Whittington R, Wykes T
J Psychiatr Ment Health Nurs. 1994;1(2):85-92. doi: 10.1111/j.1365-2850.1994.tb00024.x.
A cyclical model of violence to psychiatric nurses is proposed in this paper and a partial test of the model is reported. The model suggests that stress induced by exposure to violence leads to impaired staff performance and adoption of behaviours which make the re-occurrence of violence more likely. We tested the proposal that certain staff behaviours (e.g. expressing verbal hostility) are associated with an increased risk of assault by observing nurse-patient interaction on 12 psychiatric wards (n = 103 nurses). The verbal and physical interaction of (1) assaulted staff, (2) staff on violent wards, and (3) staff in grades which experience high levels of assault, were compared with those of respective low risk groups. There was some evidence of an association between interaction patterns and violence. We conclude this paper by discussing the implications of the model for psychiatric nursing practice.
本文提出了一个针对精神科护士的暴力循环模型，并报告了该模型的部分检验情况。该模型表明，接触暴力所引发的压力会导致员工表现受损，并促使他们采取一些行为，而这些行为会使暴力再次发生的可能性增加。我们通过观察12个精神科病房（n = 103名护士）中的护患互动，来检验某些员工行为（如表达言语敌意）与受攻击风险增加之间的关联这一假设。将（1）受攻击员工、（2）暴力病房的员工以及（3）遭受高攻击率等级的员工的言语和身体互动，与各自的低风险组进行了比较。有一些证据表明互动模式与暴力之间存在关联。本文最后讨论了该模型对精神科护理实践的意义。
