The Attitudes of Nurses Towards Inpatient Aggression And Selected Staff Characteristics: a Cross-sectional Study
DOI:
https://doi.org/10.46585/hc.2022.1.1706Klíčová slova:
nurse, attitude, aggression, patient, hospitalizationAbstrakt
Introduction: The attitude of nurses to the patient aggression may also reflect how they interpret its function or what meaning they attribute to aggressive patient behaviour. These attitudes are subsequently manifested in the way, in which nurses behave towards aggressive patients and manage aggression. Methods: The study aimed to identify the attitudes of nurses from various clinical areas to the inpatient aggression and to reveal differences in attitudes based on selected staff characteristics. The study has a quantitative cross-sectional design. Nurses’ attitudes towards the inpatient aggression were identified by means of the Attitude Towards Aggression Scale (ATAS©) distinguishing five types of attitudes represented by five domains named as offensive, destructive, intrusive, communicative, and protective domains. The prevalence of patient aggression towards nurses was determined using the Violence and Aggression of Patients Scale (VAPS). The sample consisted of 1220 nurses from nine selected faculty or university hospitals in the Slovak Republic. Results: The highest scores were identified in the ATAS© domains representing a negative perception of patient aggression in terms of destruction, offensive, or intrusion; on the other hand, nurses were open also to a positive perception of patient aggression. Conclusion: The results of our study point to the need for a deeper investigation into the issue of nurses’ attitudes towards aggressive patients. Nurses’ negative attitudes towards patient aggression can have an adverse effect on the quality of care provided to aggressive patients, thus it is crucial to identify these attitudes and implement lifelong-learning interventions to reduce them.
Stažení
Reference
Al-Awawdeh, H., Russo S., & Alkaissi A. (2016). Nurses’ Attitudes and Practices towards Inpatient Aggression in a Palestinian Mental Health Hospital. Research on Humanities and Social Sciences, 6(6), 21-45. https://staff.najah.edu/media/published_research/2019/01/12/29427-32222-1-PB.pdf
Arguvanl, S.Ç., Karataş, N., Başer, M., & Zararsiz, G. (2015). Effect of aggression management training program on knowledge and attitudes of nurses working at psychiatric clinics. Anatolian Journal of Psychiatry, 16(5), 323-328.https://alpha-psychiatry.com/Content/files/sayilar/81/323-328.pdf
Coneo, A. M. C., Thompson, A. R., Parker, K., & Harrison, G. (2020). The outcome of a training programme (RESPECT) on staff’s attitudes towards causes and management of aggression in a Regional Referral Hospital of northern Uganda. Journal of Psychiatric and Mental Health Nursing, 27(1), 25-40. https://onlinelibrary.wiley.com/doi/10.1111/jpm.12549
Dimunová, L., & Žemličková, A. (2020). Patient aggression toward nurses in relation to the selected socio-demographic factors, Zdravotnícke listy, 8(1), 54-59. https://zl.tnuni.sk/fileadmin/Archiv/2020/2020-8.c.1/ZL_2020_8_1_09_Dimunova.pdf
Doedens, P., Vermeulen, J., Boyette, L. L., Latour, C., & de Haan, L. (2019). Influence of nursing staff attitudes and characteristics on the use of coercive measures in acute mental health services – A systematic review. Journal of Psychiatric and Mental Health Nursing, 27(4), 446-459. https://onlinelibrary.wiley.com/doi/10.1111/jpm.12586
Duxbury, J. (2002). An evaluation of staff and patient views of and strategies employed to manage inpatient aggression and violence on one mental health unit: a pluralistic design. Journal of Psychiatric and Mental Health Nursing, 9(3), 325–337. http://dx.doi.org/10.1046/j.1365-2850.2002.00497.x
Duxbury, J., & Whittington, R. (2005). Causes and management of patient aggression and violence: staff and patient perspectives. Journal of Advanced Nursing, 50(5), 469-478. https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2005.03426.x
Ezeobele, I. E., McBride, R., Engstrom, A., & Lane, S. D. (2019). Aggression in Acute Inpatient Psychiatric Care: A Survey of Staff Attitudes. Canadian Journal of Nursing Research, 51(3), 145-153. https://journals.sagepub.com/doi/abs/10.1177/0844562118823591
Gudde, C.B., Olsø, T.M., Whittington, R., & Vatne S. (2015). Service users’ experiences and views of aggressive situations in mental health care: a systematic review and thematic synthesis of qualitative studies. Journal of Multidisciplinary Healthcare, 8, 449–462. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599636/
