Aggression In Psychiatric Settings: Understanding Attitudes as a Key Step to Policy and Practice Change

2.50
Hdl Handle:
http://hdl.handle.net/10755/154974
Type:
Presentation
Title:
Aggression In Psychiatric Settings: Understanding Attitudes as a Key Step to Policy and Practice Change
Abstract:
Aggression In Psychiatric Settings: Understanding Attitudes as a Key Step to Policy and Practice Change
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Srivastava, Rani Hajela, RN, MScN, PhD
P.I. Institution Name:Centre for Addiction & Mental Health
Title:Deputy Chief, Nursing Practice
Co-Authors:Ann Pottinger, RN, MN; Athina Perivolaris, RN, MN; Jane Paterson, BA, MSW
[Evidence-based Practice Session Presentation] Purpose: The purpose of this survey was to determine staff and physician attitudes towards aggressive behavior as well as their understanding of key aspects of relevant organizational policies. The prevention/management of aggressive behavior is an essential aspect of  safety within a mental health/addiction facility. Although the prevalence and determinants of aggression are well documented in the literature,  little is known about nurses' attitudes toward aggression.  Understanding attitudes toward aggression has important implications for the development of policies and educational programs on care related to 'least restraint' and 'psychiatric emergency'.  Literature indicates that attitude towards aggressive behavior guide how staff react to and manage such behaviors.  Methods: The survey utilized the 18 item Attitude Toward Aggression Scale with the addition of some policy related items developed by the researchers. The items were categorized into five subscales: offensive, communicative, destructive, protective, and intrusive.  Over  270 staff , 40% of whom were nurses, completed the survey electronically. Results: Data analysis is underway; however, the findings support previous research documenting that aggression can be viewed both positively and negatively.  No significant differences were noted between attitudes of clinical and non-clinical staff on any of the five attitude subscales or between attitudes of staff working in high restraint use and low restraint use areas.  Offensive subscale scores were positively correlated with destructive and intrusive subscales scores and negatively correlated with communicative subscale scores. Communicative and protective subscale scores were positively correlated and were negatively correlated with intrusive subscale scores. Regarding knowledge of key aspects of relevant organizational policies, clinical staff got a significantly proportion of questions correct than non-clinical staff, with no difference between knowledge of nurses and other clinical staff. Conclusion: It is expected that understanding attitudes will provide guidance in developing and implementing policy and practices that promote both patient and staff safety through informed customized educational programming. Implications for policy development, education, and future research will be discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAggression In Psychiatric Settings: Understanding Attitudes as a Key Step to Policy and Practice Changeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154974-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Aggression In Psychiatric Settings: Understanding Attitudes as a Key Step to Policy and Practice Change</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Srivastava, Rani Hajela, RN, MScN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Centre for Addiction &amp; Mental Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Deputy Chief, Nursing Practice</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rani_srivastava@camh.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann Pottinger, RN, MN; Athina Perivolaris, RN, MN; Jane Paterson, BA, MSW</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Purpose: The purpose of this&nbsp;survey was to determine staff and physician attitudes towards aggressive behavior as well as their understanding of key aspects of relevant organizational policies.&nbsp;The prevention/management of aggressive behavior&nbsp;is an essential aspect of&nbsp; safety within a mental health/addiction facility. Although the prevalence and determinants of aggression are well documented in the literature,&nbsp; little is known about nurses' attitudes toward aggression.&nbsp;&nbsp;Understanding&nbsp;attitudes toward aggression has important implications for the development of policies and educational programs on care related to 'least restraint' and 'psychiatric emergency'.&nbsp; Literature indicates that attitude towards aggressive behavior guide how staff react to and manage such behaviors.&nbsp; Methods: The survey utilized the 18 item Attitude Toward Aggression Scale&nbsp;with the addition of some policy related items developed by the researchers. The items were&nbsp;categorized into five subscales: offensive, communicative, destructive, protective, and intrusive.&nbsp;&nbsp;Over &nbsp;270 staff , 40% of whom were nurses, completed the survey electronically. Results: Data analysis is&nbsp;underway; however, the findings support previous research documenting that aggression can be viewed both positively and negatively.&nbsp; No significant differences were noted between attitudes of clinical and non-clinical staff&nbsp;on any of the five attitude subscales or between attitudes of staff working in high restraint use and low restraint use areas.&nbsp;&nbsp;Offensive subscale scores were positively correlated&nbsp;with destructive and intrusive subscales scores and negatively correlated with communicative subscale scores. Communicative and protective&nbsp;subscale scores were positively correlated and were negatively correlated with&nbsp;intrusive subscale scores.&nbsp;Regarding knowledge of key aspects of relevant organizational policies, clinical staff got a significantly proportion of questions correct than non-clinical staff, with no difference between knowledge of&nbsp;nurses and other clinical staff. Conclusion: It is expected that understanding attitudes will provide guidance in developing and implementing policy and practices that promote both patient and staff safety through informed customized educational programming. Implications for policy development, education, and future research will be discussed.</td></tr></table>en_GB
dc.date.available2011-10-26T13:25:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:25:50Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.