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Mental health nurse aggression

Birgitta Langhammer, Mette Sagbakken, Kari Kvaal, Ingun Ulstein, Dagfinn Nåden, May Karin Rognstad
The purpose of the current study was to evaluate whether a combined intervention of physical activity and music therapy could reduce anxiety, restlessness, irritability, and aggression among individuals with severe dementia. An exploratory design was used to evaluate a combined intervention of physical activity, music therapy, and daily walking. Interventions were systematically implemented for 8 weeks. Target groups were individuals with dementia with frontal lobe symptoms in institutional care. Primary outcome measure was the Brøset Violence Checklist (BVC)...
February 8, 2019: Journal of Psychosocial Nursing and Mental Health Services
Mi-Kyoung Cho, Hee Chong Baek, Gisoo Shin
Verbal bullying among adolescents, which has become increasingly prevalent in recent years, often involves swearing or sexually ridiculing one's family members or peers. Because many factors underlying the initiation of verbal bullying remain unknown, Giorgi's phenomenological method was used to examine the essence and meaning of verbal bullying among adolescents, which is an urgent issue in the field of nursing in South Korea. In this descriptive phenomenological study, researchers examined the behavior of 16 adolescents...
February 8, 2019: Journal of Psychosocial Nursing and Mental Health Services
Niall Higgins, Thomas Meehan, Nathan Dart, Michael Kilshaw, Lisa Fawcett
BACKGROUND: The Safewards model is gaining increasing acceptance in the mental health field in Australia and overseas. One of the most important goals of inpatient psychiatric services is to provide a safe and therapeutic environment for both patients and staff. However, this goal can be difficult to achieve if staff-patient interaction is not conducive to preventing violence and aggression. OBJECTIVE: The purpose of this study was to explore nursing staff perceptions of the factors impacting on their capacity to establish Safewards in acute adult inpatient wards...
August 23, 2018: International Journal of Nursing Studies
Barbara J Limandri
Treatment-resistant depression (TRD) refers to depression that fails to remit after at least two to four medication and psychotherapy treatment strategies. TRD carries significant personal burden and risk for suicide and poses substantial burden to society. Less than 30% of individuals diagnosed with major depressive disorder achieve complete remission of symptoms. Using the evidence-based predictors of TRD in the initial assessment of patients, clinicians can arrive at a treatment plan to improve outcomes...
September 1, 2018: Journal of Psychosocial Nursing and Mental Health Services
Faisil Sethi, John Parkes, Eric Baskind, Brodie Paterson, Aileen O'Brien
SummaryThe emergence of a drive to reduce restrictive interventions has been accompanied particularly in the UK by a debate focussing on restraint positions. Any restraint intervention delivered poorly can potentially lead to serious negative outcomes. More research is required to reliably state the risk attached to a particular position in a particular clinical circumstance.Declaration of interestF.S. is a consultant psychiatrist in Psychiatric Intensive Care at the Maudsley Hospital, London. He is on the Executive Committee of the National Association of Psychiatric Intensive Care and Low Secure Units, and was a member of the National Institute for Health and Care Excellence Guideline Development Group for the Short-Term Management of Aggression and Violence (2015)...
March 2018: British Journal of Psychiatry: the Journal of Mental Science
Eric Lim, Dianne Wynaden, Karen Heslop
Consumer aggression is common in acute mental health settings and can result in direct or vicarious psychological or physical impacts for both consumers and health professionals. Using recovery-focused care, nurses can implement a range of strategies to reduce aggression and empower consumers to self-regulate their behaviour, when faced with challenging situations, such as admission to the acute care setting. Currently, there is limited literature to direct nurses in the use of recovery-focused care and how it can be used to reduce consumer aggression...
July 19, 2018: International Journal of Mental Health Nursing
Teris Cheung, Jolene Mui, Yuen Shan Ho, Wai Tong Chien
Background : This study set out to examine the psychometric properties of C_MAVAS, a newly Chinese-translated version of MAVAS, a 27-item scale assessing healthcare professionals' attitudes to the management of patient violence. Method : The English version of the MAVAS was translated and back-translated to come up with C_MAVAS. A convenience sample of 262 qualified mental health nurses working in a local psychiatric hospital was recruited. Exploratory factor analysis tested C_MAVAS's construct validity. Results : Content validity of the C_MAVAS was very satisfactory with validity indices of 97...