Hahn, S., Needham, I., Abderhalden, C., Duxbury, J. A. D., & Halfens, R. J. G. (2006). The effect of a training course on mental health nurses' attitudes on the reasons of patient aggression and its management. Journal of Psychiatric and Mental Health Nursing, 13(2), 197-204. https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2850.2006.00941.x
Hamzaoglu, N., & Türk, B. (2019). Prevalence of Physical and Verbal Violence against Health Care Workers in Turkey. International Journal of Health Services, 49(4), 844-861. https://journals.sagepub.com/doi/10.1177/0020731419859828?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
Isaiah, O. O., Lawal A. B., Oluseyi, A. O., Adeolu, E., & Oluwamuyiwa, O. O. (2019). Experience and Attitude of Psychiatric Nurses toward Inpatient Aggression in a Nigerian Psychiatric Hospital. International Journal of Caring Sciences, 12(3), 1547-1560. http://internationaljournalofcaringsciences.org/docs/25_olabisi_original_12_3.pdf
Ismail, B. A. K. (2016). Nurses' Attitudes toward Causes and Management of Aggressive and Violent Behavior among Inpatients in Psychiatric Hospitals in Baghdad. IOSR Journal of Nursing and Health Science, 5(2), 26-34. https://www.iosrjournals.org/iosr-jnhs/papers/vol5-issue2/Version-2/C05222634.pdf
Jalil, R., Huber, J. V., Sixsmith, J., & Dickens, J. L. (2017). Mental health nurses’ emotions, exposure to patient aggression, attitudes to and use of coercive measures: Cross sectional questionnaire survey. International Journal of Nursing Studies, 75(10), 130-138. https://www.sciencedirect.com/science/article/pii/S0020748917301700?via%3Dihub
Janiczeková, E., & Lauková, J. (2021). Research into aggression in patients from the point of view of registered nurses in the Slovak Republic. Kontakt, 23(2), 69-75. https://kont.zsf.jcu.cz/pdfs/knt/2021/02/03.pdf
Jansen, G. J., Dassen, Th. W. N., & Moorer, P. (1997). The perception of aggression. Scandinavian Journal of Caring Sciences, 11(1), 51-55. https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1471-6712.1997.tb00430.x
Jansen, G. J. (2005). The attitude of nurses towards inpatient aggression in psychiatric Care: the development of an instrument s.n. [dissertation, University of Groningen, Department of Health Sciences, Division of Care Sciences]. https://pure.rug.nl/ws/portalfiles/portal/14508543/thesis.pdf
Jansen, G. J., Middel, B., & Dassen, Th. W. N. (2005). An international comparative study on the reliability and validity of the attitudes towards aggression scale. International Journal of Nursing Studies, 42(4), 467-477). https://www.sciencedirect.com/science/article/pii/S002074890400166X?via%3Dihub
Jansen, G. J., Dassen, Th. W. N., Burgerhof, J. G. M., & Middel, B. (2006a). Psychiatric Nurses' Attitudes towards Inpatient Aggression: Preliminary Report of the Development of Attitude Towards Aggression Scale (ATAS). Aggressive Behavior, 32(1), 44-53. https://onlinelibrary.wiley.com/doi/10.1002/ab.20106
Jansen, G. J., Middel, B., Dassen, Th. W. N., & Reijneveld, M. S. A. (2006b). Cross-Cultural Differences in Psychiatric Nurses' Attitudes to Inpatient Aggression. Archives of Psychiatric Nursing, 20(2), 82-93. https://www.sciencedirect.com/science/article/pii/S0883941705002852
Laiho, T., Lindberg, N., Joffe, G., Putkonen, H., Hottinen, A., Kontio, R., & Sailas, E. (2014). Psychiatric staff on the wards does not share attitudes on aggression. International Journal of Mental Health Systems, 8(1), 1-7. https://ijmhs.biomedcentral.com/articles/10.1186/1752-4458-8-14
Lepiešová, M., Čáp, J., Žiaková, K., & Nemčeková, M. (2012). Výskyt agresie pacientov voči sestrám – psychometrické vlastnosti meracieho nástroja. Ošetrovateľstvo: teória, výskum, vzdelávanie, 2(1), 26-32. http://www.osetrovatelstvo.eu/archiv/2012-rocnik-2/cislo-1/vyskyt-agresie-pacientov-voci-sestram-psychometricke-vlastnosti-meracieho-nastroja
Lepiešová, M., Tomagová, M., Bóriková, I., Farský, I., Žiaková, K., & Kurucová, R. (2015). Experience of nurses with in-patient aggression in the Slovak Republic. Central European Journal of Nursing and Midwifery, 6(3), 306-312. https://cejnm.osu.cz/pdfs/cjn/2015/03/06.pdf
Lepiešová, M., Farský, I., Zanovitová, M., Čáp, J., Žiaková, K., & Kalánková, D. (2021). The factors affecting patient aggression scale: psychometric testing of a new tool. Central European Journal Nursing and Midwifery, 12(2), 342-352. http://cejnm.osu.cz/artkey/cjn-202102-0003_the-factors-affecting-patient-aggression-scale-psychometric-testing-of-a-new-tool.php
