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Published on: July 4, 2013
Association between characteristics of nursing teams and patients' aggressive behavior in closed psychiatric wards
Paul Doedens1,2, Jentien Vermeulen1, Gerben Ter Riet2,3
1Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands.
Purpose:
Estimate the effect of nursing, shift, and patient characteristics on patients' aggression.
Design And Methods:
Follow-up study on a closed psychiatric ward was performed to estimate the effect of nursing team characteristics and patient characteristics on the incidence of aggression.
Findings:
The incidence of aggression (n = 802 in sample) was lower in teams with >75% male nurses. Teams scoring high on extraversion experienced more verbal aggression and teams scoring high on neuroticism experienced more physical aggression. Younger patients and/or involuntarily admitted patients were more frequently aggressive.
Practice Implications:
These findings could stimulate support for nurses to prevent aggression.
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