July 16, 2018: International Journal of Environmental Research and Public Health
Angela Jury, Jennifer Lai, Charito Tuason, Ashley Koning, Mark Smith, Lois Boyd, Caro Swanson, David Fergusson, Angela Gruar
The Health of the Nation Outcomes Scales (HoNOS) provides an overview of a person's behaviour, impairment, clinical symptoms, and social functioning. This study investigated the profile of people who had been secluded in New Zealand's adult mental health inpatient services using 12 individual HoNOS ratings. Routinely collected clinical data were extracted from the Programme for the Integration of Mental Health Data (PRIMHD). This is the national data set for mental health and addiction services. A logistic regression model was fitted to the data which adjusted for age, sex, ethnicity, bed nights, compulsory treatment, and district health board...
July 16, 2018: International Journal of Mental Health Nursing
Paul Edwards, Thea van de Mortel, John Stevens
Problematic anger is often the outward manifestation and expression of deeper mental health issues in young men with strong links to depression, aggression, and suicide. Few studies have explored adolescent anger and aggression from the perspective of adolescent males and even fewer studies focus specifically on a rural context. This research aimed to understand the role of anger and aggression from the perspective of Australian rural adolescent males. Mental health nurses can build upon this knowledge to promote more adaptive ways of coping with anger therefore identifying specific interventions for the prevention of violence and promotion of mental health in this cohort...
July 11, 2018: International Journal of Mental Health Nursing
Barbara J Limandri
In the United States, benzodiazepine medication use is the secondary epidemic to opioid drug use and carries serious consequences as well, even though its use is enabled by well-intended clinicians. Benzodiazepine drugs are intended for short-term use, not to exceed 2 to 4 weeks; yet, it is common for clients to be taking benzodiazepine medications for up to 10 years. In addition to dependence or addiction, adverse effects include depression, emotional blunting, ataxia, aggression, irritability, nervousness, and cognitive impairment...
May 1, 2018: Journal of Psychosocial Nursing and Mental Health Services
Abd Alhadi Hasan, Hussein Tumah
PURPOSE: Psychiatric nurses encounter variety of demanding and stressful events such as dealing with aggressive patients, and hostile. This study purposed to assess workplace stress, coping strategies, and psychiatric distress among psychiatric nurses. DESIGN AND METHODS: A descriptive explanatory design was employed. One hundred and nineteen psychiatric nurses were recruited in the study and data were collected in the period between June and September 2017. FINDINGS: The results showed that participants experienced moderate level of occupational stress and psychiatric distress...
May 21, 2018: Perspectives in Psychiatric Care
Seiji Shimosato, Aimi Kinoshita
Some situations require psychiatric staff nurses to respond to service users' negativity or aggression. As a result, psychiatric staff nurses may experience anger. The current study examined how anger levels of psychiatric staff nurses triggered by anger-generating situations by service users affected nurses' confidence and attitudes. A questionnaire survey was administered among 386 psychiatric staff nurses. The questionnaire surveyed anger levels in anger-generating situations, aggressiveness, nurses' attitudes toward aggression, and self-efficacy of intervening in aggressive situations...
September 1, 2018: Journal of Psychosocial Nursing and Mental Health Services
Babatunde Aremu, Pamela D Hill, Joanne M McNeal, Mary A Petersen, Debbie Swanberg, Kathleen R Delaney
Addressing tense and escalating situations with noncoercive measures is an important element of inpatient psychiatric treatment. Although restraint rates are frequently monitored, the use of pro re nata (PRN) intramuscular (IM) injections to address agitation is also an important indicator. In 2015, at the current study site, a significant increase was noted in PRN IM medication use despite unit leadership's efforts to build a culture of trauma-informed care (TIC). The purpose of the current quality improvement project was to educate staff on methods to incorporate TIC into daily practice and the use of brief solution-focused therapy techniques in escalating situations...
