Coping with violent situations in the caring environment

McDonnell, Andrew; McEvoy, John; Dearden, Rosemary

doi:10.1007/978-1-4899-2863-4_11

Cited by 13 publications

(8 citation statements)

References 23 publications

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“…A central theme to these approaches involves the development of a positive relationship, which is in itself a long term goal (McDonnell, 1997). If these approaches are to be given a chance to succeed, there needs to be much more research conducted into the effectiveness of short term non-aversive strategies such as low arousal approaches (McDonnell et al, 1994) in the very near future.…”

Section: Discussionmentioning

confidence: 99%

“…After the most recent re-admission, it was decided to attempt to manage John's behaviour by designing a reactive plan based on the philosophy of a low arousal approach (McDonnell et al, 1994). The major areas of conflict in John's day were analysed by use of records, interviewing John, and direct observation.…”

Section: The Reactive Planmentioning

confidence: 99%

“…The behaviour of staff would appear to be a critical area of intervention for clinicians who are interested in both behaviour change and behaviour management approaches. Training care staff in the management of challenging behaviours using low arousal approaches has been proposed in the literature (McDonnell, McEvoy, & Dearden, 1994;McDonnell, Hardman, & Shand, 1997). This approach attempts to alter staff behaviour by avoiding confrontational situations and seeking the least line of resistance in defusing incidents.…”

Section: Introductionmentioning

confidence: 99%

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Managing Challenging Behaviour in an Adult With Learning Disabilities: The Use of Low Arousal Approach

McDonnell¹,

Reeves

Johnson³

et al. 1998

Behav. Cogn. Psychother.

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Behaviour change is often a desired outcome for carers and professionals who work with people with learning disabilities and challenging behaviours. Managing these behaviours in the short term is an important step towards this goal. This single case study presents the use of a low arousal approach in managing challenging behaviours in a young man labelled with severe challenging behaviour. This strategy focuses on the interaction of the carers with the client and how their approach has an important impact on the behaviour of the client. The study documents the incidents of challenging behaviour and shows a decline in their frequency from baseline over a one-year period. These gains were maintained at five-month follow-up. The implications for services of these findings are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: The Reactive Planmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Managing Challenging Behaviour in an Adult With Learning Disabilities: The Use of Low Arousal Approach

McDonnell¹,

Reeves

Johnson³

et al. 1998

Behav. Cogn. Psychother.

Self Cite

View full text Add to dashboard Cite

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“…In Municipality A, PFA is somewhat implemented in all ID practices. The employees in the ID practice of this municipality have been provided with additional training or have participated in lectures on The International Classification of Functioning, Disability, and Health (ICF), low arousal approach (e.g., McDonnell, McEvoy, & Dearden, 1994), and similar concepts.…”

Section: Description Of Efforts By Participating In Id Practices Concmentioning

confidence: 99%

“…Unlike Municipality A, Municipalities B, C, and D have not provided specific training in ID practice to their employees. However, the ID practices in these municipalities have offered employees training and lectures on ICF (WHO, 2002) and the low arousal approach (McDonnell et al, 1994). Moreover, the ID practice of Municipality B has provided many of its employees with training in autism and pedagogical support for one week.…”

Section: Description Of Efforts By Participating In Id Practices Concmentioning

confidence: 99%

Employees' experiences of education and knowledge in intellectual disability practice

Olsson

Gustafsson

2020

Policy Practice Intel Disabi

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Background The value of support, service, and care in intellectual disability (ID) practice is linked to the competence of the professional caregivers. The quality of work is affected by the level of education of healthcare employees involved. Specific Aims This study aimed to collect data on how employees perceive their education and training in ID practice and how educational programs prepare them for their working environment. Methods We used a quantitative approach to investigate how employees reflect on their knowledge about ID and other disabilities and the sources of such knowledge. A total of 262 employees engaged in ID practice completed an online survey. Findings The results indicated that education significantly influenced the participants' knowledge level, and highly specific education (i.e., workplace training) can substitute for work experience in ID practice. The authors conclude that all workplaces should examine their employees' skills regularly from the viewpoint of fulfilling the needs of people with ID. Discussion Based on the results, it can be concluded that employees in ID practice need specific knowledge through workplace training (i.e., through hands‐on practice at the workplace). Competence development in the form of workplace training is needed to upskill the staff and possibly increases employees' participation at work.

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Violence to staff in a general hospital setting

Whittington¹,

Shuttleworth

Hill³

1996

Journal of Advanced Nursing

147

125

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The problem of aggression to staff in a general hospital was examined from the perspective of Poyner & Warne's (1986) model of workplace violence. A total of 396 staff (39% response rate) provided information on their experience of violence in the past year and a subsample were additionally interviewed about their current levels of mental health (GHQ). Some 72 staff (21% of respondents had been physically assaulted and 90% of these assaulted staff worked beyond the accident and emergency department, e.g. in medical wards. Nurses were physically assaulted, threatened and verbally abused at higher rates than other professionals. Employee factors (younger age, shorter National Health Service experience and attendance at violence training) were significantly associated with assault (P < 0.05). Postoperative confusion, receiving treatment and delayed treatment were common precursors of aggression. Mental health was significantly worse amongst staff exposed to threats (P < 0.01). This exploratory study establishes that violence is a problem across a number of general hospital departments and occupations and we argue that effective training should be made more available for staff at risk of assault.

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Coping with violent situations in the caring environment

Cited by 13 publications

References 23 publications

Managing Challenging Behaviour in an Adult With Learning Disabilities: The Use of Low Arousal Approach

Managing Challenging Behaviour in an Adult With Learning Disabilities: The Use of Low Arousal Approach

Employees' experiences of education and knowledge in intellectual disability practice

Violence to staff in a general hospital setting

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