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Date: April 30, 2024 Tue
Time: 3:50 am
Time: 3:50 am
Results for mental illness (u.k.)
1 results foundAuthor: Bowers, Len Title: Inpatient violence and aggression: a literature review. Report from the Conflict and Containment Reduction Research Programme Summary: Mentally ill people in hospital sometimes behave aggressively. They may try to harm other patients, staff, property or themselves. In the UK, the National Audit of Violence found that a third of inpatients had been threatened or made to feel unsafe while in care [Royal College of Psychiatrists 2007]. This figure rose to 44% for clinical staff and 72% of nursing staff working in these units. Such aggression can result in injuries, sometimes severe, to patients or to staff, causing staff absence and hampering the efficiency of the psychiatric service. The ways in which aggressive behaviour is managed by staff is contentious and emotive, and there is little evidence or agreement about their effectiveness. This review aims to describe the available research literature on the prevalence, antecedents, consequences and circumstances of violence and aggression in psychiatric hospitals. Our previous research has focussed on how to reduce of conflict and containment on acute wards. By conflict we mean those things that threaten patient and staff safety, such as aggression, rule breaking, drug/alcohol use, absconding, medication refusal, self-harm/suicide etc. By containment we mean those things the staff do to prevent these things occurring, or reduce the amount of harm that occurs, such as giving extra medication, intermittent observation, constant observation, show of force, manual restraint, coerced injections of medication, seclusion, time out, locking of the ward door, and other security policies. This research indicates a complicated relationship between conflict behaviours and containment, and that the behaviour and attitudes of staff may influence both. It led to the development of the ‘City model’ describing the ways in which staff factors can reduce rates of conflict and containment on wards. Three processes are posited to create low conflict and containment: positive appreciation of patients (kindness), emotional self-regulation of anger and fear (tranquillity), and an effective structure of rules and routines for patients based upon an ethical (not punitive) stance (orderliness). In addition to an analysis of the research literature, therefore, each chapter considers the evidence for and against the City Model and suggests lessons for future research. Details: London: Section of Mental Health Nursing, Health Service and Population Research, Institute of Psychiatry, Kings College London, 2011. 196p. Source: Internet Resource: Accessed August 10, 2013 at: http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevAgg.pdf Year: 2011 Country: United Kingdom URL: http://www.kcl.ac.uk/iop/depts/hspr/research/ciemh/mhn/projects/litreview/LitRevAgg.pdf Shelf Number: 129604 Keywords: AggressionHospitalsMental HealthMental Illness (U.K.)ViolenceWorkplace Violence |