The influence of staff training on the violence prevention and management climate in psychiatric inpatient units

Abstract

Violence prevention and management is an important part of inpatient psychiatric nursing and specific staff training is regarded essential. The training should be based on primary, secondary and tertiary prevention. In Stockholm, Sweden, the Bergen model is a staff-training programme that combines this preventive approach with the theoretical nursing framework of the City model that includes three staff factors: positive appreciation of patients, emotional regulation and effective structure. We evaluated this combination of the Bergen and City models on the violence prevention and management climate in psychiatric inpatient wards. A 13-item questionnaire was developed and distributed to patients and staff in 41 wards before the staff was trained and subsequently to 19 of these wards after training. Data analyses included factor analysis, Fisher's exact test and Mann-Whitney U-test. The result showed that the staff on trained wards had a more positive perception of four of the items and the patients of one item. These items reflected causes of patient aggression, ward rules, the staff's emotional regulation and early interventions. The findings suggest that a focus on three levels of prevention within a theoretical nursing framework may promote a more positive violence prevention and management climate on wards.

How to prevent workplace incivility?: Nurses' perspective

“…[35] Patients and staff in Sweden indicated that the rules in the ward are good for incivility and violence prevention. [47]…”

Internal workplace violence from colleagues is more strongly associated with poor health outcomes in nurses than violence from patients and families

“…In this study, internal violence was more strongly associated with poor health. Current occupational safety education protocols and management processes more often focus on external violence than internal violence; therefore, internal violence remains less addressed (Bjorkdahl, Hansebo, & Palmstierna, 2013;Dillon, 2012;Stagg & Sheridan, 2010). Current occupational safety education protocols and management processes more often focus on external violence than internal violence; therefore, internal violence remains less addressed (Bjorkdahl, Hansebo, & Palmstierna, 2013;Dillon, 2012;Stagg & Sheridan, 2010).…”

Systemic perspective of violence and aggression in mental health care: Towards a more comprehensive understanding and conceptualization: Part 2

“…Encouraging findings do exist in this body of work; the majority of studies found that trained employees tend to report increased confidence in comparison to untrained (see Bjorkdahl et al . ; Richter et al . ).…”