User violence in public mental health services. Comparative analysis of psychiatrists and clinical psychologists

Pina, David; Llor-Zaragoza, Paloma; Puente-López, Esteban; Egea-Fuentes, Ángela; Hernández, José Antonio Ruíz; Llor-Esteban, Bartolomé

doi:10.1080/09638237.2020.1793130

Cited by 7 publications

(8 citation statements)

References 48 publications

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“…Workplace violence in the health sector can happen both between colleagues (lateral violence), as well as in hierarchical order or from superiors to other subordinate workers (horizontal violence) and from users to professionals, the latter being one of the most studied ( 10 – 12 ).…”

Section: Introductionmentioning

confidence: 99%

Users' Perception of Violence and Conflicts With Professionals in Primary Care Centers Before and During COVID-19. A Qualitative Study

Pina

López-Ros

Luna

et al. 2021

Front. Public Health

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Background: Workplace violence is a social problem of special interest in both intervention and research. Among the sectors that most perceive this type of violence, health care professionals stand out. The most common type of violence for this professional group is the one perpetrated by the users or patients themselves. It has been reported that one out of every four acts of violence in the workplace occurs in the healthcare setting. Within the health sector, the Mental Health, Emergency and Primary Care services have been widely reported as being among the most vulnerable, with Primary Care being the least addressed of the three. Although the available literature is extensive, there are hardly any studies that explore from a qualitative perspective what are the sources of conflict in this sector from the perspective of the users, the most common being to work with professionals.Objective: The aim of this study is to examine those aspects derived from the organization, the professionals or the users of Primary Care that, from the users' point of view, cause violent situations and how they think these could be avoided.Method: The sample consisted of 80 users of the Primary Care services of the Health Service of Murcia. For data collection, a qualitative study was conducted through 10 focus groups and a subsequent thematic analysis of the data.Results: The results have allowed us to identify that, from an organizational point of view, the uncertainty in waiting times, the need to adapt the telematic or telephone appointment to the different types of users, or the management of emergencies in Primary Care are the aspects that cause most conflicts between users and professionals. In this sense, suggested improvements are aimed at providing information in the mobile application updated on the opening hours or maintaining the telephone appointment for those who need or request it, among many others. As for the professionals, users point out that the medical staff is perceived as distant and sometimes does not provide enough information on the health status of users. Another professional group widely addressed in the focus groups was the administrative staff, being described as lacking in communication skills, assertiveness, or empathy. Users recognize the existence of a demanding/aggressive profile among users, who makes instrumental use of violence to achieve privileges over users in general. We have also identified the profile of the user who makes use of Primary Care as a way of socializing or managing conflicts of a socioemotional nature. As proposals for this thematic block, users suggest group therapies, the use of audiovisual material complementary to the information provided by professionals or community interventions in psychoeducation.Conclusion: This study allows to explore conflicts between users and professionals from the Primary Care patients' perspective. Our results are complementary to the available evidence that has used the professional's approach to study the phenomenon of workplace violence. The identification of sources of conflict and the assessment and contribution of users on possible ways of improvement can serve as a basis for the design of prevention and intervention plans to improve the work environment in Primary Care centers.

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Section: Introductionmentioning

confidence: 99%

Users' Perception of Violence and Conflicts With Professionals in Primary Care Centers Before and During COVID-19. A Qualitative Study

Pina

López-Ros

Luna

et al. 2021

Front. Public Health

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“…There are studies suggesting that physical violence leads to negative emotions by reducing psychological wellbeing 12,28 . In addition to these, physical violence may lead to more serious mental disorders such as depression, anxiety, and posttraumatic stress disorder 13,27 . In the analysis of this study, it was observed that the feeling of anger experienced by the personnel subjected to violence gave rise to the urge for violence.…”

Section: Discussionmentioning

confidence: 71%

“…23 A study consisting of psychiatrists as the sample determined that emotional exhaustion occurred postviolence. 27 There are studies suggesting that physical violence leads to negative emotions by reducing psychological wellbeing. 12,28 In addition to these, physical violence may lead to more serious mental disorders such as depression, anxiety, and posttraumatic stress disorder.…”

