Theoretical Modeling to Predict Violence in Hospitalized Psychiatric Patients

Morrison, Eileen F.

doi:10.1002/nur.4770120106

Cited by 39 publications

(26 citation statements)

References 35 publications

(11 reference statements)

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“…Further study is necessary to (1) clarify the relation between marital status and assault experience and (2) begin to examine the potentially rich but methodologically difficult area of staff interactions with patients. Morrison (1989Morrison ( , 1990 has reported some work in this area.…”

Section: Socidernographic Factorsmentioning

confidence: 97%

Nursing Staff Characteristics Related to Patient Assault

Lanza

Kayne

Hicks

et al. 1991

Issues in Mental Health Nursing

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There is an underlying belief that there is something special about the victims of patient assault, that they possess certain characteristics or behave in a different way from those staff who are not assaulted. Is this a case of blaming the victims, or are there some actual differences between those staff members who are assaulted and those who are not? This study undertook this question. Its specific purpose was to (1) characterize staff victims and compare them to nonassaulted staff and (2) document outcomes on staff who were assaulted. The design included a prospective and retrospective phase. Nursing staff on two acute and four long-term psychiatric units were asked sociodemographic and job-related information at the beginning of the study. The frequency with which each staff member was assaulted was recorded. At the end of 1 year, staff who had been assaulted were compared with staff who had not been assaulted. Any staff members who were assaulated were interviewed to assess the physical and emotional effect of the assault on the victim. Findings indicated no difference between assaulted versus nonassaulted staff on sociodemographic factors, with the exception of marital status. Assessment of job-related factors suggested differences on position in the administrative hierarchy, type of activities involved in direct patient care such as medication administration, and education about handling the aggressive patient. Victim outcomes supported the existing literature. The most frequent site of injury was the head. Staff either did not take leave time or returned to work before they recovered, and many reported emotional stress.

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Section: Socidernographic Factorsmentioning

confidence: 97%

Nursing Staff Characteristics Related to Patient Assault

Lanza

Kayne

Hicks

et al. 1991

Issues in Mental Health Nursing

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“…Ward rules were central to a theoretical framework for patient violence devised by Morrison (1989). She hypothesized that patient aggression was associated with lack of rule clarity and inconsistency.…”

Section: The Literaturementioning

confidence: 99%

Acute psychiatric ward rules: a review of the literature

Alexander

Bowers

2004

Psychiatric Ment Health Nurs

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Psychiatric ward rules: a literature reviewThis literature review forms a background element of a comparative study of two acute psychiatric wards in the East End of London. The research focused on ward rules as a means of investigating the relationship between the flexibility/inflexibility of ward nursing regimes and patient outcomes. Previous studies identified a relationship between ward rules and patient aggression. Other studies identified a link between absconding by inpatients and nurses' attitudes towards rule enforcement. However, an in-depth exploration of psychiatric ward rules from the perspective of nurses and patients has not been undertaken previously.

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“…Violent offenders were more likely to experience alcohol-and other drug-related mood dysphoria. Violent behavior by substance abusers in hospitals has been studied by Morrison (1989). Data collected by 57 nursing staff on 162 patients in four hospitals showed that inconsistencies in the social andtherapeutic rules were able to predict 18% of the violent behavior.…”

Section: Research Literaturementioning

confidence: 99%

The Relationship of Psychiatric Disorder and Conduct Disorders with Substance Abuse

Lf¹

1991

Journal of Psychoactive Drugs

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Theoretical Modeling to Predict Violence in Hospitalized Psychiatric Patients

Cited by 39 publications

References 35 publications

Nursing Staff Characteristics Related to Patient Assault

Nursing Staff Characteristics Related to Patient Assault

Acute psychiatric ward rules: a review of the literature

The Relationship of Psychiatric Disorder and Conduct Disorders with Substance Abuse

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