Nau Johannes, Dassen Theo, Halfens Ruud, Needham Ian
Evangelisches Bildungszentrum für Pflegeberufe Stuttgart, Protestant Centre of Nursing Education Stuttgart gGmbH, Stöckachstrasse 48, 70190 Stuttgart, Germany.
Nurse Educ Today. 2007 Nov;27(8):933-46. doi: 10.1016/j.nedt.2007.01.007. Epub 2007 Mar 21.
Nursing students are at high risk to become a victim of patient aggression. There is little evidence that training programmes developed for post-registered nurses or nurses in psychiatric or forensic settings can meet the needs of nursing students. To gain more insight into student nurses' educational outcomes in Germany the view of the target group was explored.
Twelve nursing students participated in semi-structured interviews. Data were evaluated by qualitative content analysis.
Managing patient aggression is a general challenge for nursing students and is not confined to psychiatric settings. Specific problems of beginners became evident. Additionally, general issues were addressed on control of causes of aggression, interpretation aggressive situations, dealing with the aggressive patient, coping with stress, and organizational issues.
Nursing students need preparation and training in handling patient aggression. They should acquire knowledge about aggression, awareness of contributing problems, self-confidence in dealing with aggressive patients, assertiveness and empathy in communication and the ability to cope in an appropriate manner. In addition the safety policy of hospital placements should be examined for appropriateness to support nursing students.
护理专业学生极易成为患者攻击行为的受害者。几乎没有证据表明,为注册后护士或精神科或法医环境中的护士制定的培训计划能够满足护理专业学生的需求。为了更深入了解德国护理专业学生的教育成果,我们对目标群体的观点进行了探讨。
12名护理专业学生参与了半结构化访谈。通过定性内容分析法对数据进行评估。
应对患者攻击行为是护理专业学生面临的一项普遍挑战,并不局限于精神科环境。初学者的具体问题变得明显。此外,还讨论了关于攻击行为成因控制、攻击性情况解读、应对攻击性患者、应对压力以及组织问题等一般性问题。
护理专业学生需要在应对患者攻击行为方面做好准备并接受培训。他们应掌握有关攻击行为的知识、意识到相关问题、在应对攻击性患者时具备自信、在沟通中具备坚定性和同理心以及以适当方式应对的能力。此外,应检查医院实习场所的安全政策是否合适,以支持护理专业学生。