Vol 16, No 1 (2019)
Research paper
Published online: 2019-01-02
Get Citation

Aggressive behaviors in patients with psychiatric disorders

Anna Mosiołek, Jacek Gierus, Katarzyna Margańska, Mateusz Margański, Tytus Koweszko, Agata Szulc
Psychiatria 2019;16(1):1-7.

paid access

Vol 16, No 1 (2019)
Prace oryginalne - nadesłane
Published online: 2019-01-02

Abstract

Introduction: The aim of the study were: 1) the price of the frequency of aggressive behavior on the part of patients
with mental disorders in the ratio of nurses; 2) assessment of the impact of implementing procedures and training
related to aggressive behavior on the part on patients on the number of reported acts of aggression; 3) assessment of
the impact of aggressive patients in institutions health care for staff

Material and methods: The survey was conducted once in 5 cities in Poland with a population exceeding 200
thousand, in the group of medical workers working with patients with mental disorders. Everyone Participants in the
study expressed their informed consent to complete a survey on exposure to aggression in place work, effectiveness of
implemented procedures and training related to aggressive behavior on the part of patients and consequences related
to exposure to aggressive behavior. All persons participating in the study had higher medical education. The survey
consisted of a demographic and descriptive part and 14 questions related to aggression in the workplace on the part
of patients with mental disorders. Statistical analyzes — the program was used statistics IBM SPSS Statistics 22 for the
analysis of the obtained data.

Results and conclusions: The level of aggression on the part of psychiatric patients is high. The most common form
of aggression on the part of patients it is verbal aggression. The number of aggressive behaviors is at least moderate.
Among behaviors Aggressive aggression is dominated by aggression, associated with experienced anxiety, a sense of
threat. Despite implementation procedures, the number of aggressive behaviors on the part of patients is not reduced,
only the reporting of aggression increases.

Abstract

Introduction: The aim of the study were: 1) the price of the frequency of aggressive behavior on the part of patients
with mental disorders in the ratio of nurses; 2) assessment of the impact of implementing procedures and training
related to aggressive behavior on the part on patients on the number of reported acts of aggression; 3) assessment of
the impact of aggressive patients in institutions health care for staff

Material and methods: The survey was conducted once in 5 cities in Poland with a population exceeding 200
thousand, in the group of medical workers working with patients with mental disorders. Everyone Participants in the
study expressed their informed consent to complete a survey on exposure to aggression in place work, effectiveness of
implemented procedures and training related to aggressive behavior on the part of patients and consequences related
to exposure to aggressive behavior. All persons participating in the study had higher medical education. The survey
consisted of a demographic and descriptive part and 14 questions related to aggression in the workplace on the part
of patients with mental disorders. Statistical analyzes — the program was used statistics IBM SPSS Statistics 22 for the
analysis of the obtained data.

Results and conclusions: The level of aggression on the part of psychiatric patients is high. The most common form
of aggression on the part of patients it is verbal aggression. The number of aggressive behaviors is at least moderate.
Among behaviors Aggressive aggression is dominated by aggression, associated with experienced anxiety, a sense of
threat. Despite implementation procedures, the number of aggressive behaviors on the part of patients is not reduced,
only the reporting of aggression increases.

Get Citation

Keywords

aggression, psychiatric patients, consequences

About this article
Title

Aggressive behaviors in patients with psychiatric disorders

Journal

Psychiatria (Psychiatry)

Issue

Vol 16, No 1 (2019)

Article type

Research paper

Pages

1-7

Published online

2019-01-02

Bibliographic record

Psychiatria 2019;16(1):1-7.

Keywords

aggression
psychiatric patients
consequences

Authors

Anna Mosiołek
Jacek Gierus
Katarzyna Margańska
Mateusz Margański
Tytus Koweszko
Agata Szulc