August 1, 2018: Journal of Psychosocial Nursing and Mental Health Services
Kim Foster, Ian Shochet, Astrid Wurfl, Michael Roche, Darryl Maybery, Jane Shakespeare-Finch, Trentham Furness
Mental health settings are recognized as complex, unpredictable environments, and challenging interpersonal situations are common for nurses in acute adult mental health services. Occupational stressors include verbal aggression and physical assault and are correlated with poor physical and mental health outcomes for nurses. There is a clear need for proactive approaches that address the negative impacts of stressors on the mental health nursing workforce. Resilience interventions are a preventive approach to strengthening skills for addressing workplace stress, improving health and well-being, and preventing adverse outcomes associated with occupational stressors...
October 2018: International Journal of Mental Health Nursing
Abd Alhadi Hasan, Sonia Elsayed, Hussein Tumah
AIMS: Psychiatric nurses experience a wide range of stressful events, evolving from the care of violent, aggressive patients, recurrent relapse, and poor prognosis of mental disorders. The aim of the study was to assess workplace stress, coping strategies, and levels of depression among psychiatric nurses. METHODS: A descriptive correlation design was conducted on psychiatric nurses working in mental health settings Port-Said, Egypt. Data were collected from 70 nurses at a mental health hospital...
October 2018: Perspectives in Psychiatric Care
Bing Xiang Yang, Teresa E Stone, Marcia A Petrini, Diana L Morris
OBJECTIVE: Workplace violence and its impact on mental health nurses have yet to be thoroughly explored in China. This study aims to investigate the incidence, type, related factors, and effects of workplace violence on mental health nurses as well as identifying coping strategies. METHODS: A researcher - designed workplace violence questionnaire and the Maslach Burnout Inventory-General Survey were distributed to nurses at a mental health hospital in Wuhan, China...
February 2018: Archives of Psychiatric Nursing
Joy Penman, Lee Martinez, Debra Papoulis, Kathryn Cronin
The aims of this study are three-fold: determine the factors that motivate nurses to pursue mental health nursing; identify the strategies that might attract nursing students and practising nurses to pursue mental health nursing as a professional career; and identify the difficulties of nurses in achieving their preferred clinical specialty. A descriptive qualitative study design with semi-structured interviews was used. Fifteen mental health nurses from rural and regional South Australia were interviewed. Interviews were transcribed verbatim, and thematic analysis was undertaken...
January 30, 2018: International Journal of Nursing Education Scholarship
R Jalil, G L Dickens
WHAT IS KNOWN ON THE SUBJECT?: It is generally felt that it is helpful for mental health nurses to control their emotions during their work. There are different approaches, but there is growing acceptance that different emotions may need different coping strategies. There is lots of evidence that nurses sometimes feel anger in a number of situations, but the research about anger in mental health nurses has never been examined as a whole. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: We have systematically identified all previous research where nurses completed measures that tried to measure their anger in certain situations, compared it to other people or investigated how it affected them or what its relationship was with their practice...
April 2018: Journal of Psychiatric and Mental Health Nursing
Tahereh Ramezani, Sakineh Gholamzadeh, Camellia Torabizadeh, Farkhondeh Sharif, Laaya Ahmadzadeh
Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014-2016...
November 2017: Iranian Journal of Nursing and Midwifery Research
Virve Pekurinen, Laura Willman, Marianna Virtanen, Mika Kivimäki, Jussi Vahtera, Maritta Välimäki
Wellbeing of nurses is associated with patient aggression. Little is known about the differences in these associations between nurses working in different specialties. We aimed to estimate and compare the prevalence of patient aggression and the associations between patient aggression and the wellbeing of nurses in psychiatric and non-psychiatric specialties (medical and surgical, and emergency medicine). A sample of 5288 nurses (923 psychiatric nurses, 4070 medical and surgical nurses, 295 emergency nurses) participated in the study...
October 18, 2017: International Journal of Environmental Research and Public Health
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