Dealing with verbal abuse

Brennan, Walter

doi:10.7748/en2001.09.9.5.15.c1367

Cited by 9 publications

(4 citation statements)

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“…Victims of physical aggression, quite aside from the obvious risk of physical injury, have been found to suffer from an array of negative psychological symptoms, ranging from minor emotional trauma to severe anxiety symptoms consistent with post‐traumatic stress disorder (Chaloner 1995). Verbal aggression has also been found to have an adverse emotional effect, with studies identifying anger, stress and depression as reported consequential responses (Brennan 2001, Whittington & Higgins 2002). Beech & Bowyer (2004) go on to highlight the impact on staff exposed to aggressive incidents and, more specifically personal attacks, suggesting morale and recruitment and retention are frequently affected.…”

Section: Contextmentioning

confidence: 99%

The nurse’s role in the management of aggression

Irwin¹

2006

Psychiatric Ment Health Nurs

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Although research into the phenomenon of aggression within psychiatric inpatient settings has established a strong casual link with mental illness, there is widespread agreement that diagnostic or demographic characteristics cannot accurately predict such behaviours. In addition, studies have consistently failed to establish how nursing management responses influence the course of aggression within these environments. Therefore, an assumption can be made that specific contextual factors are significant, and that management responses have an effect on outcomes. This review examines the nurses' impact on inpatient aggression and how management strategies affect the therapeutic value of intervention.

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Section: Contextmentioning

confidence: 99%

The nurse’s role in the management of aggression

Irwin¹

2006

Psychiatric Ment Health Nurs

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“…Pam () stated that limit setting can produce hostile responses from patients, including resentment and resistance. Nurses can be met with verbal abuse when setting limits (Brennan ), and there is evidence to suggest that limit setting can be met with disturbed or violent patient behaviour (National Institute of Clinical Excellence ).…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses' and patients' perspectives of limit setting in a forensic mental health setting

Maguire

Daffern

Martin

2013

Int J Mental Health Nurs

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Limit setting is an intervention that is frequently used by mental health nurses. However, limit setting is poorly conceptualized, its purpose is unclear, and there are few evidence-based guidelines to assist nurses to set limits in a safe and effective manner. What is known is that the manner in which nurses set limits influences patients' perceptions of the interactions and their emotional and behavioural responses. In this qualitative study, 12 nurses and 12 patients participated in personal, semistructured interviews that aimed to explore limit setting and to propose principles to guide practice. The findings suggested that: (i) limit setting is important to safety in mental health hospitals; (ii) engaging patients in an empathic manner is necessary when setting limits (when nurses engage in an empathic manner, the therapeutic relationship is more likely to be preserved and the risk of aggressive responses is reduced); and (iii) an authoritative (fair, respectful, consistent, and knowledgeable), rather than authoritarian (controlling and indifferent), limit-setting style enhances positive outcomes with regards to adherence, reduced likelihood of aggression, and preservation of the therapeutic relationship. In conclusion, a limit-setting style characterized by empathic responding and an authoritative, rather than authoritarian interpersonal, style is recommended. Elucidating the components of this style is critical for effective training and best practice of mental health nurses, and to reduce aggressive responses from limit setting.

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“…Although this may not feel like the right course of action the benefits of doing it need to be assessed against the risk of physical violence. Furthermore during difficult, aggressive situations, Brennan (2001) suggests that the advice ''don't take it personally'' is useless as the intent is wholly personal, verbal abuse or insults are motivated by a desire to dominate, lead and escalate the interaction therefore staff should not engage in raising ones voice (which is what the aggressor wants) or arguing as this merely inflames an already tense situation. The emphasis should be placed on the health care professional controlling the interaction rather than the service user.…”

Section: The Practical Management Of Violent Incidentsmentioning

confidence: 97%

Managing alcohol related aggression in the emergency department (Part II)

Cork

Ferns

2008

International Emergency Nursing

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Violence in the emergency department (ED) is a global problem. In our first paper, we highlighted the potential psychological effects of alcohol intoxication, the literatures discussion of alcohol related violence in the emergency department and the importance of developing positive nurse/service user relationships. In this second paper, we discuss personal and organisational strategies clinical nursing staff may consider appropriate to minimise the risk of assault when caring for service users projecting alcohol related aggression.

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Dealing with verbal abuse

Cited by 9 publications

References 0 publications

The nurse’s role in the management of aggression

The nurse’s role in the management of aggression

Exploring nurses' and patients' perspectives of limit setting in a forensic mental health setting

Managing alcohol related aggression in the emergency department (Part II)

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