Nursing home caregivers' explanations for and coping strategies with residents' aggression: A qualitative study

Journal of Clinical Nursing

Volumn 20, Issue 17-18, 2011, Pages 2469-2478

  Zeller, Adelheid ^a   Dassen, Theo ^b   Kok, Gerjo ^c   Needham, Ian ^d   Halfens, Ruud Jg ^c  

^a Landscape Architecture   (Switzerland)

^b CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^c MAASTRICHT UNIVERSITY   (Netherlands)

^d Centre of Psychiatry Rheinau   (Switzerland)

Author keywords

Aggressive behaviour; Nurses; Nursing homes; Qualitative approach; Residents

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; AGGRESSION; ARTICLE; CAREGIVER; HOSPITAL PATIENT; HUMAN; INFORMATION PROCESSING; MANPOWER; MIDDLE AGED; NURSING HOME; NURSING STAFF; PSYCHOLOGICAL ASPECT; SWITZERLAND;

ADAPTATION, PSYCHOLOGICAL; ADULT; AGGRESSION; CAREGIVERS; FOCUS GROUPS; HUMANS; INPATIENTS; MIDDLE AGED; NURSING HOMES; NURSING STAFF; SWITZERLAND;

EID: 80051555430     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2011.03722.x     Document Type: Article

References (40)