Section: The Effects Of Violencementioning

confidence: 99%

The aggressive patient experiences of healthcare professionals exposed to physical violence in a psychiatric clinic: A phenomenological study*

Ayhan

Mercan

Doğan

et al. 2021

Perspect Psychiatric Care

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Purpose This study investigated the experiences of healthcare professionals, exposed to physical violence, related to aggressive patients at a psychiatry service. Design and Methods The qualitative study sample consisted of a total of 21 healthcare professionals. The data were collected through in‐depth interviews. An inductive qualitative content analysis was used to analyze the data. Findings Three themes, the effects of warning signs of violence, clinical management of violence, and effects of violence, and 13 sub‐themes were determined. Practice Implications The effects of physical violence on healthcare professionals can be seen and will contribute to planning in this regard.

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“…Rupert et al, 2009). Especially fatiguing occupational hazards include having a high administrative burden and dealing with negative or stressful client behaviours such as physical and non‐physical violence or threats of suicide or aggression (Ackerley et al, 1988; Pina et al, 2020; Rupert & Kent, 2007; Rupert & Morgan, 2005). Becoming more involved with clients—for example, by thinking about clients more frequently, talking with them more frequently on the phone, or feeling responsible for them—is sometimes associated with a greater sense of accomplishment among psychologists (Rupert & Kent, 2007; Rupert & Morgan, 2005) but also appears to lead to greater EE (Ackerley et al, 1988; Lee et al, 2011; Rupert et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…EE is frequently accompanied by additional adverse effects in psychologists. Psychologists experiencing higher EE report greater impairment in mental health (Peterson et al, 2008) and increased anxiety, depression, and somatic symptoms (Pina et al, 2020). Higher EE is associated with lower job satisfaction and greater intention to leave one's job (Lee et al, 2011; Yanchus et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The influence of maladaptive coping modes, resilience, and job demands on emotional exhaustion in psychologists

Smout

Simpson

Stacey

et al. 2021

Clin Psychology and Psychoth

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Although it is well established that emotion-focused coping is associated with burnout, the schema therapy model may improve the prediction of who is most vulnerable to using emotion-focused coping and what kinds of emotion-focused coping carry the greatest risk of burnout. It is also unknown the extent to which resilience might buffer against maladaptive coping in protecting against burnout. The present study investigated whether maladaptive coping modes would incrementally predict emotional exhaustion (EE) adjusting for resilience and whether resilience might moderate the effect of maladaptive coping on EE. The possible role of maladaptive coping as a mediator of job demands on EE was also explored. Four hundred and forty-three clinical and counselling psychologists completed online measures of job demands, EE, resilience, and maladaptive coping modes. The Detached Protector mode was associated with greater EE after adjusting for resilience. Bully and Attack mode was associated with greater EE when considered separately from other coping modes but associated with decreased EE when considered together. Resilience did not moderate the effect of job demands on EE, or the effect of coping modes on EE, except for Compliant Surrenderer. Coping modes only partially mediated the effect of job demands on EE accounting for 20% or less of its effect. Maladaptive coping modes appear to make independent contributions to the risk of EE and efforts to reduce burnout in psychologists should focus dually on increasing resilience-building practices and decreasing maladaptive coping.

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User violence in public mental health services. Comparative analysis of psychiatrists and clinical psychologists

Cited by 7 publications

References 48 publications

Users' Perception of Violence and Conflicts With Professionals in Primary Care Centers Before and During COVID-19. A Qualitative Study

Users' Perception of Violence and Conflicts With Professionals in Primary Care Centers Before and During COVID-19. A Qualitative Study

The aggressive patient experiences of healthcare professionals exposed to physical violence in a psychiatric clinic: A phenomenological study*

The influence of maladaptive coping modes, resilience, and job demands on emotional exhaustion in psychologists

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