A model to facilitate effective management of aggression experienced by psychiatric nurses working in a psychiatric institution
- Authors: Bimenyimana, Emmanuel
- Date: 2015
- Subjects: Psychiatric nursing - Job stress , Aggressiveness , Nurse and patient
- Language: English
- Type: Doctoral (Thesis)
- Identifier: http://hdl.handle.net/10210/91045 , uj:20056
- Description: 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)
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- Authors: Bimenyimana, Emmanuel
- Date: 2015
- Subjects: Psychiatric nursing - Job stress , Aggressiveness , Nurse and patient
- Language: English
- Type: Doctoral (Thesis)
- Identifier: http://hdl.handle.net/10210/91045 , uj:20056
- Description: 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)
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The lived experience of aggression and violence by nurses in a Gauteng psychiatric institution
- Authors: Bimenyimana, Emmanuel
- Date: 2010-05-24T07:57:20Z
- Subjects: Violence in psychiatric hospitals , Psychiatric hospital patients , Psychiatric nursing personnel management , Psychiatric nurses' mental health , Gauteng (South Africa)
- Type: Thesis
- Identifier: uj:6811 , http://hdl.handle.net/10210/3245
- Description: M.Cur. , Violence and aggression in psychiatric hospitals are a worldwide known phenomenon. South Africa is no exception to the rule. Previous researches conducted in psychiatric institutions have mainly focused on the patients, leaving everyone to guess how this violence affects nurses who are in contact with the patients on a daily basis and who are key role-players in the care, treatment, and rehabilitation of the patients under their responsibility. The research aimed to explore and describe the lived experience of aggression and violence by the registered nurses in a Gauteng psychiatric institution, the essence of this violence, and how nurses cope with this violence, in order to formulate guidelines and recommendations that could assist them to manage violence. A qualitative, explorative, descriptive, and contextual study design was utilised. Data was collected by means of semi-structured interviews, and naïve sketches. Tesch’s method was used for data analysis, here and an independent coder was utilised. The uniqueness of this study was to bring to the surface the other side of violence as it is perceived and lived by the nurses. The findings show that the nurses face violence on a daily basis. Among the contributing factors there are: the type of patients admitted in the hospital; the staff shortage; the lack of support among the members of the multidisciplinary team (MDT); and the lack of structured and comprehensive orientation. The consequences of this violence to the nurses are emotional, psychological, and physical and take the form of: fear, anger, frustration, despair, hopelessness and helplessness, substance abuses, absenteeism, retaliation, a development of an “I don’t care attitude”, injuries, and damage to personal properties such as clothes, and spectacles.
- Full Text:
- Authors: Bimenyimana, Emmanuel
- Date: 2010-05-24T07:57:20Z
- Subjects: Violence in psychiatric hospitals , Psychiatric hospital patients , Psychiatric nursing personnel management , Psychiatric nurses' mental health , Gauteng (South Africa)
- Type: Thesis
- Identifier: uj:6811 , http://hdl.handle.net/10210/3245
- Description: M.Cur. , Violence and aggression in psychiatric hospitals are a worldwide known phenomenon. South Africa is no exception to the rule. Previous researches conducted in psychiatric institutions have mainly focused on the patients, leaving everyone to guess how this violence affects nurses who are in contact with the patients on a daily basis and who are key role-players in the care, treatment, and rehabilitation of the patients under their responsibility. The research aimed to explore and describe the lived experience of aggression and violence by the registered nurses in a Gauteng psychiatric institution, the essence of this violence, and how nurses cope with this violence, in order to formulate guidelines and recommendations that could assist them to manage violence. A qualitative, explorative, descriptive, and contextual study design was utilised. Data was collected by means of semi-structured interviews, and naïve sketches. Tesch’s method was used for data analysis, here and an independent coder was utilised. The uniqueness of this study was to bring to the surface the other side of violence as it is perceived and lived by the nurses. The findings show that the nurses face violence on a daily basis. Among the contributing factors there are: the type of patients admitted in the hospital; the staff shortage; the lack of support among the members of the multidisciplinary team (MDT); and the lack of structured and comprehensive orientation. The consequences of this violence to the nurses are emotional, psychological, and physical and take the form of: fear, anger, frustration, despair, hopelessness and helplessness, substance abuses, absenteeism, retaliation, a development of an “I don’t care attitude”, injuries, and damage to personal properties such as clothes, and spectacles.
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