Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study.
Attitudes toward aggression is a controversial phenomenon in psychiatry. This study examined and compared attitudes toward patient aggression in psychiatric hospitals from the perspectives of nurses, patients and informal caregivers and identified factors associated to these attitudes. A total of 2,...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0274536 |
| _version_ | 1811196419951820800 |
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| author | Maritta Välimäki Joyce Lam Daniel Bressington Teris Cheung Wai Kit Wong Po Yee Ivy Cheng Chi Fai Ng Tony Ng Chun Pong Yam Glendy Ip Lee Paul Tella Lantta |
| author_facet | Maritta Välimäki Joyce Lam Daniel Bressington Teris Cheung Wai Kit Wong Po Yee Ivy Cheng Chi Fai Ng Tony Ng Chun Pong Yam Glendy Ip Lee Paul Tella Lantta |
| author_sort | Maritta Välimäki |
| collection | DOAJ |
| description | Attitudes toward aggression is a controversial phenomenon in psychiatry. This study examined and compared attitudes toward patient aggression in psychiatric hospitals from the perspectives of nurses, patients and informal caregivers and identified factors associated to these attitudes. A total of 2,424 participants completed a self-reported instrument regarding attitudes toward aggression (12-items Perception of Aggression Scale; POAS-S). We analysed data from nurses (n = 782), patients (n = 886), and informal caregivers (n = 765). Pearson's r correlations were used to examine associations between variables. Differences between group scores were analysed using ANOVA/MANOVA with post-hoc Sheffe tests. Multivariate logistic regression models and logistic regression analysis were used to examine the effects of respondents' characteristics on their attitudes toward aggression. Nurses had significantly more negative and less tolerant perceptions toward aggression (mean [SD] 47.1 [7.5], p<0.001) than the patients (mean [SD] 44.4 [8.2]) and the informal caregivers (mean [SD] 45.0 [6.9), according to the POAS-S total scores. The same trend was found with the dysfunction and function sub-scores (mean [SD] 25.3 [4.1] and 15.0 [3.6], respectively); the differences between the groups were statistically significant (p <0.001) when nurses' scores were compared to those of both the patients (mean [SD] 23.7 [5.3] and 14.0 [4.1], respectively) and the informal caregivers (mean [SD] 24.4 [4.2] and 13.9 [3.5], respectively). The study offers new understanding of aggressive behavior in different treatment settings where attitudes toward patient behavior raises ethical and practical dilemmas. These results indicate a need for more targeted on-the-job training for nursing staff, aggression management rehabilitation programs for patients, and peer-support programs for informal caregivers focused on patient aggression. |
| first_indexed | 2024-04-12T00:58:26Z |
| format | Article |
| id | doaj.art-f1f839986378484d8af253ca1830b53a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T00:58:26Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-f1f839986378484d8af253ca1830b53a2022-12-22T03:54:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027453610.1371/journal.pone.0274536Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study.Maritta VälimäkiJoyce LamDaniel BressingtonTeris CheungWai Kit WongPo Yee Ivy ChengChi Fai NgTony NgChun Pong YamGlendy IpLee PaulTella LanttaAttitudes toward aggression is a controversial phenomenon in psychiatry. This study examined and compared attitudes toward patient aggression in psychiatric hospitals from the perspectives of nurses, patients and informal caregivers and identified factors associated to these attitudes. A total of 2,424 participants completed a self-reported instrument regarding attitudes toward aggression (12-items Perception of Aggression Scale; POAS-S). We analysed data from nurses (n = 782), patients (n = 886), and informal caregivers (n = 765). Pearson's r correlations were used to examine associations between variables. Differences between group scores were analysed using ANOVA/MANOVA with post-hoc Sheffe tests. Multivariate logistic regression models and logistic regression analysis were used to examine the effects of respondents' characteristics on their attitudes toward aggression. Nurses had significantly more negative and less tolerant perceptions toward aggression (mean [SD] 47.1 [7.5], p<0.001) than the patients (mean [SD] 44.4 [8.2]) and the informal caregivers (mean [SD] 45.0 [6.9), according to the POAS-S total scores. The same trend was found with the dysfunction and function sub-scores (mean [SD] 25.3 [4.1] and 15.0 [3.6], respectively); the differences between the groups were statistically significant (p <0.001) when nurses' scores were compared to those of both the patients (mean [SD] 23.7 [5.3] and 14.0 [4.1], respectively) and the informal caregivers (mean [SD] 24.4 [4.2] and 13.9 [3.5], respectively). The study offers new understanding of aggressive behavior in different treatment settings where attitudes toward patient behavior raises ethical and practical dilemmas. These results indicate a need for more targeted on-the-job training for nursing staff, aggression management rehabilitation programs for patients, and peer-support programs for informal caregivers focused on patient aggression.https://doi.org/10.1371/journal.pone.0274536 |
| spellingShingle | Maritta Välimäki Joyce Lam Daniel Bressington Teris Cheung Wai Kit Wong Po Yee Ivy Cheng Chi Fai Ng Tony Ng Chun Pong Yam Glendy Ip Lee Paul Tella Lantta Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. PLoS ONE |
| title | Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. |
| title_full | Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. |
| title_fullStr | Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. |
| title_full_unstemmed | Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. |
| title_short | Nurses', patients', and informal caregivers' attitudes toward aggression in psychiatric hospitals: A comparative survey study. |
| title_sort | nurses patients and informal caregivers attitudes toward aggression in psychiatric hospitals a comparative survey study |
| url | https://doi.org/10.1371/journal.pone.0274536 |
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