Re-framing the Problem of Workplace Violence Directed Towards Nurses in Mental Health Services in the UK: a Work in Progress

Paterson, Brodie; Leadbetter, David; Miller, Gail; Bowie, Vaughan

doi:10.1177/0020764008099692

Cited by 18 publications

(24 citation statements)

References 37 publications

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“…However, this view has been explicitly rejected in recent research and guidance on managing clinical aggression (Oud ; Paterson et al . ; Richter ). The GAM integrates multiple theories to present a framework for understanding aggression.…”

Section: Introductionmentioning

confidence: 99%

Optimizing arousal to manage aggression: A pilot study of sensory modulation

Sutton

Wilson

Kessel

et al. 2013

Int J Mental Health Nurs

146

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The dominant model that informs clinical training for preventing violence and managing aggression posits arousal as mediated downwards from higher cortical structures. This view results in an often-misplaced reliance on verbal and cognitive techniques for de-escalation. The emergence of sensory modulation, via the Six Core Strategies, is an alternative or complementary approach that is associated with reduced rates of seclusion and restraint. Sensory-based interventions are thought to promote adaptive regulation of arousal and emotion, but this connection has had limited theoretical and empirical development. This paper presents results of a pilot trial of sensory-based interventions in four inpatient mental health units in New Zealand. Narrative analysis of interview and focus group data suggest that modifications to the environment and the use of soothing stimuli moderate or optimize arousal and promote an ability to adaptively regulate emotion. Findings are discussed in light of recent advances in the neurophysiology of emotional regulation and the General Aggression Model that posits arousal and maladaptive emotional regulation as precursors to aggression.

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Section: Introductionmentioning

confidence: 99%

Optimizing arousal to manage aggression: A pilot study of sensory modulation

Sutton

Wilson

Kessel

et al. 2013

Int J Mental Health Nurs

146

View full text Add to dashboard Cite

show abstract

“…Many of the patterns of violence we discuss are also identified in other works, including the everyday nature of violence, horizontal violence, violence from physicians, assault, emotional abuse, and harassment from patients and families, and analyses of particular practice settings (Canton et al, 2007;Henderson, 2003;Higgins & MacIntosh, 2010;Howerton Child & Mentes, 2010;Paterson et al, 2010;Pich et al, 2010). Our findings also buttress many of the discussions already in the literature about the paucity of supports for nurses within their work environments and the implications of this gap for nurses' health and well-being, recruitment and retention, and the implications for patient care (Baumann et al, 2001;Howerton Child & Mentes, 2010;O'Brien-Pallas & Wang, 2006;Omeri, 2006;Papadopolou, 2009).…”

Section: Discussionmentioning

confidence: 80%

“…This is an international phenomenon; the International Council of Nurses (2006) reports that violence against nurses is three times more likely than it is for any other professional group. An abundance of international literature identifies nurses' increased exposure to violence in many and varied countries around the world, including Australia (Pich, Hazelton, Sundin, & Kable, 2010), Finland (Virkki, 2008), Iraq (AbuAlRub, Khalifa, & Habbib, 2007), Greece (Papadopoulou, 2009), Italy (Zampieron, Galeazzo, Turra, & Buja, 2010, Scotland (Paterson, Leadbetter, Miller, & Bowie, 2010), China (Lee, Pai, & Yen, 2010), and New Zealand (VenturaMadangeng & Wilson, 2009). …”

Section: Introductionmentioning

confidence: 99%

Walking the Talk: Insights Into Dynamics of Race and Gender for Nurses

Choiniere

MacDonnell

Shamonda

2010

Policy, Politics, & Nursing Practice

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This article explores how the dynamics of violence and support for nurses are influenced by the intersections of race, gender, and other social relations in various practice settings. Utilizing a qualitative study design, situated in the naturalistic and critical paradigms, this article is grounded in the experiences of key informants (KIs), each possessing significant expertise on issues of equity and violence, as well as insight into the current practice settings in Ontario, Canada. The individual KI interviews were analyzed using conventional qualitative content analysis, with its focus on capturing emerging insights. The findings reflect the everyday nature of gendered and racialized violence, the influence of setting and the effectiveness of existing resources. Professional, organizational, and broader policy implications are discussed to support diversely situated nurses within their various practice environments.

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“…Menzies, 1960;Benson et al 2003;Paterson et al 2010) warns against assuming change will be perceived positively. There is insufficient scope to discuss in full the nature of the NHS culture and the function of discourses from within it, suffice to say that the literature surrounding this topic (e.g.…”

Section: Discussionmentioning

confidence: 99%

Identifying mitigating and challenging beliefs in dealing with threatening patients: an analysis of experiences of clinicians working in a psychiatric intensive care unit

Evans

Petter

2012

J. Psychiatr. Intensive Care

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Background: Staff working on psychiatric intensive care units (PICUs) are routinely exposed to aggression or threats of aggression from the patients they care for. This phenomenon is identified as an ongoing factor that influences both work performance as well as staff sickness, and as such requires understanding and management.Aims & method: This study utilized questionnaires assessing the extent to which PICU staff thought violence was a problem and how safe and supported they felt. Semi-structured interviews were conducted with five nurses to gather in-depth information on the factors involved in perceptions of safety and support.Results: The analysis indicated that as a whole, staff feel safe and supported by their immediate team. Interview analysis produced two main domains and ten sub-domains of experiences that contribute to managing threats, these being grouped in either personal or systemic factors. It particularly highlighted that although patient aggression is a concern, the perception of threat most directly relates to beliefs about a lack of support from other teams and senior management, not the patients themselves.Conclusions: More research and attention is needed on systemic factors in the management of threatening patients.

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Re-framing the Problem of Workplace Violence Directed Towards Nurses in Mental Health Services in the UK: a Work in Progress

Abstract: The influence of these frames has influenced the nature of responses to the problem but the recent dominance of the individualizing frame is being challenged by the emergence, or perhaps re-emergence, of co-creationism.

Cited by 18 publications

References 37 publications

Optimizing arousal to manage aggression: A pilot study of sensory modulation

Optimizing arousal to manage aggression: A pilot study of sensory modulation

Walking the Talk: Insights Into Dynamics of Race and Gender for Nurses

Identifying mitigating and challenging beliefs in dealing with threatening patients: an analysis of experiences of clinicians working in a psychiatric intensive care unit

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