99%

“…For example, staff who believe that aggression is an acceptable behaviour may be less willing to use methods of containment (Bowers et al . ,b).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, Bowers et al . (, ) have asserted that little is known about the factors that influence the healthcare personnel in their choice of PCMs. It is thought that when behaviour is assessed as an aggressive act, there is perhaps an association between healthcare staff perceptions, the criteria used and their attitudes towards different PCMs.…”

Section: Introductionmentioning

confidence: 99%

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Nurses' attitudes towards professional containment methods used in psychiatric wards and perceptions of aggression in Turkey

Özcan

Bilgin

MSc

et al. 2015

Journal of Clinical Nursing

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Aims and objective. The aim of this study was to determine nurses' attitudes towards professional containment methods and to explore the relationship between those attitudes and nurses' perception of aggression. Background. Different containment methods are used in psychiatric wards when patients behave aggressively towards others or exhibit self-harm. It is known that in addition to patient-specific and environmental influences, many factors related to the staff influence the choice of containment method. One of these factors is the perception of aggression. Design. A cross-sectional descriptive design was used and the sample consisted of 144 nurses who are employed in a psychiatric hospital in Istanbul and who volunteered to participate in the study. Method. Data were collected using a questionnaire addressing the socio-demographic and professional features of nurses and using the attitudes to professional containment methods and Perception of Aggression Scale. Results. While pro re nata medication was used commonly, time-out was infrequently used in the wards. Intermittent observation, pro re nata medication and containment in the psychiatric intensive care unit were the most approved methods. The use of net beds was the least approved method. Nurses who perceive aggression as dysfunctional/undesirable are more likely to approve compulsory intramuscular medication and mechanical restraint. Conclusion. These results showed that nurses' perception of aggression is an important factor influencing the choice of a professional containment method. Relevance to clinical practice. This study might lead to closer critiquing of psychiatric ward nurses' attitudes towards professional containment methods, leading to a decrease in the usage of these methods.

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Section: Introductionmentioning

confidence: 97%

“…It is known that many staff‐related factors influence the choice of containment method (Bowers et al . ,b, Tekkaş & Bilgin ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…For example, staff who believe that aggression is an acceptable behaviour may be less willing to use methods of containment (Bowers et al . ,b).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning