Background: Meta-analysis of international literature indicates high frequencies of aggression in mental health setting. Several studies indicated that among professional health workers, nurses are more likely than other staff members to experience aggressive incidences from patients. Furthermore, based on cause, nurses apply range of interventions in managing aggression, however, despite their perceived value of their intervention in managing aggression, no single intervention is sufficient for handling aggressive patients to stay in control in wards. Despite high priority placed on patient aggression management, insufficient research studies have been conducted on nurses’ perceptions regarding current skills in minimizing patient’s aggression. Objectives: The purpose of the study was to describe nurses’ perceptions regarding current assessment skills in minimizing patient’s aggression at selected Psychiatric hospital. Methodology: Non-experimental, exploratory, descriptive research design was used to guide research process. All-inclusive sampling method was used with 119 nurses as respondents. Data was collected by means of a questionnaire, analyzed using SPSS version 25. Descriptive statistics procedure was used to present findings of the study. Results: Minority of respondents, (n=27) 22.7% agreed that their current assessment skills for minimizing patients’ aggression were good compared to majority of respondents, (n=92) 77.3%, who expressed a different opinion. This suggests that there is a limited current assessment skill in identifying high risk aggressive patients in a selected Psychiatric hospital. Conclusion: The findings of study indicate that there is a limited current assessment skill in minimizing patients’ aggression at selected Psychiatric hospital. Therefore, there is need to provide comprehensive information on nurses’ current skills in minimizing patients’ aggression to obtain richer information.
| Published in | American Journal of Nursing Science (Volume 11, Issue 3) |
| DOI | 10.11648/j.ajns.20221103.11 |
| Page(s) | 83-92 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Skills, Perceptions, Patient, Aggression, Psychiatric Hospital, Nurses, Management, Assessment
| [1] | Abderhalden, C., Needham, I., Friedli, T. K., Poelmans, J. & Dassen, T. 2002. Perception of aggression among psychiatric nurses in Switzerland. Acta Psychiatrica Scandinavica, 106, 110-117. |
| [2] | Ajzen, I. 1988. Attitudes, personality and behaviour.. Milton Keynes: Open University Press Google Scholar. |
| [3] | Ramezani T, Gholamzadeh S, Torabizadeh C, Sharif F, Ahmadzadeh L. Challenges of nurses’ empowerment in the management of patient aggression: A qualitative study. Iranian journal of nursing midwifery research 2017; 22 (6): 442. |
| [4] | Bekelepi N, Martin PD, Chipps J. Professional nurses' knowledge and skills in the management of aggressive patients in a psychiatric hospital in the Western Cape. Africa Journal of nursing. 2015; 17 (Supplement 1): 151-64. |
| [5] | Baby M, Gale C, Swain N. A communication skills intervention to minimise patient perpetrated aggression for healthcare support workers in New Zealand: A cluster randomised controlled trial. J Health social care in the community 2019; 27 (1): 170-81. |
| [6] | Shah L, Annamalai J, Aye SN, Xie H, Ng W, Shah A, et al. Key components and strategies utilized by nurses for de-escalation of aggression in psychiatric in-patients: a systematic review protocol. J JBI database of systematic reviews implementation reports. 2016; 14 (12): 109-18. |
| [7] | Hallett N, Dickens GL. De-escalation of aggressive behaviour in healthcare settings: Concept analysis. J International journal of nursing studies. 2017; 75: 10-20. |
| [8] | Tölli S, Partanen P, Kontio R, Häggman-Laitila A. A quantitative systematic review of the effects of training interventions on enhancing the competence of nursing staff in managing challenging patient behaviour. Journal of Advanced Nursing 2017; 73 (12): 2817-31. |