References (29)
  1. WHO, 2010, World Health Organization. World Health Statistics 2010.
  2. Chen KP, Ku YC, Yang HF. Violence in the nursing workplace - a descriptive correlational study in a public hospital. J Clin Nurs. 2013; 22(5-6): 798–805.
  3. Delaney J, Cleary M, Jordan R, et al. An exploratory investigation into the nursing management of aggression in acute psychiatric settings. J Psychiatr Ment Health Nurs. 2001; 8(1): 77–84.
  4. Galatsch M, Iskenius M, Schlarmann JG, et al. [Exposure to aggressive patient behaviour and its' association with the nurses' "work ability" in Germany]. Pflege Z. 2013; 66(11): 676–680.
  5. Moylan LB, Cullinan M. Frequency of assault and severity of injury of psychiatric nurses in relation to the nurses' decision to restrain. J Psychiatr Ment Health Nurs. 2011; 18(6): 526–534.
  6. Ferns T. Under-reporting of violent incidents against nursing staff. Nurs Stand. 2006; 20(40): 41–45.
  7. Kwok RPW, Law YK, Li KE, et al. Prevalence of workplace violence against nurses in Hong Kong. Hong Kong Med J. 2006; 12(1): 6–9.
  8. Markiewicz R. Zachowania agresywne pacjentów wobec personelu pielęgniarskiego zatrudnionego w oddziałach psychiatrycznych. Curr Problem Psychiatry. 2012; 13(2): 93–97.
  9. Berent D, Pierchała O, Florkowski A, et al. Agresja pacjentów wobec personelu medycznego izby przyjęć szpitala psychiatrycznego. Psychiatria i Psychoterapia. 2009; 5: 1–2.
  10. Niechwiadowicz-Czapka T. Agresja w pracy pielęgniarki. Magazyn Pielęgniarki i Położnej. 2010; 3.
  11. Abe K, Henly SJ. Bullying (ijime) among Japanese hospital nurses: modeling responses to the revised Negative Acts Questionnaire. Nurs Res. 2010; 59(2): 110–118.
  12. Celik SS, Celik Y, Ağirbaş I, et al. Verbal and physical abuse against nurses in Turkey. Int Nurs Rev. 2007; 54(4): 359–366.
  13. Shields M, Wilkins K. Factors related to on-the-job abuse of nurses by patients. Health Rep. 2009; 20(2): 7–19.
  14. Erdos BZ, Hughes DH. Emergency psychiatry: a review of assaults by patients against staff at psychiatric emergency centers. Psychiatr Serv. 2001; 52(9): 1175–1177.
  15. Frączek P, Struzik I. Agresja wśród dzieci i młodzieży. PWN, Kielce 1986.
  16. Narriman SC, Hales RE, Czernikiewicz A. Amerykański słownik psychiatryczny. Elsevier Urban & Partner, Wrocław 2009.
  17. Bushman BJ. Moderating role of trait aggressiveness in the effects of violent media on aggression. J Pers Soc Psychol. 1995; 69(5): 950–960.
  18. Blair RJ. Neurocognitive models of aggression, the antisocial personality disorders, and psychopathy. J Neurol Neurosurg Psychiatry. 2001; 71(6): 727–731.
  19. Brower MC, Price BH. Neuropsychiatry of frontal lobe dysfunction in violent and criminal. Postępy Psychiatrii i Neurologii. 2005; 14(2): 87–91.
  20. Altinbaş K, Altinbaş G, Türkcan A, et al. A survey of verbal and physical assaults towards psychiatrists in Turkey. Int J Soc Psychiatry. 2011; 57(6): 631–636.
  21. Adamowski T, Piotrowski P, Trizna M, et al. Ocena częstotliwości i rodzaju agresji u pacjentów hospitalizowanych z powodu zachowań agresywnych. Psychiatria Polska. 2009; XLIII(6): 739–750.
  22. Mosiołek A, Gierus J. Koweszko T. Agresja w placówkach psychiatrycznych — próba zdefiniowania problemu. Psychiatria. 2014; 11(2): 87–91.
  23. Richter D. [Verbal aggression against health-care staff: results of a qualitative study]. Gesundheitswesen. 2014; 76(8-9): 494–499.
  24. Roche M, Diers D, Duffield C, et al. Violence toward nurses, the work environment, and patient outcomes. J Nurs Scholarsh. 2010; 42(1): 13–22.
  25. Papadopoulos C, Ross J, Stewart D, et al. The antecedents of violence and aggression within psychiatric in-patient settings. Acta Psychiatr Scand. 2012; 125(6): 425–439.
  26. Benson A, Secker J, Balfe E, et al. Discourses of blame: accounting for aggression and violence on an acute mental health inpatient unit. Soc Sci Med. 2003; 57(5): 917–926.
  27. James RK, Burl GE. Strategie interwencji kryzyowej. Parpamedia, Warszawa 2008: 373–383.
  28. Buss DM, Shackelford TK. Human aggression in evolutionary psychological perspective. Clin Psychol Rev. 1997; 17(6): 605–619.
  29. American Nurses Association. ANA on-line health and safety survey key findings. ISNA Bulletin. 2002; 28(2): 17.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest Via Medica sp. z o.o. sp. komandytowa, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl