Nurse managers : Determinants and behaviours in relation to patient and visitor aggression in general hospitals. A qualitative study
© 2017 John Wiley & Sons Ltd..
AIM(S): To explore nurse managers' behaviours, attitudes, perceived social norms, and behavioural control in the prevention and management of patient and visitor aggression in general hospitals.
BACKGROUND: Patient and visitor aggression in general hospitals is a global problem that incurs substantial human suffering and organizational cost. Managers are key persons for creating low-aggression environments, yet their role and behaviours in reducing patient and visitor aggression remains unexplored.
DESIGN: A qualitative descriptive study underpinned by the Reasoned Action Approach.
METHOD(S): Between October 2015-January 2016, we conducted five focus groups and 13 individual interviews with nurse leaders in Switzerland. The semi-structured interviews and focus groups were recorded, transcribed, and analysed in a qualitative content analysis.
FINDINGS: We identified three main themes: (i) Background factors: "Patient and visitor aggression is perceived through different lenses"; (ii) Determinants and intention: "Good intentions competing with harsh organizational reality"; (iii) Behaviours: "Preventing and managing aggressive behaviour and relentlessly striving to create low-aggression work environments".
CONCLUSION(S): Addressing patient and visitor aggression is difficult for nurse managers due to a lack of effective communication, organizational feedback loops, protocols, and procedures that connect the situational and organizational management of aggressive incidents. Furthermore, tackling aggression at an organizational level is a major challenge for nurse managers due to scant financial resources and lack of interest. Treating patient and visitor aggression as a business case may increase organizational awareness and interest. Furthermore, clear communication of expectations, needs and resources could optimize support provision for staff.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2017 |
|---|---|
| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:73 |
|---|---|
| Enthalten in: |
Journal of advanced nursing - 73(2017), 12 vom: 15. Dez., Seite 3050-3060 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Heckemann, Birgit [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Attitudes |
|---|
| Anmerkungen: |
Date Completed 20.07.2018 Date Revised 10.12.2019 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1111/jan.13366 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM273151215 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM273151215 | ||
| 003 | DE-627 | ||
| 005 | 20231225000517.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1111/jan.13366 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0910.xml |
| 035 | |a (DE-627)NLM273151215 | ||
| 035 | |a (NLM)28637091 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Heckemann, Birgit |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Nurse managers |b Determinants and behaviours in relation to patient and visitor aggression in general hospitals. A qualitative study |
| 264 | 1 | |c 2017 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 20.07.2018 | ||
| 500 | |a Date Revised 10.12.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2017 John Wiley & Sons Ltd. | ||
| 520 | |a AIM(S): To explore nurse managers' behaviours, attitudes, perceived social norms, and behavioural control in the prevention and management of patient and visitor aggression in general hospitals | ||
| 520 | |a BACKGROUND: Patient and visitor aggression in general hospitals is a global problem that incurs substantial human suffering and organizational cost. Managers are key persons for creating low-aggression environments, yet their role and behaviours in reducing patient and visitor aggression remains unexplored | ||
| 520 | |a DESIGN: A qualitative descriptive study underpinned by the Reasoned Action Approach | ||
| 520 | |a METHOD(S): Between October 2015-January 2016, we conducted five focus groups and 13 individual interviews with nurse leaders in Switzerland. The semi-structured interviews and focus groups were recorded, transcribed, and analysed in a qualitative content analysis | ||
| 520 | |a FINDINGS: We identified three main themes: (i) Background factors: "Patient and visitor aggression is perceived through different lenses"; (ii) Determinants and intention: "Good intentions competing with harsh organizational reality"; (iii) Behaviours: "Preventing and managing aggressive behaviour and relentlessly striving to create low-aggression work environments" | ||
| 520 | |a CONCLUSION(S): Addressing patient and visitor aggression is difficult for nurse managers due to a lack of effective communication, organizational feedback loops, protocols, and procedures that connect the situational and organizational management of aggressive incidents. Furthermore, tackling aggression at an organizational level is a major challenge for nurse managers due to scant financial resources and lack of interest. Treating patient and visitor aggression as a business case may increase organizational awareness and interest. Furthermore, clear communication of expectations, needs and resources could optimize support provision for staff | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Validation Study | |
| 650 | 4 | |a attitudes | |
| 650 | 4 | |a behaviours | |
| 650 | 4 | |a nurse manager | |
| 650 | 4 | |a patient aggression | |
| 650 | 4 | |a patient violence | |
| 650 | 4 | |a perceived norms | |
| 650 | 4 | |a qualitative research | |
| 650 | 4 | |a visitor aggression | |
| 650 | 4 | |a workplace safety | |
| 700 | 1 | |a Peter, Karin A |e verfasserin |4 aut | |
| 700 | 1 | |a Halfens, Ruud Jg |e verfasserin |4 aut | |
| 700 | 1 | |a Schols, Jos Mga |e verfasserin |4 aut | |
| 700 | 1 | |a Kok, Gerjo |e verfasserin |4 aut | |
| 700 | 1 | |a Hahn, Sabine |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of advanced nursing |d 1980 |g 73(2017), 12 vom: 15. Dez., Seite 3050-3060 |w (DE-627)NLM000357901 |x 1365-2648 |7 nnns |
| 773 | 1 | 8 | |g volume:73 |g year:2017 |g number:12 |g day:15 |g month:12 |g pages:3050-3060 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1111/jan.13366 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 73 |j 2017 |e 12 |b 15 |c 12 |h 3050-3060 | ||