| [9] | Baby M, Gale C, Swain N. Communication skills training in the management of patient aggression and violence in healthcare. Journal of Aggression and violent behavior. 2018; 39: 67-82. |
| [10] | Baby M, Gale C, Swain N. Communication skills training in the management of patient aggression and violence in healthcare. Aggression and Violent Behavior. 2018. |
| [11] | Price O, Baker J, Bee P, Grundy A, Scott A, Butler D, et al. Patient perspectives on barriers and enablers to the use and effectiveness of de-escalation techniques for the management of violence and aggression in mental health settings. Journal of advanced nursing. 2018; 74 (3): 614-25. |
| [12] | Heckemann B, Zeller A, Hahn S, Dassen T, Schols J, Halfens R. The effect of aggression management training programmes for nursing staff and students working in an acute hospital setting. A narrative review of current literature. J Nurse education today. 2015; 35 (1): 212-9. |
| [13] | Guay S, Goncalves J, Boyer R, editors. Evaluation of an education and training program to prevent and manage patients’ violence in a mental health setting: a pretest-posttest intervention study. Healthcare; 2016: Multidisciplinary Digital Publishing Institute. |
| [14] | Oyelade O, Smith AAH, Jarvis MA. Dismissing de-escalation techniques as an intervention to manage verbal aggression within mental health care settings: attitudes of psychiatric hospital-based Nigerian mental health nurses. Africa Journal of Nursing and Midwifery. 2017; 19 (2): 1-18. |
| [15] | Bimenyimana E, Poggenpoel M, Temane A, Myburgh C. A model for the facilitation of effective management of aggression experienced by Psychiatric Nurses from patients in a psychiatric institution. J Curationis. 2016; 39 (1): 1-9. |
| [16] | Duxbury J. 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. 2002; 9 (3): 325-37. |
| [17] | Abderhalden C, Needham I, Friedli TK, Poelmans J, Dassen T. Perception of aggression among psychiatric nurses in Switzerland. Acta Psychiatrica Scandinavica. 2002; 106: 110-7. |
| [18] | Ajzen I. Attitudes, personality and behaviour. Milton Keynes: Open University Press Google Scholar. 1988. |
| [19] | Foster C, Bowers L, Nijman H. Aggressive behaviour on acute psychiatric wards: prevalence, severity and management. Journal of advanced nursing. 2007; 58 (2): 140-9. |
| [20] | Jonker E, Goossens P, Steenhuis I, Oud N. Patient aggression in clinical psychiatry: perceptions of mental health nurses. Journal of Psychiatric and Mental Health Nursing. 2008; 15 (6): 492-9. |
| [21] | Nakahira M, Moyle W, Creedy D, Hitomi H. Attitudes toward dementia-related aggression among staff in Japanese aged care settings. Journal of Clinical nursing. 2009; 18 (6): 807-16. |
| [22] | Van Wijk E. An investigation into patients perceptions of contributing factors towards their aggressive and violent behaviour after admission to a mental health facility: University of the Western Cape; 2006. |
| [23] | Polit DF, Beck CT. Fundamentos de Pesquisa em Enfermagem-: Avaliação de Evidências para a Prática da Enfermagem: Artmed Editora; 2016. |
| [24] | Burns N, Grove SK. Understanding Nursing Research-eBook: Building an Evidence-Based Practice: Elsevier Health Sciences; 2010. |
| [25] | Grove SK, Burns N, Gray J. Understanding nursing research: Building an evidence-based practice: Elsevier Health Sciences; 2014. |
| [26] | Casey C. Management of aggressive patients: Results of an educational program for nurses in non-psychiatric settings. J Medsurg Nursing. 2019; 28 (1): 9-21. |
| [27] | Chang HE, Park MY, Jang H, Ahn S, Yoon H-J. Relationships among demands at work, aggression, and verbal abuse among registered nurses in South Korea. J Nursing outlook. 2019; 67 (5): 567-77. |
| [28] | Halm M. Aggression Management Education for Acute Care Nurses: What’s the Evidence? J American Journal of Critical Care. 2017; 26 (6): 504-8. |
| [29] | Eskandari F, Abdullah KL, Zainal NZ, Wong LP. Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors. Journal of clinical nursing 2017; 26 (23-24): 4479-88. |
