Violence and Aggression in Psychiatric Units

Owen, Cathy; Tarantello, Concetta; Jones, Michael David; Tennant, Christopher

doi:10.1176/ps.49.11.1452

Cited by 219 publications

(189 citation statements)

References 31 publications

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“…[11,[17][18][19] Diğer yandan, toplumda agresyon ve şiddet eylemlerinin modern sosyal örüntüleri yansıtır şekilde artışı, bu tür olayların sağlık kurumlarında ve psikiyatri servislerinde de çoğalması-nı kaçınılmaz hale getirebilmektedir. [20] Psikiyatri servislerinde agresyon ve şiddetin ele alındığı çalışmalarda, agresyona en fazla maruz kalanların bu servislerde çalışan hemşireler olduğu ve hatta hasta agresyonunun hemşirelik mesleğini bırakmaya neden olan önemli faktörler-den biri olduğu belirtilmektedir.…”

Section: Epidemiyolojiunclassified

“…[9] Dürtü kuramının klinik uygulamalara yansıması, psikiyatri servislerinde şiddet riskini artırabilen hasta-personel etkileşimlerinin doğasını ortaya koymak amacıyla yapılan çalışmalarda görülmektedir. [17,41] Sosyal öğrenme kuramı, agresyonun bir ya da sınırlı sayıda önemli faktörden doğduğunu ileri süren içgüdüsel/dürtüsel agresyon görüşünün aksine, agresyonun geniş ve çeşitli koşul-lar bağlamında ortaya çıktığına inanmaktadır. Karmaşık yapıda olan birçok becerinin diğer kişileri gözleyerek dolaylı bir yoldan öğrenildiği savından hareketle, Bandura, aile üyeleri, alt kültürler ve medyanın, agresif davranışları modellemede üç temel kaynak olduğunu belirtmiştir.…”

Section: Dürtü Kuramıunclassified

“…[60,69] Psikiyatri servislerinde agresyon ve şiddetin tahmin edilmesine yönelik çalışmalarda, ayrı ayrı hastalar, ortam ve ça-lışanlarla ilgili faktörlere odaklanıldığı, davranışın kesin bir biçimde tahmin edilmesinde tek bir modelde birçok faktörün bir araya getirilmesinin gerektiği; psikiyatri bakımında, hastalardan diğerlerine yönelik agresyonu değerlendirme ve yö-netme zorunluluğunun daima var olduğu ileri sürülmektedir. [17,24,25] Secker ve ark. (2004)'na göre, tanımlanan risklerin hiç-biri statik değildir; yani, hastaya ait, personele ait, durumsaletkileşimsel ya da çevreye ait özellikler birbirleriyle etkileşime geçerek, servislerde agresif olayların meydana gelmesini etkilemektedir.…”

Section: Psikiyatri Servislerinde Agresyonun Oluşumunu Etkileyen Faktunclassified

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Aggression in Psychiatry Wards

Bilgin¹,

Özcan²

2012

Psi Hem Derg

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ÖZETPsikiyatri kurumlarında saldırı ve şiddet olayları, hastalara ve çalışanlara zarar vermekte, hastalar ve çalışanlar arasındaki ilişkiyi bozmakta ve terapötik ortama karşı bir tehdit oluşturmaktadır. Agresyon, klinik ortamı tahrip eden yapısı nedeniyle, psikiyatri bakımında en önemli uğraş alanlarından biridir. Agresyonu önlemeye/gidermeye yönelik girişimler, geçerli ve açıklayıcı bir model kapsamında tanımlandığında ve uygulandığında etkili olabilecektir. Böylece, maruz kalınan olaylar fark edilebilecek, bildirilebilecek, kayıt altına alınabilecek ve sistematik şekilde ele alınabilecektir. Bu derleme, psikiyatri servislerinde agresif olayların giderilmesini/en aza indirilmesini sağlayacak "koruyucu önlemlerin geliştirilmesinde", doğası, oluşumu, ortaya çıkışına katkıda bulunan faktörler ve etkileri çerçevesinde agresyon kavramını tanıtmak amacıyla literatür doğrultusunda bilgi vermeyi amaçlamıştır.

