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南非急性精神科病房专业护士所经历的患者攻击行为。

Patient aggression experienced by professional nurses in acute psychiatric ward: South Africa.

作者信息

Thandavhathu Tshinanne G, Maluleke Mary, Raliphaswa Ndidzulafhi S, Rangwaneni Mphedziseni E, Masutha Thingahangwi C, Lavhelani Ndivhaleni R, Manyuma Duppy, Makhado Langanani C, Thabathe Takalani E, Kharivhe Lufuno M, Letlalo Vusiwana P, Mulaudzi Mulatedzi P

机构信息

Department of Advanced Nursing Science, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa.

出版信息

Health SA. 2024 Feb 28;29:2158. doi: 10.4102/hsag.v29i0.2158. eCollection 2024.

Abstract

BACKGROUND

Aggression of patients in hospital wards has become an endemic problem and professional nurses are particularly at high risk.

AIM

This article presents the types of patient aggression experienced by professional nurses working in an acute psychiatric ward in Vhembe District, South Africa.

SETTING

Vhembe District, South Africa.

METHODS

A qualitative approach using exploratory, descriptive and contextual research design was used. Four hospitals were purposively selected and 10 professional nurses were conveniently sampled to participate in the study. Individual interviews were used to collect data, which were then analysed through Tesch Open Coding Method. Measures to ensure trustworthiness and ethical considerations were adhered to throughout the study.

RESULTS

This study shed some light on the professional nurses' lived experiences regarding the types of aggression from patients in an acute psychiatric ward in Vhembe District. The types of aggression are physical aggression, destructive behaviour and verbal aggression.

CONCLUSION

The findings show that the types of aggression to which professional nurses are exposed are overwhelming and the consequences are shocking. As a result, the health of professional nurses is compromised. Therefore, this study recommends further studies to determine the kind of support needed by professional nurses working in an acute psychiatric ward and to investigate the impact of aggression from patients in acute psychiatric ward with regard to the quality of care.

CONTRIBUTION

This article contributes to the body of knowledge regarding patients' aggression in acute wards in Vhembe District, South Africa.

摘要

背景

医院病房中患者的攻击行为已成为一个普遍存在的问题,专业护士尤其面临高风险。

目的

本文介绍了在南非韦姆贝区一家急性精神科病房工作的专业护士所经历的患者攻击行为类型。

地点

南非韦姆贝区。

方法

采用探索性、描述性和情境性研究设计的定性方法。有目的地选择了四家医院,并方便地抽取了10名专业护士参与研究。通过个人访谈收集数据,然后采用泰施开放编码法进行分析。在整个研究过程中都坚持了确保可信度和道德考量的措施。

结果

本研究揭示了专业护士在韦姆贝区一家急性精神科病房中关于患者攻击行为类型的实际经历。攻击行为类型包括身体攻击、破坏性行为和言语攻击。

结论

研究结果表明,专业护士所面临的攻击行为类型令人难以承受,其后果令人震惊。因此,专业护士的健康受到了损害。因此,本研究建议进一步开展研究,以确定在急性精神科病房工作的专业护士所需的支持类型,并调查急性精神科病房中患者攻击行为对护理质量的影响。

贡献

本文为有关南非韦姆贝区急性病房中患者攻击行为的知识体系做出了贡献。

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