2.50
Hdl Handle:
http://hdl.handle.net/10755/621246
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Teamwork: Strategies to Prevent and Minimize Patient Aggression
Author(s):
O'Connell, Patricia M.; Appollo, Jennifer L.; Frank, Joyce
Lead Author STTI Affiliation:
Non-member
Author Details:
Patricia M. O'Connell, RN-BC; Jennifer L. Appollo, RN, RN-BC, PMHNP, PMHNP-BC; Joyce Frank, RN
Abstract:
Session presented on Saturday, March 18, 2017: Espinosa et al. (2014) found that improving the milieu through early intervention and consistent structure and activities can reduce aggressive behavior and the need for seclusion and restraint. Boumans et al. (2015) found that staff's frequency of seclusion participation was positively related with the tendency to seclude. A literature review further identified that key influences over conflict are: anticipating aggression, staff team composition, physical environment, and leadership's role in assisting front line staff. Factors that contribute to aggression on inpatient units include: denial of a patient request by staff, staff demanding a patient act a certain way, staff requesting that the patient desist from some action, inflexibility of staff in meeting patients' needs/wants, locked doors both to and within unit, patient to patient interaction, and informing patient of bad news/loss. Factors identified as key influences in aggression reduction are: care planning, staff education, staff cohesiveness, role modeling/patient education and overall positive regard for patients. This project aimed to more specifically identify the characteristics, statistics and influences of one particular acute inpatient psychiatric unit, often composed of aggressive and violent patients on an involuntary legal status. The goal was to elucidate what about this particular unit makes its aggression level, as indicated by its seclusion and restraint statistics, relatively low given the acuity of its patient population. A survey was created and was completed by each staff member to get a consensus of what was most important when caring for the aggressive patient from this perspective. An in-depth case example was discussed at multiple, interdisciplinary staff meetings to identify the various interventions that made up the care plan and how this plan of care was carried out by the staff on the unit. The findings conclude that aggression can be reduced and possibly eliminated when teamwork is at the heart of successful early intervention. Learning Objectives: The learner will be able to describe three key factors involved in reducing aggression. The learner will be able to identify three elements of a successful team approach in reducing aggression.
Keywords:
Teamwork; Intervention; Aggression
Repository Posting Date:
3-Mar-2017
Date of Publication:
3-Mar-2017
Other Identifiers:
CHWE17PST2
Conference Date:
2017
Conference Name:
Creating Healthy Work Environments 2017
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoen[US]en
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleTeamwork: Strategies to Prevent and Minimize Patient Aggressionen
dc.contributor.authorO'Connell, Patricia M.en
dc.contributor.authorAppollo, Jennifer L.en
dc.contributor.authorFrank, Joyceen
dc.contributor.departmentNon-memberen
dc.author.detailsPatricia M. O'Connell, RN-BC; Jennifer L. Appollo, RN, RN-BC, PMHNP, PMHNP-BC; Joyce Frank, RNen
dc.identifier.urihttp://hdl.handle.net/10755/621246-
dc.description.abstractSession presented on Saturday, March 18, 2017: Espinosa et al. (2014) found that improving the milieu through early intervention and consistent structure and activities can reduce aggressive behavior and the need for seclusion and restraint. Boumans et al. (2015) found that staff's frequency of seclusion participation was positively related with the tendency to seclude. A literature review further identified that key influences over conflict are: anticipating aggression, staff team composition, physical environment, and leadership's role in assisting front line staff. Factors that contribute to aggression on inpatient units include: denial of a patient request by staff, staff demanding a patient act a certain way, staff requesting that the patient desist from some action, inflexibility of staff in meeting patients' needs/wants, locked doors both to and within unit, patient to patient interaction, and informing patient of bad news/loss. Factors identified as key influences in aggression reduction are: care planning, staff education, staff cohesiveness, role modeling/patient education and overall positive regard for patients. This project aimed to more specifically identify the characteristics, statistics and influences of one particular acute inpatient psychiatric unit, often composed of aggressive and violent patients on an involuntary legal status. The goal was to elucidate what about this particular unit makes its aggression level, as indicated by its seclusion and restraint statistics, relatively low given the acuity of its patient population. A survey was created and was completed by each staff member to get a consensus of what was most important when caring for the aggressive patient from this perspective. An in-depth case example was discussed at multiple, interdisciplinary staff meetings to identify the various interventions that made up the care plan and how this plan of care was carried out by the staff on the unit. The findings conclude that aggression can be reduced and possibly eliminated when teamwork is at the heart of successful early intervention. Learning Objectives: The learner will be able to describe three key factors involved in reducing aggression. The learner will be able to identify three elements of a successful team approach in reducing aggression.en
dc.subjectTeamworken
dc.subjectInterventionen
dc.subjectAggressionen
dc.date.available2017-03-03T14:34:48Z-
dc.date.issued2017-03-03-
dc.date.accessioned2017-03-03T14:34:48Z-
dc.conference.date2017en
dc.conference.nameCreating Healthy Work Environments 2017en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionCreating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USAen
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