The antecedents of violence and aggression within psychiatric in‐patient settings

Papadopoulos, Chris; Ross, Jamie; Stewart, Duncan; Dack, Charlotte; James, Karen; Bowers, Len

doi:10.1111/j.1600-0447.2012.01827.x

Cited by 171 publications

(178 citation statements)

References 71 publications

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“…One qualitative study reported that when nurses feel pressured at work, distractions or miscommunications between patients and staff may arise, which may result in patient assaults (15). This supports earlier findings where high job strain, psychological distress (16), job demands ( 17), time pressure at work (9), and problems in staff-patient interaction (18,12) have been factors associated with patient assaults. Further, workplace support (16), interpersonal relationships between staff (8), quality of teamwork (9) and organizational justice (16) may likewise play a role in patient assaults.…”

Section: Introductionsupporting

confidence: 90%

Organizational Justice and Collaboration Among Nurses as Correlates of Violent Assaults by Patients in Psychiatric Care

Pekurinen

Välimäki

Virtanen

et al. 2017

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Objectives. This study tested the hypothesis that poor organizational justice and collaboration are associated with nurses' increased stress and the increased likelihood of violent assaults by patients.Methods: Cross-sectional survey was conducted in 90 psychiatric inpatient wards in five hospital districts and one regional hospital in Finland. 758 nurses (registered nurses or enrolled/mental health nurses) responded to the survey measuring psychosocial work environment and patient assaults. Self-administered postal questionnaires were used to assess organizational justice, collaboration, nurses' stress and patient violent assaults. Structural Equation Path Modeling (SEM) was used in model testing.Results: SEM did not support a mediating role of stress between organizational justice, collaboration between nurses, and patient violent assaults, due to non-significant dependencies between stress and both organizational justice and patients' assaults. However, low organizational justice and poor collaboration between nurses were associated with increased patient violent assaults in psychiatric inpatient settings (all p<0.05). The model explained 5.7 % of violent assaults at nearly significant levels (p=0.052). Conclusions:These findings suggest that organizational justice, collaboration between staff members and patient violent assaults are linked in psychiatric inpatient settings. Evaluating a variety of factors, including issues related to organizational justice and collaboration among nurses, may be useful to minimize assaults by patients in psychiatric settings.3

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Section: Introductionsupporting

confidence: 90%

Organizational Justice and Collaboration Among Nurses as Correlates of Violent Assaults by Patients in Psychiatric Care

Pekurinen

Välimäki

Virtanen

et al. 2017

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“…We acknowledge that patient demographics, clinical characteristics and patient behaviours are not the only determinants of violence on inpatient units. Other potential contributory factors include staff variables, features of the physical environment and external influences such as family stress, 28,29 but these data were not available.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to recognise that the smoke-free policy includes tobacco dependence treatment, staff training, and allowing the use of ecigarettes. A systematic review of violence in psychiatric inpatient settings found staff-patient interactions to be the most frequent antecedent to violence and aggression, 28 so the provision of tobacco dependence treatment, staff training or other aspects of the policy may contribute to changing the culture of how psychiatric staff address smoking with patients. Confidence in the findings would be increased by repetition of the study in other settings.…”

Section: Discussionmentioning

confidence: 99%

Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis

Robson

Spaducci

McNeill

et al. 2017

The Lancet Psychiatry

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(2017) Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis. Lancet Psychiatry, 4 (7). pp. 540-546. ISSN 2215-0374 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/44243/1/The%20effect%20of%20implementing%20a %20smoke-free%20policy%20on%20physical%20violence%20within%20a%20psychiatric %20inpatient%20settingaccepted_version.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution Non-commercial No Derivatives licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by-nc-nd/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.

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“…Aggression may be due to psychosocial-environmental influences; the interaction of patients, relatives, and staff; the culture of the inpatient setting; or some combination of these (Hamrin, Iennaco, & Olsen, 2009 The first system is the microsystem, which incorporates the patient's interactions in the immediate setting (e.g., restricting patients' freedom in the inpatient unit (Papadopoulos et al, 2012) with other people (e.g., incapacity of elderly patients with dementia to communicate effectively (Duxbury, Pulsford, Hadi, & Sykes, 2013) and inadequate staff-topatient communication Pulsford et al, 2011), and with symbols and language (the semiotic system). Influences at this level include, for instance, service user characteristics (e.g., sociodemographic, psychological, personality and biological factors, symptomatology, and cognitive functioning) and his or her interactions with other patients, clinicians, and relatives.…”

Section: Ecological Theory Of the Causes Of Aggressionmentioning

confidence: 99%

Factors Influencing Clinicians’ Attitudes about Aggression in Australian Acute Old Age Psychiatry Inpatient Units: A Cross Sectional Survey Design

McCann

Baird²,

Muir‐Cochrane

2014

Issues in Mental Health Nursing

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Patient aggression occurs in old age psychiatry and is problematic. The aim of this study is to identify the factors that influence clinicians' attitudes toward aggression in old age psychiatry. Eighty-five individuals, comprising nurses (n = 75) and medical and allied health staff (n = 10), completed the questionnaire. The results show that gender, profession, and work experience do not affect attitudes toward aggression. A low score indicated agreement with an attitudinal statement. However, younger age, better higher level of completed education, and place of work increased the likelihood of participants endorsing the questionnaire's attitudinal statements about aggression. The findings suggest clinicians' attitudes may affect the way they attempt to prevent and manage aggression.

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The antecedents of violence and aggression within psychiatric in‐patient settings

Abstract: This review underscores the influence that staff have in making in-patient psychiatric wards safe and efficacious environments.

Cited by 171 publications

References 71 publications

Organizational Justice and Collaboration Among Nurses as Correlates of Violent Assaults by Patients in Psychiatric Care

Organizational Justice and Collaboration Among Nurses as Correlates of Violent Assaults by Patients in Psychiatric Care

Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis

Factors Influencing Clinicians’ Attitudes about Aggression in Australian Acute Old Age Psychiatry Inpatient Units: A Cross Sectional Survey Design

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