西北省精神保健机构中护理有暴力和攻击行为的精神保健使用者的护士的应对策略

Motlagomang Patience Sehularo, Annatjie van der Wath, Nombulelo Veronica Sepeng
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引用次数: 0

摘要

背景精神疾病患者表现出的暴力和攻击行为是精神医疗机构的一个严重问题。与普通医疗机构的医护人员相比,在精神医疗机构工作的护士更容易接触到病人的暴力行为。因此,本研究旨在探索和描述西北省精神医疗机构中护士应对暴力和攻击行为的策略。研究方法 本研究采用定性-探索-描述和背景研究设计。2023 年 8 月和 9 月,研究人员在西北省(南非九个省之一)的两家公立精神卫生医疗机构中,采用面对面的半结构化个人访谈和实地记录的方法收集数据。研究人员和一名独立的编码员使用主题分析法对数据进行了分析。结果发现了四个主题,即:导致暴力和攻击行为的因素、护理表现出暴力和攻击行为的精神健康护理使用者的负面经验、护士使用的应对策略以及加强有效应对暴力和攻击行为的建议。结论虽然护士的负面经历影响了她们的应对方式,但她们也分享了有效的应对策略,即以信仰为基础的做法、以问题为中心的应对策略、以评价为中心的应对策略、以情绪为中心的策略和社会应对。
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Coping strategies of nurses caring for mental health care users displaying violent and aggressive behaviour in mental health care institutions in North West province

Background

Mental health care users displaying violent and aggressive behaviour is a serious concern in mental health care institutions. Nurses working in mental health care institutions are more exposed to patient violence compared to health care professionals in general health settings. However, there is limited evidence regarding the strategies used by nurses to cope with violent and aggressive behaviour in mental health care institutions, particularly in the North West province.

Aim

The aim of the study was therefore to explore and describe the strategies used by nurses to cope with violent and aggressive behaviour in mental health care institutions in North West province.

Methods

A qualitative-exploratory-descriptive and contextual research design guided the study. Face-to-face semi-structured individual interviews and field notes were used to collect data in August and September 2023 at two public mental health care institutions in North West which is one of the nine provinces in South Africa. The data was analysed by the researcher and an independent coder using thematic analysis.

Results

Four themes emerged, namely: factors contributing to violence and aggression, negative experiences in caring for mental health care users displaying violent and aggressive behaviour, coping strategies used by nurses, and suggestions to enhance effective coping with violent and aggressive behaviour. Effective coping strategies mentioned by nurses include problem-focused coping strategies, appraisal-focused coping strategies and social-focused coping strategies.

Conclusion

Although nurses had had negative experiences that affected their coping, they also shared effective coping strategies, namely faith-based practices, problem-focused coping strategies, appraisal-focused coping strategies, emotion-focused strategies and social coping.
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
期刊最新文献
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