Morrison E F
Sch Inq Nurs Pract. 1990 Spring;4(1):65-82; discussion 83-6.
Violence in inpatient psychiatric settings is a clinically significant and relevant problem requiring attention by the psychiatric community. Despite the prevalence of research on violent behavior, few nursing studies have been conducted that explore the components of nursing care that may influence the amount of violence occurring in inpatient psychiatric settings. The purpose of the study was to identify the characteristics of violent patients and the components of nursing care that are related to violent patient behavior. A qualitative study was conducted using participant observation and grounded theory methodology. Data were collected in a metropolitan public hospital over a 9-month period. Six categories of violent patients were identified during data analysis: (1) the user, (b) the outlaw, (c) the rebel without a cause, (d) the little big man, (e) the child, and (6) the vamp. Implications of the study for clinicians working in inpatient psychiatric settings are discussed.
住院精神科环境中的暴力行为是一个具有临床重要性且相关的问题，需要精神科领域予以关注。尽管对暴力行为的研究普遍存在，但很少有护理研究探讨可能影响住院精神科环境中暴力发生量的护理要素。本研究的目的是确定暴力患者的特征以及与暴力患者行为相关的护理要素。采用参与观察法和扎根理论方法进行了一项定性研究。在一家大都市公立医院为期9个月的时间里收集了数据。数据分析过程中确定了六类暴力患者：（1）使用者，（2）不法之徒，（3）无故叛逆者，（4）小大人，（5）儿童，以及（6）诱惑者。讨论了该研究对在住院精神科环境中工作的临床医生的启示。
