Abstract
The researcher was working in a public psychiatric hospital when he noticed that
aggression that psychiatric nurses experienced from the patients was spilling out of
control. Psychiatric nurses were trying everything they could to manage this
aggression but, with no positive results. He was moved by compassion and wanted
to assist them as the ineffective management of aggression was leading to negative
behaviours such as absenteeism, abusing drugs (mostly alcohol) and the
development of an “I don’t care attitude”.
The overall purpose of the research study was to develop, describe, implement, and
evaluate a model that could be used as a framework of reference to facilitate the
effective management of aggression as an integral part of the mental health of
psychiatric nurses experiencing aggression in a psychiatric institution.
A qualitative, exploratory, descriptive, contextual, and theory generative research
design was utilised to accomplish the purpose of the research study. The model
development comprised four steps.
Step one consisted of concept analysis that comprised identification, definition and
classification of the central, essential and related concepts in the model. During
concept analysis, the facilitation of the effective management of aggression was
identified as the central concept for the model.
Step two consisted of the description of the relationship between the concepts of the
model.
During step three, the model to facilitate the effective management of aggression
experienced by psychiatric nurses working in a psychiatric institution was described.
The model structure and process were discussed. The structure of the model was
described based on its purpose, assumptions and the context. The central concept
was defined, and the relationship statements were described. The process of the
model was described in three phases: the relationship phase, the working phase and
the termination phase. The evaluation of the model by an academic panel of experts
in model development, and the description of the implementation of the model as
well as the guidelines for implementation of the model were all achieved...
D.Cur. (Psychiatric Nursing Science)