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Section: Epidemiyolojiunclassified

Section: Dürtü Kuramıunclassified

Section: Psikiyatri Servislerinde Agresyonun Oluşumunu Etkileyen Faktunclassified

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Aggression in Psychiatry Wards

Bilgin¹,

Özcan²

2012

Psi Hem Derg

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“…[1][2][3] It is clear that the downsizing of psychiatric hospitals and changes to mental health legislation have restricted access to inpatient care to the most difficult and disturbed patients in the system, 4 with the resultant loss of higher functioning patients, who may act as buffers for the more disturbed patients. The effects of substance misuse and non-adherence to prescribed medications add to the risk of violence in this group.…”

Section: What Are the Implications For Practice?mentioning

confidence: 99%

Reducing aggressive behaviour and staff injuries: a multi-strategy approach

Meehan¹,

Fjeldsoe²,

Stedman³

et al. 2006

Aust. Health Review

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Objective: To evaluate the impact of a multistrategy approach on the management of patient aggression and staff injury rates at a stand-alone mental health facility. Methods:A multi-strategy aggression management program was developed and introduced over a 2-year period. The program had four components; staff education/training, a staff support program, risk assessment tools, and a computerised incident monitoring system. Aggressive incidents by patients, staff injuries due to patient aggression and compensation payments to staff for the 2-year period before implementation of the aggression management program were compared with the 3-year period following implementation of the program.Results: There was a significant decrease in the number of staff injuries reported in the 3-year period following the implementation of the aggression management program. Although the number of aggressive incidents reported did decrease over the study period, the decrease was not statistically significant. Conclusions:Despite the increasing acuity of the clients at the study facility, there was a significant decrease in staff injuries due to aggressive behaviour. The strategies implemented seem to offset the potential for violence. It is likely that the combined impact of the strategies is greater than the impact of individual strategies implemented

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“…Clinical studies on the exact nature of patient-staff interactions that may increase the risk of violence in psychiatric wards are steadily growing in number (e.g., Nijman, Merkelbach, Allert, & a Campo, 1997). A strong relationship between problems of communication in staff-patient interactions and the increased risk of violence is documented in several studies (Owen, Tarantello, Jones, & Tenant, 1998;Whittington & Wykes, 1996). Shah, Fineberg, and James (1991) argued that authoritarian staff attitudes and lack of communication between staff and patient may elicit violence.…”

Section: Psychological Theories Of Aggressionmentioning

confidence: 99%

Locating Training Within a Strategic Organizational Response to Aggression and Violence

McKenna

Paterson

Violence in Mental Health Settings

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Aggression and violence are studied in a variety of disciplines. However, it is difficult to study human aggression directly, because it occurs sporadically and people often have reasons for not acknowledging or reporting it. This methodological complexity is probably reflected in the fact that each scientific discipline has its own level of analysis and develops its own set of theories and methods to explain aggression. This chapter deals with theoretical issues related to psychological approaches to aggression. Three main groups of aggression theories are examined: Psychoanalytic, drive and learning theory. The reciprocal relationship between theory, definition of aggression and study method is addressed in this chapter. Another aim is to give a critical review of definitional, methodological and theoretical strengths and shortcomings pertaining to the three historically dominant theories of aggression presented here. A final scope is to discuss the current clinical relevance of the individual theory concerning the treatment of violent mentally ill patients. INTRODUCTIONAggression, violence, and related behaviors have been studied in a wide range of disciplines including anthropology, biology, economy, political science, communication research, history, and sociology. In the present chapter, however, the primary focus is on psychological theories of human aggression. Elements from other disciplines, e.g., biology, sociology, etc., are only addressed provided they constitute naturally integrated parts of the actual psychological theory of aggression. Important issues such as the mutual relationship between genetics and psychosocial factors, gender and age differences, and measurement issues are not dealt with unless such topics are emphasized in the individual theory.It is well known that human aggression is not an easy field to study. In this respect, the heterogeneous nature of the term "aggression" constitutes a major complicating factor. Bandura (1973) claimed that conducting research in this field was like entering a semantic jungle of ideas that span an ample range of phenomena and activities. A study in a Dutch psychiatric hospital illustrates the clinical relevance of Bandura's point very well (Finnema, Dassen, & Halfens, 1994). Finnema and co-workers interviewed nurses working in a psychiatric hospital to find out more of how they perceived and characterized patient aggression. Most of the nurses acknowledged positive as well as negative aspects of aggressive behavior. However, the descriptions of aggression varied considerably and the authors concluded that "it was not possible to formulate a general definition of aggression on the basis of the results of the study" (Finnema et al., p. 1088). One may question how the nurses managed to plan and coordinate treatment interventions in relation to aggressive incidents when they apparently were unable to share a common definition of the phenomenon. It is claimed here that the definitional issue described above illustrates a situation representative...

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Violence and Aggression in Psychiatric Units

Abstract: Violent incidents in psychiatric settings are a frequent and serious problem. Incidents appear to be underreported, and the seriousness of an incident does not guarantee it will be reported.

Cited by 219 publications

References 31 publications

Aggression in Psychiatry Wards

Aggression in Psychiatry Wards

Reducing aggressive behaviour and staff injuries: a multi-strategy approach

Locating Training Within a Strategic Organizational Response to Aggression and Violence

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