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A literature review of Patient care in the management of agitation leading to violence and aggression in neuroscience nursing

A literature review of Patient care in the management of agitation leading to violence and... AbstractBackgroundA correlation exists between staff retention, staff and patient safety and effective prevention of violence and aggression in neuroscience nursing. Workplace violence leads to a lack of productivity amongst nurses and legally a hospital is required to provide a safe working environment. This literature review aims to determine the themes within the literature and effective patient management of agitation leading to violence and aggression.AimA literature review of articles was conducted using CINAHL, PubMed, Cochrane database and Google Scholar between 2007-2022.DiscussionThe common themes within the literature included assessment of the patient to identify an unmet need, early referrals to members of the interdisciplinary team, effective communication, verbal de-escalation techniques and an understanding of restraint and pharmaceutical management, even though these should be the last resort. Education for staff is fundamental and should include effective communication, warning signs, triggers for aggression, simulation in the clinical context, and verbal de-escalation techniques. Debriefing should take place after an incidence of violence and aggression and effective hospital management should be considered with guidelines and systems in place to support and protect staff and patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal of Neuroscience de Gruyter

A literature review of Patient care in the management of agitation leading to violence and aggression in neuroscience nursing

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Publisher
de Gruyter
Copyright
© 2023 Caroline Woon et al., published by Sciendo
eISSN
2208-6781
DOI
10.21307/ajon-2023-009
Publisher site
See Article on Publisher Site

Abstract

AbstractBackgroundA correlation exists between staff retention, staff and patient safety and effective prevention of violence and aggression in neuroscience nursing. Workplace violence leads to a lack of productivity amongst nurses and legally a hospital is required to provide a safe working environment. This literature review aims to determine the themes within the literature and effective patient management of agitation leading to violence and aggression.AimA literature review of articles was conducted using CINAHL, PubMed, Cochrane database and Google Scholar between 2007-2022.DiscussionThe common themes within the literature included assessment of the patient to identify an unmet need, early referrals to members of the interdisciplinary team, effective communication, verbal de-escalation techniques and an understanding of restraint and pharmaceutical management, even though these should be the last resort. Education for staff is fundamental and should include effective communication, warning signs, triggers for aggression, simulation in the clinical context, and verbal de-escalation techniques. Debriefing should take place after an incidence of violence and aggression and effective hospital management should be considered with guidelines and systems in place to support and protect staff and patients.

Journal

Australasian Journal of Neuroscience – de Gruyter

Published: May 1, 2023

Keywords: Neuroscience nursing; agitation; violence and aggression; staff safety; patient safety; prevention; patient care

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