Lickiewicz, J., Nag, T., Ravnanger, C., Jagielski, P., & Makara-Studzińska, M. (2019). The Perception of aggression towards the medical personnel of psychiatric wards in Poland and in Norway – a comparative analysis. Archives of Psychiatry and Psychotherapy, 21(3), 61-70. https://www.archivespp.pl/uploads/images/2019_21_3/61Lickiewicz_Archives_PP_3_2019.pdf
Lickiewicz, J., Hughes, P. P., & Makara‐Studzinska, M. (2021). Attitudes of psychiatric nurses towards aggression: A polish study. Journal of Psychiatric and Mental Health Nursing, 28(5), 856-8662021. https://pubmed.ncbi.nlm.nih.gov/33629500/
Nijman, H. L. I., á Campo J. M. L. G., Ravelli, D. P. & Merckelbach, H. L. G. J. (1999). A tentative model of aggression on in-patient psychiatric wards. Psychiatric Services, 50(6), 832-834. https://ps.psychiatryonline.org/doi/full/10.1176/ps.50.6.832
Nijman, H. L. I. (2002). A model of aggression in psychiatric hospitals. Acta Psychiatrica Scandinavica, 106(s412), 142-143. https://onlinelibrary.wiley.com/doi/full/10.1034/j.1600-0447.106.s412.30.x
Kit, W. W. (2016). Nurses’ attitude towards patient violence in emergency department. Nursing & Care Open Access Journal, 1(3), 30-31. https://medcraveonline.com/NCOAJ/nurses-attitude-towards-patient-violence-in-emergency-department.html
Kowalczuk, K., & Krajewska-Kułak, E. (2017). Patient aggression towards different professional groups of healthcare workers. Annals of Agricultural and Environmental Medicine, 24(1), 113-116. http://www.aaem.pl/Patient-aggression-towards-different-professional-groups-of-healthcare-workers,72619,0,2.html
Pekurinen, V., Willman, L., Virtanen, M., Kivimäki, M., Vahtera, J., & Välimäki, M. (2017). Patient Aggression and the Wellbeing of Nurses: A Cross-Sectional Survey Study in Psychiatric and Non-Psychiatric Settings. International Journal of Environmental Research and Public Health, 14(10), 1245-1259. https://www.mdpi.com/1660-4601/14/10/1245/htm
Sato, K., & Kodama, Y. (2021). Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study. BMJ Open, 11(1), e041711. https://bmjopen.bmj.com/content/bmjopen/11/1/e041711.full.pdf
Shi, L., Zhang, D., Zhou, C., Yang, L., Sun, T., Hao, T., Peng, X., Gao, L., Liu, W., Mu, Y., Han, Y., & Fan, L. (2017). A cross–sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses. BMJ Open, 7, e013105. https://bmjopen.bmj.com/content/bmjopen/7/6/e013105.full.pdf
Schablon, A., Wendeler, D., Kozak, A., Nienhaus, A., & Steinke, S. (2018). Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey. International Journal of Environmental Research and Public Health, 15(6), 1274-1292. https://www.mdpi.com/1660-4601/15/6/1274
Schober, P., Boer, C., Schwarte, L. A. (2018). Correlation Coefficients: Appropriate Use and Interpretation. Anesth Analg, 126(5),1763-1768. https://journals.lww.com/anesthesia-analgesia/Fulltext/2018/05000/Correlation_Coefficients__Appropriate_Use_and.50.aspx
Somani, R., Muntaner, C., Hillan, E., Velonis, A. J., & Smith, P. (2021). A Systematic Review: Effectiveness of Interventions to De-escalate Workplace Violence against Nurses in Healthcare Settings. Safety and Health at Work, 12(3), 289-295. https://www.sciencedirect.com/science/article/pii/S2093791121000354
Thompson, R., Thomson, H., Gaskin, C. J., & Plummer, V. (2019). Nurses' Attitudes Toward Management of Clinical Aggression: A Mixed Methods Study Using Actor-Based Simulation. Medsurg Nursing, 28(4), 219-233. https://www.proquest.com/docview/2277337204?pq-origsite=gscholar&fromopenview=true
Trahan, R. (2018). PTSD Symptomatology in Neurology Nurses who Experience Verbal and Physical Abuse from Patients and Families. Nursing & Healthcare International Journal, 2(2), 1-10. https://medwinpublishers.com/NHIJ/NHIJ16000144.pdf
Trindade, L. L., Ribeiro, S. T., Zanatta, E. A., Vendurscolo, C., & Dal Pai, D. (2019). Verbal aggression in nursing work at the hospital. Revista Eletrônica De Enfermagem, 21, 54333. https://www.revistas.ufg.br/fen/article/view/54333/34554
Verhaeghe, S., Duprez, V., Beeckman D., Leys, J., Berno Van Meijel, B., & Van Hecke, A. (2016). Mental Health Nurses' Attitudes and Perceived Self-Efficacy toward Inpatient Aggression: A Cross-Sectional Study of Associations with Nurse-Related Characteristics. Perspectives in Psychiatric Care, 52(1), 12-24. https://onlinelibrary.wiley.com/doi/10.1111/ppc.12097
Stahování
Publikováno
Jak citovat
Číslo
Sekce
Licence
Copyright (c) 2022 Martina Tomagová, Martina Lepiešová, Ivana Bóriková, Radka Kurucová, Juraj Čáp
Tato práce je licencována pod Mezinárodní licencí Creative Commons Attribution-NonCommercial 4.0.
