Differences Between Patient and Staff Perceptions of Aggression in Mental Health Units

Ilkiw-Lavalle, Olga; Grenyer, Brin F. S.

doi:10.1176/appi.ps.54.3.389

Cited by 83 publications

(84 citation statements)

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“…Staff were more likely to indicate that aggression was prompted by a staff request or order to do something, to attribute aggression to psychotic symptoms, to the patient's being upset by ward rules, or more generally being upset or building tension. Patients were more likely to report that aggression occurred in response to provocation by staff or to having been teased To facilitate comparison to other research [14], we classified reasons into four categories: symptoms of mental illness, interpersonal conflicts, limit setting, or no reason given. Overall, there was moderate agreement between patient and staff reasons (Kappa = .414, see Table 2).…”

Section: Reasons For Aggression According To Staff and Patientsmentioning

confidence: 99%

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

et al. 2009

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Aggression is a serious problem in psychiatric hospitals. It is not clear whether reasons for aggression guide which therapeutic interventions are selected. Aggression was monitored in participants in a randomized clinical trial of the antiaggressive efficacy of adjunctive valproate in patients with schizophrenia. The Overt Aggression Scale was used to record aggression type and severity, reasons given by patients and staff, and interventions delivered. Forty two patients caused 317 aggressive incidents. Patients reported more often than staff that aggression was provoked by external factors (e.g., interpersonal conflict, limit-setting). Staff cited internal factors (e.g., psychotic symptoms, tension) more often than patients. Interventions administered were related to type and severity of aggression but not to either staff or patients' reasons. Responses to aggressive events do not take causes into account. It is possible that consideration of the reasons for the aggressive behavior might yield more targeted interventions.

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Section: Reasons For Aggression According To Staff and Patientsmentioning

confidence: 99%

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

et al. 2009

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“…Duxbury (2002) and Ilkiw-Lavalle and Grenyer (2003) found a clear distinction between the way staff and patients view both the problem and response. Extrinsic factors such as the environment, situational and interactional factors evidently underpinned the patients' perspective, while intrinsic factors such as patients' emotional, cognitive, and physiological conditions appeared to reflect more closely the staff perspective.…”

Section: Introductionmentioning

confidence: 99%

Violence in the emergency department: An ethnographic study (Part I)

Lau

Magarey

Wiechula

2012

International Emergency Nursing

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Violence in the emergency department (ED) is a significant problem and it is increasing. Nevertheless the problem remains inadequately investigated as most studies that have investigated this issue are descriptive in nature. Although these studies have provided important preliminary information, they fail to reveal the complexities of the problem, in particular the cultural aspects of violence which are crucial for the ED. This paper is part I of a 2-part series which will provide an overview of the background, aims and methods of an ethnographic study about violence in the ED. The study aimed to explore the cultural aspects of violence in the ED. Contemporary ethnography was adopted to frame the study's methodology. The study was carried out at a major metropolitan ED over 3 months using observations, questionnaires and interviews. Initially, the questionnaires were analysed using SPSS before incorporating into the qualitative data. Then, a data analysis framework was adopted to assist in the analysis of data at item (domain), pattern (taxonomic and componential) and structural levels. A brief description of the cultural scene will also be highlighted before leaving the findings of the study along with its discussions to the part II of the 2-part series.

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“…Another stressor, which is both more common and more dangerous, is to work with mentally ill patients who have high level of violence. Researchers have stated that aggression in mental health settings is a continuing and common problem that affects staff physically and emotionally (Bowers et al, 1999;Ilkiw-Lavalle & Grenyer, 2003;Jansen Dassen, & Jebbink, 2005;Kraus & Sheitman, 2004;Maquire & Ryan, 2007;McKenna et al, 2003;Nijman et al, 1999;Nolan et al,1999;Nolan et al, 2001;Owen et al, 1998;Poster, 1996;Wykes & Whittington, 1998). The finding that nurses are the main target of patients' assaults is not surprising as nurses provide 24-hour care and have the most direct interactions with patients in comparison with other staff members.…”

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confidence: 99%

“…These factors include patient factors (psychopathology, gender, age, history of violence, social and economic status, etc.) (Abderhalden et al, 2002;Ng et al, 2001;Ilkiw-Lavalle & Grenyer, 2003;Jansen et al, 2005;Kraus & Sheitman, 2004;McKenna et al, 2003;Nolan et al, 1999;Owen et al, 1998;Secker et al, 2004), environmental/setting factors (ward size, patient crowding, location within the unit, the time of day, excessive waiting time, untherapeutic ward regime, ward turmoil, etc.) (Abderhalden et al, 2002;Ng et al, 2001;IlkiwLavalle & Grenyer, 2003;McKenna et al, 2003;Owen et al, 1998), and staff factors (low staff-to-patient ratio, inexperience or lack of training, role ambiguity, level of professional education, an inadequate number of staff, etc.)…”

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confidence: 99%

An Evaluation of Nurses' Interpersonal Styles and Their Experiences of Violence

Bilgin

2009

Issues in Mental Health Nursing

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Nursing is a demanding and stressful occupation. Nursing staff is required and expected to develop an interpersonal style that conveys concern for mentally ill patients. This study is aimed at investigating whether staff attitudes and behaviours are related to assaults on nurses in psychiatric settings. One hundred, sixty-two nurses working in psychiatric hospitals participated in this descriptive and analytical study. The data were gathered with an Interview Form and The Interpersonal Style Inventory. The statistical analysis shows that nurses who are less social and less tolerant are more exposed to physical assaults from patients, however nurses who are more help-seeking are more exposed to verbal assaults and have a concern of being assaulted. The findings of this research suggest that nurses' interpersonal styles may contribute to aggressive behaviours of patients/relatives.

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Differences Between Patient and Staff Perceptions of Aggression in Mental Health Units

Abstract: Staff and patients had different perceptions of causes of aggression and ways to reduce it. Staff supervision and training should highlight the need for understanding patients' perspectives.

Cited by 83 publications

References 21 publications

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based Study

Violence in the emergency department: An ethnographic study (Part I)

An Evaluation of Nurses' Interpersonal Styles and Their Experiences of Violence

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