Organizational model of ensuring safety and quality of treatment of aggressive psychiatric patients in mental health nursing in Slovenia
DOI:
https://doi.org/10.14528/snr.2014.48.4.33Keywords:
nursing, violence, psychiatric hospitalAbstract
Introduction: The paper presents the organizational measures for managing violence in psychiatric settings and the study that introduces the preliminary success rate of the proposed model. Methods: For the purpose of this study a non-experimental sampling method was employed using a structured questionnaire as a data collection instrument. The sample covered the personnel most frequently exposed to violence namely, the nursing staff in closed and/or intensive psychiatric units in 5 Slovenian psychiatric hospitals, 3 psychiatric homes and 2 special education, and work and care centres. The data were statistically analysed with the SPSS v20 software package, with p < 0.05 indicating statistical significance. Results: The practical part of the functional training was conducted between 2010 and 2013 in specific psychiatric hospitals and wards. In a study carried out in 2013, preliminary results indicating the success rate of the proposed model were obtained. Discussion and conclusions: Health care workers in psychiatry are responsible for providing safe and high quality treatment even in cases of aggressive outbursts, but they lack the necessary functional knowledge to cope with aggression in the workplace. The paper presents an organizational model for ensuring the safety of the patients and the quality of their treatment in case of an aggressive outburst, along with the presentation of the required functional training.Downloads
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Bowie, V., 2002. Defining violence at work: a new typology. In: Gill, M., Fisher, B. & Bowie, V. eds. Violence at work: couses, patterns and prevention. Portland: Willan Publishing. pp.1-20.
Clements, P.T., DeRanieri, J.T., Clark, K., Manno, M.S. & Kuhn, D.W., 2005. Workplace violence and corporate policy for health care settings. Nursing Economics, 23(3), pp. 119-124. PMid:16033140
Davison, S.E., 2005. The management of violence in general psychiatry. Advances in Psychiatric Treatment, 11, pp. 362-370. http://dx.doi.org/10.1192/apt.11.5.362
Dernovšek, M. & Novak, G.V., 2001. Priporočila in smernice za uporabo posebnih ukrepov v psihiatriji. Ljubljana: Viceversa.
Gabrovec, B., 2009. Smernice fizičnega oviranja. In: Poček, U. ed. Nasilno vedenje v duhu novih praks: smernice fizičnega oviranja. Ljubljana: Zbornica zdravstvene in babiške nege – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester in zdravstvenih tehnikov v psihiatriji, pp. 25-26.
Gabrovec, B., Eržen, I. & Lobnikar, B., 2014. The prevalence and the nature of violence directed at the medical staff in psychiatric health care in Slovenia. HealthMED, 8(2), pp. 228-234.
Gabrovec, B., 2014. Organizacijski model zagotavljanja varnosti in kakovosti obravnave psihiatričnega bolnika z vidika različnih deležnikov: doktorska disertacija. Kranj. Univerza v Mariboru, Fakulteta za organizacijske vede, pp.122.
Gates, D.M, Gillespie, G.L, & Succop, P., 2011. Violence against nurses and its impact on stress and productivity. Nursing Economics, 29(2), pp. 59-67. PMid:21667672
Groleger, U., 2009. Agresivnost. In: Pregelj, P. & Kobentar, R. eds. Zdravstvena nega in zdravljenje motenj v duševnem zdravju. Ljubljana: Rokus Klett, pp. 288-294.
Hahn, S., Muller, M., Needham, I., Dassen, T., Kok, G., & Halfens, R.J.G., 2010. Factors associated with patient and visitors violence experienced by nurses in general hospitals in Switzerland: a cross-sectional survey. Journal of Clinical Nursing, 19(23-24), pp. 3535-3546. http://dx.doi.org/10.1111/j.1365-2702.2010.03361.x; PMid:20958803
Kobal M., 2009. Security and legal psychopathology. Ljubljana: University of Maribor, Faculty of Criminal Justice and Security.
Kolman, K., 2009. Ogroženost medicinskih sester in zdravstvenih tehnikov v psihiatrični bolnišnici: diplomsko delo visokošolskega študija. Ljubljana: Univerza v Mariboru, Fakulteta za varnostne vede.
Kovač, P., 2012. Physical restraint of pacients in clinical practice. In: Bregar, B. & Peterka-Novak, J. eds. Restraint and seclusion as special precautionary measures in theory and clinical settings: proceedings of lectures with peer review. Ljubljana: Zbornica zdravstvene in babiške nege - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester in zdravstvenih tehnikov v psihiatriji, pp. 5-12.
Klemenc, D. & Pahor, M., 2000. Nasilje na delovnih mestih medicinskih sester v Sloveniji. In: Klemenc, D. & Pahor M. eds. Nasilje in spolno nadlegovanje na delovnih mestih medicinskih sester v Sloveniji. Ljubljana: Društvo medicinskih sester in zdravstvenih tehnikov, pp. 12-35.
Mrevlje, P.T. & Umek, P., 2011. Safety issues in psychiatric settings. Varstvoslovje, Journal of Criminar Justice and Security, 13(4), pp. 431-443. Available at: http://www.fvv.uni-mb.si/rV/arhiv/2011-4/06_PavsicMrevlje_Umek.pdf [16. 11. 2014].
National Institute for Occupational Safety and Health, 2002.Violence Occupational hazards in hospitals. Atlanta: Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/niosh/docs/2002-101/ [5. 6. 2014].
Pagon, M., Lobnikar, B. & Jereb, J., 2001. Agresivno vedenje in nasilje na delovnem mestu ter pomen njunega upravljanja za zagotavljanje organizacijske uspešnosti in učinkovitosti. In: Vukovič, G. ed. Management in globalizacija: zbornik posvetovanja z mednarodno udeležbo. Kranj: Moderna organizacija, pp. 114-127.
Pai, H.C, & Lee, S., 2011. Risk factors for workplace violence in clinical registered nurses in Taiwan. Journal of Clinical Nursing, 20(9-10), pp. 1405-1412. http://dx.doi.org/10.1111/j.1365-2702.2010.03650.x; PMid:21492284
Picakciefe, M., Akca, S., Elibol, A., Deveci, A., Yilmaz, N. & Yilmaz, U.E., 2012. The analysis of violence against the nurses who are in employee status in Mugla State Hospital, Turkey. HealthMED, 6(11), pp. 3626-3637.
Privitera, M., Weisman, R., Cerulli, C. Tu, X., & Groman, A., 2005. Violence toward mental health staff and safety in the work environment. Occupational Medicine, 55(6), pp. 480-486. http://dx.doi.org/10.1093/occmed/kqi110; PMid:15923198
Stokowski, L.A., 2010. Violence: not in my job description. Workplace Violence in Healthcare Settings. Available at: http://www.medscape.com/viewarticle/727144 [5.6.2014].
Soares, J.J.F., Lawoko, S. & Nolan, P., 2000. The nature, extent and determinants of violence against psychiatric personnel. Work and Stress, 14(2), pp. 105-120. http://dx.doi.org/10.1080/026783700750051630
Van Leeuwen, M.E, & Harte, J.M., 2011. Violence against care workers in psychiatry: is prosecution justified? International Journal of Law and Psychiatry, 34(5), pp. 317-323. http://dx.doi.org/10.1016/j.ijlp.2011.08.011; PMid:21924773
World Health Organization, 2002. World report on violence and health. Geneva: WHO.
Zakon o duševnem zdravju, 2008. Uradni list Republike Slovenije št. 77/2008.
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