Professor and Nursing Director, Department of Nursing Science, University of Turku, Finland.
J Psychiatr Ment Health Nurs. 2011 Nov;18(9):776-85. doi: 10.1111/j.1365-2850.2011.01726.x. Epub 2011 Apr 13.
Management of aggressive behaviour is a challenge in adolescent forensic units. Aggressive behaviour endangers the safety of the treatment milieu for patients and nursing and multidisciplinary staff. However, there is a paucity of literature about how the staff manage aggressive behaviour among patients in adolescent forensic settings, and whether the nursing practices are similar across countries. The purpose of this study was to explore nursing practices used to manage adolescent aggressive behaviour in adolescent forensic units in four European countries. An exploratory, descriptive research approach was adopted for the study. A convenience sampling was used by selecting the staff members working in adolescent forensic units (Belgium n= 15, Finland n= 18, the Netherlands n= 16, the UK n= 9). Personal thematic interviews were used to collect the data; and for data analysis, qualitative content analysis was applied. Staff members preferred using verbal and less restrictive interventions when intervening in escalated situations and perceived the use of coercive measures as the last option. Differences between countries were found in the use of restrictive methods. The principles of aggression management were fairly similar across Europe, even if differences were reported in practical solutions.
在青少年法医病房中，对攻击性行为的管理是一个挑战。攻击性行为危及到患者、护理人员和多学科工作人员的治疗环境安全。然而，关于工作人员如何在青少年法医环境中管理患者的攻击性行为，以及各国的护理实践是否相似，文献却很少。本研究旨在探讨在四个欧洲国家的青少年法医病房中用于管理青少年攻击性行为的护理实践。该研究采用了探索性、描述性的研究方法。通过选择在青少年法医病房工作的工作人员（比利时 n=15，芬兰 n=18，荷兰 n=16，英国 n=9）进行便利抽样。使用个人主题访谈收集数据；并应用定性内容分析进行数据分析。工作人员在干预升级情况时更喜欢使用口头和限制较少的干预措施，并将使用强制性措施视为最后手段。在使用限制方法方面发现了国家之间的差异。尽管在实际解决方案方面有报道称存在差异，但欧洲各地的攻击管理原则相当相似。
