Fagan-Pryor E C, Femea P, Haber L C
Issues Ment Health Nurs. 1994 Mar-Apr;15(2):187-99. doi: 10.3109/01612849409006912.
In this pilot study, nursing staff matched three levels of intervention (verbal, chemical, and physical) with 84 aggressive behaviors. It was a preliminary step in the development of a theoretical framework regarding how nurses select interventions for aggressive patients. Specifically, it was an attempt to address the following: Do nurses intervene with aggressive behaviors based on learned stereotypes or do nurses perceive behavior as aggressive because there is consistency in the behavior and level of aggression? All 442 members of the nursing staff were invited to participate in the study; and 211 (48%) responded. Factor analyses were conducted on responses to the behaviors of subjects matched with each intervention. The same three factors were identified for verbal and chemical intervention: behaviors that are precursors to an actual aggressive episode, aggressive behaviors directed inwardly, and aggressive behaviors directed outwardly. The last two behaviors were also identified for physical intervention. The results suggest that the nursing staff did differentiate among behaviors reflecting differing levels of aggression and that they were not responding in a stereotypical manner.
在这项试点研究中,护理人员将三种干预水平(言语、药物和身体干预)与84种攻击性行为进行了匹配。这是构建一个关于护士如何为有攻击行为的患者选择干预措施的理论框架的初步步骤。具体而言,该研究旨在解决以下问题:护士是基于习得的刻板印象对攻击行为进行干预,还是因为行为与攻击程度具有一致性而将其视为攻击行为?研究邀请了全体442名护理人员参与;211人(48%)做出了回应。对与每种干预措施相匹配的受试者行为的回应进行了因子分析。言语和药物干预识别出了相同的三个因子:实际攻击事件的先兆行为、向内的攻击行为和向外的攻击行为。身体干预也识别出了后两种行为。结果表明,护理人员确实能够区分反映不同攻击程度的行为,且并非以刻板的方式做出反应。