Controlling Aggressive Behavior in the Geriatric Patient

Somes, Joan; Donatelli, Nancy Stephens; Kuhn, Sarah

doi:10.1016/j.jen.2011.01.008

Cited by 49 publications

(6 citation statements)

References 2 publications

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“…22,25,39,46,47 Additional research suggests that any medical condition that causes an altered mental status or consciousness, such as trauma and diabetes, may lead to patients committing violent acts. 16,21,22,39,47,53,[72][73][74] For instance, insulin-dependent diabetics experiencing hypoglycemic episodes were the cause of 9 percent of violent incidents in a retrospective review of ambulance call reports over a six-month study period. 21 In the larger healthcare context, altered mental status associated with dementia, delirium, and substance intoxication were the most common characteristics of violence perpetrators against healthcare workers.…”

Section: Characteristics Of Perpetrators Of Violencementioning

confidence: 99%

A Systematic Review of Workplace Violence Against Emergency Medical Services Responders

et al. 2019

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Emergency Medical Service (EMS) responders deliver patient care in high-risk, high-stress, and highly variable scenarios. This unpredictable work environment exposes EMS responders to many risks, one of which is violence. The primary goals of this systematic literature review were to (1) define the issue of violence experienced by EMS responders and (2) identify the risk factors of violence associated with the EMS profession. An innovative inclusion of industrial literature with traditional peer-reviewed literature was performed. Of 387 articles retrieved, 104 articles were assessed and reviewed. Career exposure for EMS responders to at least one instance of verbal and/or physical violence was between 57 and 93 percent. There is a great need for rigorously designed, nationally representative examinations of occupational exposures in order to better understand the temporal associations of violence, cumulative occupational stressors, and the outcomes of physical and psychosocial injuries that are occurring as a result of exposures to violence.

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Section: Characteristics Of Perpetrators Of Violencementioning

confidence: 99%

A Systematic Review of Workplace Violence Against Emergency Medical Services Responders

et al. 2019

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“…Finally, antecedent healthcare staff actions were invasion of privacy, e.g. when bathing or dressing an older adult (Somes et al, 2011), compulsory detention of a patient or transfer to another unit (Berring et al, 2016), administration of PRN medication (Bowers et al, 2013, Lavelle et al, 2016, and constant observations (Mackay et al, 2005, Stewart et al, 2012a.…”

Section: Antecedents To and Consequences Of De-escalationmentioning

confidence: 99%

“…Decreasing environmental stimuli , Reade and Nourse (2012), (Somes et al, 2011) Recognising and alleviating causes of agitation (older adults) e.g. pain, hunger etc.…”

Section: Communicationmentioning

confidence: 99%

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De-escalation of aggressive behaviour in healthcare settings: Concept analysis

Hallett

Dickens

2017

International Journal of Nursing Studies

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While a number of theoretical models have been proposed, the lack of advances made in developing a robust evidence-base for the efficacy of de-escalation is striking and must, at least in part, be credited to the lack of a clear conceptualisation of the term. This concept analysis provides a framework for researchers to identify the theoretical model that they purport to use, the antecedents that their de-escalation intervention is targeting, its key attributes, and the key negative and positive consequences that are to be avoided or encouraged.

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“…In addition, there are a variety of de-escalation interventions that may be useful in the management of aggressive behaviors, including referencing the patient's imagined world, rather than continually trying to re-orient them to the "real" world [12] . However, from an educational perspective, are we still stressing to nursing students and staff that we simply must re-orient the patient or resident in real time at all costs?…”

Section: Clinical Assessment Skills (Mental and Physical)mentioning

confidence: 99%

Rural nurses’ continuing education needs: A U.S. multi-site survey reveals challenges and opportunities

Fairchild

Everly²,

Walters³

et al. 2012

JNEP

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Background: Provision of relevant, evidence-based continuing education (CE) is an integral part of maintaining a highly competent rural nursing workforce. Numerous tangible and intangible barriers exist to nurses' participation in CE in rural settings. Major barriers to accessibility and participation in CE for rural nurses include: 1) Geographic isolation, 2) lack of perceived administrative, financial, and/or technological resources and support, 3) lack of time due to workload, inadequate staffing, and/or travel distance, 4) lack of relevance of continuing education topics, and 5) lack of a dedicated on-site nurse educator. Proactive development of academic-practice partnerships is important to support rural care providers regarding CE delivery. The purpose of this study was to assess perceptions of CE needs of nursing unit staff working in a group of health care facilities in a rural region of midwestern U.S. Methods: A cross-sectional CE needs assessment survey was conducted in winter of 2010 with rural health care providers (N=302/1107; response rate 27%) working in rural healthcare facilities (N=40), including rural hospitals (n=10) and long-term care (LTC) facilities (n=30). A well-validated 72-item Likert-type survey was distributed via a secure online university survey platform, and included assessment of 59 CE need areas. Internal consistency reliability was 0.87. Data were analyzed using SPSS software, version 16.0. Results: Descriptive statistics revealed a greater number of licensed practical nurses and nursing assistants working in rural LTC's (27.2% and 62.5%, respectively) compared to rural hospital setting (14% and 15%, respectively). There are a large number of associate degree-prepared nurses (63%) working in the participating rural hospitals compared to LTC setting (8.4%). Respondents' priority learning needs included: 1) Review aspects of medication administration/drug interactions; 2) improve skills in patient assessment (physical/mental); 3) increase knowledge of management of patients with comorbidities; 4) promotion of patient safety; 5) enhance communication skills/teamwork; 6) increase lifelong learning. Student's t tests revealed LTC nursing unit staff reported significantly higher priority learning needs in "manage aggressive behavior (verbal/physical)" (t = 2.044, df = 300, α = .003), "family participation in care" (t= 2.470, df= 300, α= www.sciedu.ca/jnep

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Controlling Aggressive Behavior in the Geriatric Patient

Cited by 49 publications

References 2 publications

A Systematic Review of Workplace Violence Against Emergency Medical Services Responders

A Systematic Review of Workplace Violence Against Emergency Medical Services Responders

De-escalation of aggressive behaviour in healthcare settings: Concept analysis

Rural nurses’ continuing education needs: A U.S. multi-site survey reveals challenges and opportunities

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