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Updated: Jul 16, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Aggression and violence towards staff working with older patients
Barbara Mullan1, Frances Badger
1School of Psychology, University of Sydney, Australia. barbara@psych.usyd.edu.au
Aim:
To investigate the incidence of violence and aggression towards staff working in elderly care wards and to consider the factors that influence the risk of experiencing such an incident.
Method:
Questionnaires were administered to 287 nursing and therapy staff within a community health NHS trust in the West Midlands. A response rate of 34% (96) was achieved.
Results:
Fifty one per cent (49) of staff had experienced an incident of violence or aggression. There was a significant difference between the probability of experiencing violence and the occupation of the participant (chi2 = 0.035), with 65% (31 of 48) of nurses having experienced an incident, compared to only 42% (10 of 24) of occupational therapists and 27% (4 of 15) of physiotherapists.
Conclusion:
This study should be replicated in a wider geographical area and apparent anomalies in frequency of assault by occupation need to be considered in future research.
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