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Managing violence without coercion

D Harris¹, E F Morrison

¹School of Nursing, University of Alabama, Birmingham, USA.

Archives of Psychiatric Nursing

|August 1, 1995

Summary

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This study introduces an interactional theory of aggression and violence, proposing that nurses manage patient violence through negotiation and collaboration rather than control. It aims to help nurses re-evaluate current practices for managing difficult situations.

Area of Science:

Psychiatric Nursing
Clinical Psychology
Healthcare Management

Background:

Managing violence in healthcare settings is a priority for nurses.
Traditional methods for managing violence lack critical analysis.
Psychiatric nurses have extensive experience with violent situations.

Observation:

Violence in persons with mental illness exhibits a coercive interactional style.
Clinical vignettes highlight this coercive style in patients.
Current interventions for managing violence require critical examination.

Findings:

Presents an interactional theory of aggression and violence.
Argues for the coercive nature of violence in individuals with mental illness.
Proposes a shift from control-based to negotiation and collaboration-based management strategies.

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Implications:

Encourages nurses to re-evaluate current practices for managing potentially violent situations.
Promotes a collaborative and negotiation-focused approach to patient violence.
Aims to improve the management of aggressive behaviors in healthcare settings.