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Area of Science:

  • Nursing
  • Mental Health
  • Criminology

Background:

  • Aggression and violence towards nurses are prevalent issues.
  • Mental health settings report higher incidences of such behaviors.
  • Existing management strategies include physical restraint and medication.

Observation:

  • The effectiveness and safety of current interventions require critical evaluation.
  • Reactive approaches may not adequately address the root causes of violence.
  • Preventive and participatory measures are often underutilized.

Findings:

  • Physical restraint and medication carry inherent risks and limitations.
  • Proactive strategies can mitigate aggressive incidents.
  • Advance directives offer a less restrictive, patient-centered approach.

Implications:

  • Healthcare settings should prioritize de-escalation and prevention training.
  • Integrating patient preferences through advance directives can improve safety.
  • Further research into non-coercive interventions is warranted.