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Updated: Sep 24, 2025

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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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[Aggressive behaviour in health care asks for a broad approach]
H P Verdonk1,2
1Radboudumc, polikliniek Neuropsychiatrie, Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|May 2, 2022
Summary
Aggression in healthcare settings requires addressing staff and organizational factors. Comprehensive safety plans focusing on patients, staff, and organizational elements are crucial for reducing aggressive incidents.
Area of Science:
- Healthcare management
- Occupational safety
- Behavioral science
Background:
- Aggression is prevalent across various healthcare settings, not confined to psychiatric wards.
- Existing approaches often overlook critical staff-related and organizational factors contributing to aggression.
Purpose of the Study:
- To emphasize the importance of staff-related and organizational factors in mitigating aggression towards healthcare personnel.
- To advocate for comprehensive safety strategies that integrate patient, staff, and organizational elements.
Main Methods:
- Review of existing literature and a prior study by Weltens et al. (2021).
- Analysis of interventions for de-escalating aggressive behavior.
- Synthesis of findings to support a multi-faceted approach to safety.
Main Results:
- Training healthcare staff in de-escalation skills significantly reduces aggressive incidents.
- Healthcare organizations play a vital role in enhancing employee safety.
- Broader safety plans encompassing patient, staff, and organizational factors are more effective.
Conclusions:
- A holistic approach is necessary to effectively manage and reduce aggression in healthcare.
- Investing in staff training and organizational safety measures is paramount.
- Future safety initiatives should adopt a comprehensive strategy for optimal impact.
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