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A staff self-reported retrospective survey of assaults on a psychiatric intensive care ward and attitudes towards assaults

Published online by Cambridge University Press:  10 October 2013

Aileen O'Brien ,
Sohail Tariq ,
Mark Ashraph  and
Andrew Howe
Aileen O'Brien*
Affiliation:
St George's University of London, Section of Mental Health, London, UK
Sohail Tariq
Affiliation:
Kent and Medway NHS and Social Care Partnership Trust, Claremore, Trevor Gibbens Unit, Maidstone, UK
Mark Ashraph
Affiliation:
St George's University of London, Section of Mental Health, London, UK
Andrew Howe
Affiliation:
University Hospital, Leicester, UK
*
Correspondence to: Miss Aileen O'Brien, St George's University of London, Section of Mental Health, Cranmer Terrace, Tooting, London, SW17 ORE. E-mail: [email protected]
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Abstract

Introduction

Assaults on staff on psychiatric intensive care wards are unfortunately common and have a negative impact on morale.

Method

Staff on one PICU completed a survey providing an account of any assaults they had experienced over the previous year and a separate survey regarding attitudes towards assaults.

Results

65% of staff members reported having being assaulted over the year. Most did not take any time off work. Attitudes towards prosecution of patients varied. Staff valued training in this area.

Conclusions

Assaults are common on a PICU and staff are ambivalent about prosecuting patients. More training may be of value regarding prediction of assaults, and about the criminal justice interface.

Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 10 , Issue 2 , August 2014 , pp. 93 - 99
Copyright
Copyright © NAPICU 2013 

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References

ACPO, the CPS and NHS Protect (2011) Tackling violence and antisocial behaviour in the NHS: joint working agreement between the Association of Chief Police Officers, the Crown Prosecution Service and NHS Protect. http://www.nhsbsa.nhs.uk/Documents/SecurityManagement/Joint_Working_Agreement_between_ACPO_CPS_NHS_Protect.pdf Google Scholar
Abderhalden, C., Needham, I., Dassen, T., Halfens, R., Haug, H.J., Fischer, J.E. (2008) Structured risk assessment and violence in acute psychiatric wards: randomised controlled trial. The British Journal of Psychiatry. 193: 44–50.CrossRefGoogle ScholarPubMed
Bowers, L., Nijman, H., Allan, T., Simpson, A., Warren, J., Turner, L. (2006) Prevention and management of aggression training and violent incidents on U. K. acute psychiatric wards. Psychiatric Services. 57: 1022–1026.CrossRefGoogle Scholar
Bowers, L., Hammond, N., James, K., Quirk, A., Robson, D., Stewart, D. (2012) Characteristics of acute wards associated with the presence of a psychiatric intensive care unit, and transfers of patients to it. Journal of Psychiatric Intensive Care. 8: 66–77.CrossRefGoogle Scholar
Chou, K.R., Lu, R.B., Mao, W.C. (2002) Factors relevant to patient assaultive behavior and assault in acute inpatient psychiatric units in Taiwan. Archives of Psychiatric Nursing. 16: 187–195.CrossRefGoogle ScholarPubMed
Crown Prosecution Service (2013) Mentally disordered offenders. http://www.cps.gov.uk/legal/l_to_o/mentally_disordered_offenders/ Google Scholar
Hamadeh, R.R., Al Alaiwat, B., Al Ansari, A. (2003) Assaults and nonpatient-induced injuries among psychiatric nursing staff in Bahrain. Issues in Mental Health Nursing. 24: 409–417.CrossRefGoogle ScholarPubMed
Ho, J., Ralston, D.C., McCullough, L.B., Coverdale, J.H. (2009) When should psychiatrists seek criminal prosecution of assaultive psychiatric inpatients? Psychiatric Services. 60: 1113–1117.CrossRefGoogle ScholarPubMed
Ito, H., Eisen, S.V., Sederer, L.I., Yamada, O., Tachimori, H. (2001) Factors affecting psychiatric nurses’ intention to leave their current job. Psychiatric Services. 52: 232–234.CrossRefGoogle ScholarPubMed
Needham, I., Abderhalden, C., Halfens, R.J.G., Fischer, J.E., Dassen, T. (2005) Non-somatic effects of patient aggression on nurses: a systematic review. Journal of Advanced Nursing. 49: 283–296.CrossRefGoogle ScholarPubMed
Owen, C., Tarantello, C., Jones, M., Tennant, C. (1998) Violence and aggression in psychiatric units. Psychiatric Services. 49: 1452–1457.CrossRefGoogle ScholarPubMed
Palmstierna, T., Huitfeldt, B., Wistedt, B. (1991) The relationship of crowding and aggressive behavior on a psychiatric intensive care unit. Hospital and Community Psychiatry. 42: 1237–1240.Google ScholarPubMed
Poster, E.C. (1996) A multinational study of psychiatric nursing staffs’ beliefs and concerns about work safety and patient assault. Archives of Psychiatric Nursing. 10: 365–373.CrossRefGoogle ScholarPubMed
Poster, E., Ryan, J. (1989) Nurses’ attitudes toward physical assaults by patients. Archives of Psychiatric Nursing. 3: 315–322.Google ScholarPubMed
Sjöström, N., Eder, D.N., Malm, U., Beskow, J. (2001) Violence and its prediction at a psychiatric hospital. European Psychiatry. 16: 459–465.CrossRefGoogle ScholarPubMed
Thakkar, P.B., Kini, R. (2012) Prosecuting violent in-patients: the importance of staff attitudes. The Psychiatrist. 36: 195.CrossRefGoogle Scholar
Vaaler, A.E., Iversen, V.C., Morken, G., Fløvig, J.C., Palmstierna, T., Linaker, O.M. (2011) Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics. BMC Psychiatry. 11: 44.CrossRefGoogle Scholar
Walker, Z., Seifert, R. (1994) Violent incidents in a psychiatric intensive care unit. The British Journal of Psychiatry. 164: 826–828.CrossRefGoogle Scholar
Whittington, R., Wykes, T. (1992) Staff strain and social support in a psychiatric hospital following assault by a patient. Journal of Advanced Nursing. 17: 480–486.CrossRefGoogle Scholar
Whittington, R., Wykes, T. (1994) Violence in psychiatric hospitals: are certain staff prone to being assaulted? Journal of Advanced Nursing. 19: 219–225.CrossRefGoogle ScholarPubMed
Wilson, S., Murray, K., Harris, M., Brown, M. (2012) Psychiatric in-patients, violence and the criminal justice system. The Psychiatrist. 41–44.CrossRefGoogle Scholar
Young, C., Brady, J., Iqbal, N., Brown, F. (2009) Prosecution of physical assaults by psychiatric in-patients in Northern Ireland. The Psychiatrist. 33: 416–419.Google Scholar
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