| [30] | Harwood R. How to deal with violent and aggressive patients in acute medical settings. The journal of the Royal College of Physicians of Edinburgh. 2017; 47 (2): 94-101. |
| [31] | Baig L, Tanzil S, Shaikh S, Hashmi I, Khan MA, Polkowski MJPJoMS. Effectiveness of training on de-escalation of violence and management of aggressive behavior faced by health care providers in a public sector hospital of Karachi. 2018; 34 (2): 294. |
| [32] | Partridge, B. & Affleck, J. 2018. Predicting aggressive patient behaviour in a hospital emergency department: An empirical study of security officers using the Brøset Violence Checklist. Australasian Emergency Care, 21, 31-35. |
| [33] | Fluttert, F. A., Van Meijel, B., Van Leeuwen, M., Bjørkly, S., Nijman, H. & Grypdonck, M. 2011. The Development of the Forensic Early Warning Signs of Aggression lnventory: Preliminary findings: Toward a Better Management of Inpatient Aggression. Archives of Psychiatric Nursing, 25, 129-137. |
| [34] | Uys and Middleton, L. 2014. Mental Health Nursing: A South African Perspective, Cape Town, Juta. |
| [35] | Mccann, T. V., Baird, J. & Muir-Cochrane, E. 2014. Attitudes of clinical staff toward the causes and management of aggression in acute old age psychiatry inpatient units. BMC psychiatry, 14, 80. |
| [36] | Riley, J. B. 2015. Communication in nursing, Elsevier Health Sciences. |
| [37] | Shafakhah, M., Zarshenas, L., Sharif, F. & Sarvestani, R. S. 2015. Evaluation of nursing students’ communication abilities in clinical courses in hospitals. Global journal of health science, 7, 323. |
| [38] | Papageorgiou, A., Loke, Y. K. & Fromage, M. 2017. Communication skills training for mental health professionals working with people with severe mental illness. Cochrane database of systematic reviews (Online). |
| [39] | Palaganas, J. C., Epps, C. & Raemer, D. B. 2014. A history of simulation-enhanced interprofessional education. Journal of interprofessional care, 28, 110-115. |
| [40] | Campbell, C. L., Burg, M. A. & Gammonley, D. 2015. Measures for incident reporting of patient violence and aggression towards healthcare providers: A systematic review. Aggression and violent behavior, 25, 314-322. |
| [41] | Arnetz, J. E., Hamblin, L., Essenmacher, L., Upfal, M. J., Ager, J. & Luborsky, M. 2015. Understanding patient-to-worker violence in hospitals: a qualitative analysis of documented incident reports. Journal of advanced nursing, 71, 338-348. |
| [42] | Kessler, D. O., Cheng, A. & Mullan, P. C. 2015. Debriefing in the emergency department after clinical events: a practical guide. Annals of Emergency Medicine, 65, 690-698. |
APA Style
Libuseng Moureen Rathobei, Makhosazane Barbara Dube, Isabel Nyangu. (2022). Nurses’ Perceptions Regarding Current Skills in Minimizing Patient’s Aggression at a Selected Psychiatric Hospital in Lesotho. American Journal of Nursing Science, 11(3), 83-92. https://doi.org/10.11648/j.ajns.20221103.11
ACS Style
Libuseng Moureen Rathobei; Makhosazane Barbara Dube; Isabel Nyangu. Nurses’ Perceptions Regarding Current Skills in Minimizing Patient’s Aggression at a Selected Psychiatric Hospital in Lesotho. Am. J. Nurs. Sci. 2022, 11(3), 83-92. doi: 10.11648/j.ajns.20221103.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajns.20221103.11,
author = {Libuseng Moureen Rathobei and Makhosazane Barbara Dube and Isabel Nyangu},
title = {Nurses’ Perceptions Regarding Current Skills in Minimizing Patient’s Aggression at a Selected Psychiatric Hospital in Lesotho},
journal = {American Journal of Nursing Science},
volume = {11},
number = {3},
pages = {83-92},
doi = {10.11648/j.ajns.20221103.11},
url = {https://doi.org/10.11648/j.ajns.20221103.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221103.11},
