The variety of measurements used in the studies made comparing the effectiveness of the training interventions difficult. An individual's competence to manage challenging behaviour needs to be defined and a comprehensive scale for evaluating competence is also needed. Patient safety should be included in future evaluations.

Purpose: This study aimed to describe the perceptions and lived experiences of former psychiatric patients of their own and/or co-patients' behavior that nursing staff has regarded as challenging and that has resulted in behavior management. Design and Methods: An explorative-descriptive qualitative design with video vignettes, semistructured interviews, and abductive content analysis. Findings: Many reasons for different kinds of patient behavior that were considered challenging by staff were identified. Delivering care based on patients' needs was identified as core staff competence. Practice Implications: Findings can be utilized when pursuing restraint reduction in psychiatric care by enhancing staff competence.

Aim The aim of this study was to compile, assess and synthesise empirical research on violence by social and healthcare clients or patients against staff and its connections to staff's well‐being at work, implementation of work and activities of leaders related to it. Background Workplace violence against social and healthcare staff is a global and daily problem. One in three employees encounters violence from patients or clients and the risk of this is 16 times higher compared to other professions. None of the recent reviews on this topic were focused on the well‐being at work, implementation of work or leaders' role in the cases of violence of clients or patients against the staff. Design An integrative review reported according to PRISMA Checklist. Methods The search was conducted to CINAHL, PubMed, PsychINFO and Scopus databases resulting in 21 articles. The quality of the articles was evaluated, and the data were analysed narratively. Results The workplace violence committed by clients and patients was negatively connected to staff's psychological, emotional and physical well‐being at work and to their work performance and commitment. The leaders found this form of workplace violence challenging and ethically conflicted and felt that they were left alone without training and support. The employees expressed disappointment with their leaders' activities and suggested many measures to make environment safer to staff and patients. Conclusions In future, intervention studies are needed for prevention of workplace violence by patients and clients against staff and for supporting the well‐being at work of staff in relation to violent incidents. Relevance to clinical practice Workplaces should introduce uniform protocols for reporting, preventing and processing workplace violence committed by clients and patients. An open dialogue with leaders and co‐workers of the cases is of high importance. Leaders and staff need training that ensure patient and work safety.