Views of Mental Health Nurses on Responding to Clinical Aggression on General Wards.

Michael Olasoji, Kathryn Henderson, Liza Hopkins, Sandra Keppich-Arnold, Bindu Joseph
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Abstract

The overall aim of this study was to explore the views of mental health nurses (MHNs) about their experience of responding to workplace violence (WPV) and aggression (code greys and blacks) within acute general wards. WPV continues to pose a significant source of challenge within healthcare settings despite several initiatives that have been trialled over the years. It has the potential to impact patient care and overall staff health and well-being. Nurses play a significant role in the management of WPV; hence, it is important to understand how they respond to and manage incidents of WPV. The study design was an explorative descriptive qualitative design. Data were collected through semi-structured interviews involving n = 10 MHNs working within a mental health consultation liaison team that responds to incidents of violence and aggression (codes grey and black) in acute general wards. Participants were recruited using a convenient sampling method. Data were analysed using thematic analysis. The findings of this study highlighted the following themes: (1) Patient care (subthemes: patient frustration with hospital processes, lack of time and resources); (2) Staffing skills and confidence (subthemes: lack of adequate training, inability to intervene early and communication skills); (3) Understanding patient behaviours (subthemes: it's a psychiatry problem and zero tolerance approach). The management of WPV within acute hospital settings needs to be given due attention by healthcare services. Although a number of organisations are developing measures and guidelines to manage WPV, there is still a gap in the ability of general nursing staff to properly manage such incidences. Proper attention needs to be taken to the training of staff.

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精神科护士对普通病房应对临床攻击行为的看法。
本研究的总体目标是探讨心理健康护士(MHNs)在应对急诊普通病房内的工作场所暴力(WPV)和攻击行为(代号灰黑色)时的经验。尽管多年来已试行了多项措施,但工作场所暴力仍是医疗机构面临的一大挑战。它有可能影响病人护理和整体员工的健康和福利。护士在管理 WPV 方面发挥着重要作用;因此,了解护士如何应对和管理 WPV 事件非常重要。本研究采用探索性描述定性设计。研究人员通过半结构式访谈收集数据,访谈对象包括在精神健康咨询联络小组工作的 n = 10 名精神健康护士,该小组负责应对急诊普通病房的暴力和攻击事件(灰色和黑色代码)。采用方便抽样的方法招募参与者。采用主题分析法对数据进行了分析。研究结果突出了以下主题:(1) 患者护理(副主题:患者对医院流程的不满、缺乏时间和资源);(2) 员工技能和信心(副主题:缺乏足够的培训、无法及早干预和沟通技巧);(3) 理解患者行为(副主题:这是一个精神病学问题和零容忍方法)。医疗服务机构应充分重视在急症医院环境中对 WPV 的管理。尽管许多机构正在制定管理 WPV 的措施和指南,但普通护理人员在妥善处理此类事件的能力方面仍存在差距。需要适当关注对员工的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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