abstract = {Background: Meta-analysis of international literature indicates high frequencies of aggression in mental health setting. Several studies indicated that among professional health workers, nurses are more likely than other staff members to experience aggressive incidences from patients. Furthermore, based on cause, nurses apply range of interventions in managing aggression, however, despite their perceived value of their intervention in managing aggression, no single intervention is sufficient for handling aggressive patients to stay in control in wards. Despite high priority placed on patient aggression management, insufficient research studies have been conducted on nurses’ perceptions regarding current skills in minimizing patient’s aggression. Objectives: The purpose of the study was to describe nurses’ perceptions regarding current assessment skills in minimizing patient’s aggression at selected Psychiatric hospital. Methodology: Non-experimental, exploratory, descriptive research design was used to guide research process. All-inclusive sampling method was used with 119 nurses as respondents. Data was collected by means of a questionnaire, analyzed using SPSS version 25. Descriptive statistics procedure was used to present findings of the study. Results: Minority of respondents, (n=27) 22.7% agreed that their current assessment skills for minimizing patients’ aggression were good compared to majority of respondents, (n=92) 77.3%, who expressed a different opinion. This suggests that there is a limited current assessment skill in identifying high risk aggressive patients in a selected Psychiatric hospital. Conclusion: The findings of study indicate that there is a limited current assessment skill in minimizing patients’ aggression at selected Psychiatric hospital. Therefore, there is need to provide comprehensive information on nurses’ current skills in minimizing patients’ aggression to obtain richer information.},
year = {2022}
}
TY - JOUR T1 - Nurses’ Perceptions Regarding Current Skills in Minimizing Patient’s Aggression at a Selected Psychiatric Hospital in Lesotho AU - Libuseng Moureen Rathobei AU - Makhosazane Barbara Dube AU - Isabel Nyangu Y1 - 2022/05/12 PY - 2022 N1 - https://doi.org/10.11648/j.ajns.20221103.11 DO - 10.11648/j.ajns.20221103.11 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 83 EP - 92 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20221103.11 AB - Background: Meta-analysis of international literature indicates high frequencies of aggression in mental health setting. Several studies indicated that among professional health workers, nurses are more likely than other staff members to experience aggressive incidences from patients. Furthermore, based on cause, nurses apply range of interventions in managing aggression, however, despite their perceived value of their intervention in managing aggression, no single intervention is sufficient for handling aggressive patients to stay in control in wards. Despite high priority placed on patient aggression management, insufficient research studies have been conducted on nurses’ perceptions regarding current skills in minimizing patient’s aggression. Objectives: The purpose of the study was to describe nurses’ perceptions regarding current assessment skills in minimizing patient’s aggression at selected Psychiatric hospital. Methodology: Non-experimental, exploratory, descriptive research design was used to guide research process. All-inclusive sampling method was used with 119 nurses as respondents. Data was collected by means of a questionnaire, analyzed using SPSS version 25. Descriptive statistics procedure was used to present findings of the study. Results: Minority of respondents, (n=27) 22.7% agreed that their current assessment skills for minimizing patients’ aggression were good compared to majority of respondents, (n=92) 77.3%, who expressed a different opinion. This suggests that there is a limited current assessment skill in identifying high risk aggressive patients in a selected Psychiatric hospital. Conclusion: The findings of study indicate that there is a limited current assessment skill in minimizing patients’ aggression at selected Psychiatric hospital. Therefore, there is need to provide comprehensive information on nurses’ current skills in minimizing patients’ aggression to obtain richer information. VL - 11 IS - 3 ER -
Email: