Identifying mitigating and challenging beliefs in dealing with threatening patients: An analysis of experiences of clinicians working in a psychiatric intensive care unit

Journal of Psychiatric Intensive Care

Volumn 8, Issue 2, 2012, Pages 113-119

  Evans, Rachel E ^a   Petter, Soren ^b  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b REGENT'S UNIVERSITY LONDON   (United Kingdom)

Author keywords

aggression; Patient; PICU; safety; staff support; systemic

Indexed keywords

EID: 85011436999     PISSN: 17426464     EISSN: 17442206     Source Type: Journal    
DOI: 10.1017/S1742646411000318     Document Type: Article

References (24)

1. Barker C., Pistrang N. and Elliott R. (2002) Research Methods in Clinical Psychology: An Introduction For Students and Practitioners, 2nd ed. Chichester, Wiley.
2. Benson A., Secker J., Balfe E., Lipsedge M., Robinson S. and Walker J. (2003) Discourses of blame: accounting for aggression and violence on an acute mental health inpatient unit. Social Science and Medicine. 57: 917–926.
3. Boyatzis R. E. (1998) Transforming Qualitative Information: Thematic Analysis and Code Development. London, Sage.
4. Chen S.-C., Hwu H.-G. and Williams R. A. (2005) Psychiatric nurses' anxiety and cognition in managing psychiatric patients' aggression. Archives of Psychiatric Nursing. 19(3): 141–149.
5. Currid T. J. (2008) The lived experience and meaning of stress in acute mental health nurses. British Journal of Nursing. 17(14): 880–884. 18935838
6. Cutcliffe J. R. (1999) Qualified nurses' lived experience of violence perpetrated by individuals suffering from enduring mental health problems: a hermeneutic study. International Journal of Nursing Studies. 36(2): 105–116.
7. Duxbury J. and Whittington R. (2005) Issues and innovations in nursing practice: causes and management of patient aggression and violence: staff and patient perspectives. Journal of Advanced Nursing. 50(5): 469–478.
8. Ferns T. (2006) Under-reporting of violent incidents against nursing staff. Nursing Standard. 20(40): 41–45. 16802588
9. Flannery R. B., Hanson A. and Penk W. (1995) Patients' threats: expanded definition of assault. General Hospital Psychiatry. 17: 451–453.
10. Foster C., Bowers L. and Nijman H. (2007) Aggressive behaviour on acute psychiatric wards: prevalence, severity and management. Journal of Advanced Nursing. 58(2): 140–149.
11. Hatch-Maillette M. A. and Scalora M. J. (2002) Gender, sexual harassment, workplace violence, and risk assessment: convergence around psychiatric staff's perceptions of personal safety. Aggression and Violent Behaviour. 7: 271–291.
12. Jonker E. J., Goossens P. J. J., Steenhuis I. H. M. and Oud N. E. (2008) Patient aggression in clinical psychiatry: perceptions of mental health nurses. Journal of Psychiatric and Mental Health Nursing. 15: 492–499.
13. Lepping P., Steinert T., Needham I., Abderhalden C., Flammer E. and Schmid P. (2009) Ward safety perceived by ward managers in Britain, Germany and Switzerland: identifying factors that improve ability to deal with violence. Journal of Psychiatric and Mental Health Nursing. 16: 629–635.
14. Martin T. and Daffern M. (2006) Clinician perceptions of personal safety and confidence to manage inpatient aggression in a forensic psychiatric setting. Journal of Psychiatric and Mental Health Nursing. 13: 90–99.
15. Menzies I. E. P. (1960) A case-study in the functioning of social systems as a defence against anxiety: a report on a study of the nursing service of a general hospital. Human Relations. 13: 95–121.
16. Paterson B., Leadbetter D., Miller G. and Bowie V. (2010) Re-framing the problem of workplace violence directed towards nurses in mental health services in the UK: a Work in progress. International Journal of Social Psychiatry. 56(3): 310–320.
17. Pedro A., Corace K. M., Endler N. S. and Calvo M. G. (2003) Coping styles and threat processing. Personality and Individual Differences. 35: 843–861.
18. Pistrang N. and Barker C. (2010) Scientific, practical and personal decisions in selecting qualitative methods. In: Barkham M., Hardy G. E., Mellor-Clark (eds) Developing and Delivering Practice-Based Evidence: A Guide for Psychological Therapies. Chichester, Wiley, pp. 65–90.
19. Privitera M., Weisman R., Cerulli C., Tu X. and Groman A. (2005) Violence toward mental health staff and safety in the work environment. Occupational Medicine. 55: 480–486.
20. Rossberg J. I. and Friis S. (2003) Staff members emotional reactions to aggressive and suicidal behaviour of inpatients. Psychiatric Services. 54(10): 1388–1394.
21. Smith J. A., Flowers P. and Larkin M. (2009) Interpretative Phenomenological Analysis: Theory Method and Research. London: Sage.
22. Wand T. C. and Coulson K. (2006) Zero tolerance: a policy in conflict with current opinion on aggression and violence management in health care. Australian Emergency Nursing Journal. 9: 163–170.
23. Wykes T. and Whittington R. (1998) Prevalence and predictors of early traumatic stress reactions in assaulted psychiatric nurses. Journal of Forensic Psychiatry & Psychology. 9(3): 643–658.
24. Yardley L. (2000). Dilemmas in qualitative health research. Psychology and Health. 15: 215–228.