1. Allen-Burge R, Stevens AB & Burgio LD (1999) Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes. International Journal of Geriatric Psychiatry 14, 213-228.
2. Bartholomeyczik S, Halek M & Riesner Christine (2006) Rahmenempfehlungen zum Umgang mit herausforderndem Verhalten bei Menschen mit Demenz in der stationären Altershilfe (Guidelines regarding handling of challenging behaviour by persons with dementia in residential facilities). Available at:
3. Breer A, Frischkorn M, Kathmann T & Panke-Kochinke B (2008a) Gewalt gegen Pflegende - Teil 1: Gewohnte Muster durchbrechen (Violence against nurses - 1: Breaking through accustomed patterns). Pfege Zeitschrift 61, 145-148.
4. Breer A, Frischkorn M, Kathmann T & Panke-Kochinke B (2008b) Gewalt gegen Pflegende - Teil 2: Der offene Umgang mit Ängsten (Violence against nurses - 2: Openly dealing with anxieties). Pflege Zeitschrift 61, 201-204.
5. Chou KR, Kaas MJ & Richie MF (1996) Assaultive behaviour in geriatric patients. Journal of Gerontological Nursing 22, 30-38.
6. Douglas S, James I & Ballard C (2004) Non-pharmacological interventions in dementia. Advances in Psychiatric Treatment 10, 171-179.
7. Egan MY, Munroe S, Hubert C, Rossiter T, Gauthier A, Eisner M, Fulford N, Neilson M, Daros B & Rodrigue C (2007) Caring for residents with dementia and aggressive behavior: impact of life history knowledge. Journal of Gerontological Nursing 33, 24-30.
8. Emerson E (2001) Challenging Behaviour: Analysis and Intervention in People with Severe Intellectual Disabilities. Cambridge University Press, Cambridge.
9. Finfgeld-Connett D (2009) Management of aggression among demented or brain-injured patients. Clinical Nursing Research 18, 272-287.
10. Franz S, Zeh A, Schablon A, Kuhnert S & Nienhaus A (2010) Aggression and violence against health care workers in Germany - a cross sectional retrospective survey. BMC Health Services Research 10, 51.
11. Gates D, Fitzwater E & Succop P (2003) Relationships of stressors, strain and anger to caregiver assaults. Issues in Mental Health Nursing 24, 775-793.
12. Gates DM, Fitzwater E & Meyer U (1999) Violence against caregivers in nursing homes. Expected, tolerated and accepted. Journal of Gerontological Nursing 25, 12-22.
13. Gerberich SG, Church TR, McGovern PM, Hansen HE, Nachreiner NM, Geisser MS, Ryan AD, Mongin S. J. & Watt GD (2006) An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses' Study. Occupational and Environmental Medicine 61, 495-503.
14. Gerrish K & Lacey A, eds. (2006) The Research Process in Nursing, 5th edn. Blackwell Publishing, Oxford.
15. Glaus Hartmann M (2006) Aggressionsmuster erkennen und Auslöser reduzieren (Identifying patterns and reducing triggers of aggressive behaviour). Krankenpflege 99, 24-26.
16. Hall KA & O'Connor DW (2004) Correlates of aggressive behavior in dementia. International Psychogeriatrics 16, 141-158.
17. International Council of Nurses (ICN) (2007) Guidelines on Coping with Violence in the Workplace, Geneva.
18. International Labour Office (ILO), International Council of Nurses (ICN), World Health Organisation (WHO) & Public Services International (PSI) (2002) Workplace Violence in the Health Sector. Geneva.
19. Isaksson U, Graneheim UH & Aström S (2009) Female caregivers' experiences of exposure to violence in nursing homes. Journal of Psychiatric and Mental Health Nursing 16, 46-53.
20. Isaksson U, Aström S, Sandman P & Karlsson S (2008) Factors associated with the prevalence of violent behaviour among residents living in nursing homes. Journal of Clinical Nursing 18, 972-980.
21. Keene J, Hope T, Fairburn CG, Jacoby R, Gedling K & Ware CJ (1999) Natural history of aggressive behaviour in dementia. International Journal of Geriatric Psychiatry 14, 541-548.
22. Kitwood T (1997) Dementia Reconsidered: The Person Comes First. Open University Press, Buckingham.
23. Kolanowski AM (1999) An overview of the need-driven dementia-compromised behavior model. Journal of Gerontological Nursing 25, 7-9.
24. Leonard R, Tinetti ME, Allore HG & Drickamer MA (2006) Potentially modifiable resident characteristics that are associated with physical or verbal aggression among nursing home residents with dementia. Archives of Internal Medicine 166, 1295-1300.
25. Levin PF, Hewitt JB, Misner ST & Reynolds S (2003) Assault of long-term care personnel. Journal of Gerontological Nursing 29, 28-35.
26. Lincoln YS & Guba EB (1985) Naturalistic Inquiry. Sage Publications, Newbury Park/London/New Delhi.
27. Mayring P (2003) Qualitative Inhaltsanalyse: Grundlagen und Techniken (Qualitative Content Analysis: Basics and Techniques), 8th edn. Beltz, Weinheim, Basel.
28. Miller MF (1997) Physical aggressive resident behavior during hygienic care. Journal of Gerontological Nursing 23, 24-39.
29. Morgan DG, Stewart NJ, D'Arcy D, Forbes D & Lawson J (2005) Work stress and physical assault of nursing aides in rural nursing homes with and without dementia special care units. Journal of Psychiatric and Mental Health Nursing 12, 347-358.
30. Patel V & Hope RA (1992) A rating scale for aggressive behaviour in the elderly - the RAGE. Psychological Medicine 22, 211-221.
31. Pulsford D & Duxbury J (2006) Aggressive behaviour by people with dementia in residential care settings: a review. Journal of Psychiatric and Mental Health Nursing 13, 611-618.
32. Rodney V (2000) Nurse stress associated with aggression in people with dementia: its relationship to hardiness, cognitive appraisal and coping. Journal of Advanced Nursing 31, 172-180.
33. Sandvide A, Aström S, Norberg A & Saveman BI (2004) Violence in institutional care for elderly people from the perspective of involved care providers. Scandinavian Journal of Caring Science 18, 351-357.
34. Shah A (1999) Aggressive behaviour in the elderly. International Journal of Psychiatry in Clinical Practice 3, 85-103.
35. Shaw MMC (2004) Aggression toward staff by nursing home residents: findings from a grounded theory study. Journal of Gerontological Nursing 30, 43-54.
36. Skovdahl K, Kihlgren AL & Kihlgren M (2003) Different attitudes when handling aggressive behaviour in dementia - narratives from two caregiver groups. Aging & Mental Health 7, 277-286.
37. Smithson J (2008) Focus groups. In The SAGE Handbook of Social Research Methods (Alasuutari P, Bickmann L & Brannen J eds). Sage Publications, London, pp. 357-370.
38. Talerico KA, Evans LK & Strumpf NE (2002) Mental health correlates of aggression in nursing home residents with dementia. The Gerontologist 42, 169-177.
39. Voyer P, Verreault R, Azizah GM, Desrosiers J, Champoux N & Bédard A (2005) Prevalence of physical and verbal aggressive behaviours and associated factors among older adults in long-term care facilities. BMC Geriatrics 5, 13.
40. Zeller A, Hahn S, Needham I, Kok G, Dassen T & Halfens RJG (2009) Aggressive behaviour of nursing home residents toward caregivers: a systematic literature review. Geriatric Nursing 30, 174-187.