This paper reports a study of staff and patient perspectives on the causes aggression way it is managed.The incidence in healthcare reportedly increase, concerns about management this problem are growing.A convenience sample 80 patients 82 nurses from three inpatient mental wards were surveyed using The Management Aggression Violence Attitude Scale. A further five same participated number follow-up interviews.Patients perceived environmental conditions poor communication to be significant...

Aggression towards health care staff is an increasing problem and although many studies have examined psychiatric settings, few considered general hospitals in particular, variation among professions locations. In addition, often fail to include all forms of aggression such as threatening behaviour verbal aggression.This study extends existing research by evaluating physical assault, from patients/visitors hospital the context different departments.The survey showed that widespread. Within...

PURPOSE This phase II study was designed to evaluate effectiveness and toxicity of a combined chemoradiotherapy program with selective bladder preservation in the management patients invasive cancer. PATIENTS AND METHODS Ninety-one eligible cancer stages T2M0 T4AM0 suitable for radical cystectomy received two courses methotrexate, cisplatin, vinblastine (MCV regimen) followed by radiotherapy 39.6 Gy concurrent cisplatin. After complete urologic evaluation, operable who achieved response were...

Objective: To ascertain the degree of approval amongst service users and staff for various coercive measures commonly used in acute mental health care.Methods: A cross-sectional design was adopted.The Attitudes to Containment Measures Questionnaire (ACMQ) completed by 1,361 1,226 care services from three regions England.This provided evaluation eleven (e.g.seclusion) on six dimensions (e.g.indignity, safety) a large national sample.Comparisons between groups were tested using independent...

The problem of aggression to staff in a general hospital was examined from the perspective Poyner & Warne's (1986) model workplace violence. A total 396 (39% response rate) provided information on their experience violence past year and subsample were additionally interviewed about current levels mental health (GHQ). Some 72 (21% respondents had been physically assaulted 90% these worked beyond accident emergency department, e.g. medical wards. Nurses assaulted, threatened verbally abused at...

Although an increasing problem, the aggression ( physical assault, threatening behaviour and verbal aggression) directed toward general hospital staff rather than in psychiatric institutions has not been widely investigated. The present study first compared anxiety, coping styles burnout according to frequency of aggressive experiences. Second, a sub-sample was examined determine any immediate after-effects from encounters. Healthcare n = 375) across professions completed State-Trait Anxiety...

There is a lack of evidence to underpin decisions on what constitutes the most effective and least restrictive form coercive intervention when responding violent behavior. Therefore we compared ratings effectiveness subjective distress by 125 inpatients across four types interventions. Effectiveness was assessed through patient behavior immediately after exposure measure 24 h later. Subjective examined using Coercion Experience Scale at debriefing. Regression analyses were performed compare...

Accessible summary What is known on the subject? Mental health nursing in UK and other countries faces an acute workforce crisis. Safe staffing levels are called for, some jurisdictions have been legislated for. The evidence base linking patient outcomes limited. Staffing implicated adverse experiences of service users staff within mental ward settings, they might contribute to violence aggression application restrictive practices, such as physical restraint but there limited research...

In 2019, the Council of Europe agreed to urge member states take steps toward total abolition psychiatric coercive measures. To test if this aspiration is perceived as realistic and what alternative would be in event a abolition, we surveyed members European FOSTREN network mental health practitioners researchers, which specifically dedicated exchanging knowledge on reducing coercion its minimum. Web-based survey. Categorical responses were analyzed using frequencies, free text through...

This study investigated the frequency with which violence by psychiatric in‐patients was preceded aversive interpersonal stimulation. The precursors of 63 assaults patients on nurses were studied using semi‐structured interviews conducted within 72 hours assault. Reliability data collected from staff witnesses and assaultive in a subgroup assaults. Eighty‐six per cent immediately assaulted nurse having delivered an stimulus to patient, e.g. frustration, activity demand or physical contact....

Summary • UK government policy now officially encourages an attitude of ‘zero tolerance’ towards aggression against health care staff. This study examines levels such tolerance amongst a group mental staff and associations between other occupational stress factors. Thirty‐seven completed Tolerance Scale (from the Perceptions Aggression Scale) Maslach Burnout Inventory. for was higher more experienced ( P < 0.01) high associated with low emotional exhaustion, depersonalization personal...

Attacks by patients are acknowledged as an important source of stress for psychiatric staff which has ramifications and the nurses' employers well. Twenty-three nurses one doctor who had been assaulted a patient at work were interviewed within 72 hours incident twice more 2 weeks. The levels strain they experienced amount support provided them in time between interviews measured correlated. Some subjects reported high persisted well beyond incident. Support was usually on informal basis...

Most mental health nurses engage at some point with clients who harm themselves and these often experience strong negative emotional reactions. Prolonged engagement relapsing can lead to antipathy, ‘malignant alienation’. The study reported here has the aim of developing a brief, robust instrument for assessing nurse attitudes in this area. Self‐Harm Antipathy Scale, developed on sample 153 healthcare professionals, 30 attitudinal items six factors. It acceptable face validity, good internal...

Special observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour keep in-patients safe from harm. The practice both contentious and unknown efficacy.To assess the relationship between special self-harm rates, ward, while controlling for potential confounding variables.A multivariate cross-sectional study collecting data on self-harm, observation, other conflict containment, physical environment, patient staff factors a...

Abstract BACKGROUND: Recent studies have demonstrated the feasibility of combining oxaliplatin with 5‐fluorouracil (5‐FU) or capecitibine and radiation therapy. The addition bevacizumab to chemotherapy improves overall survival for metastatic disease. We initiated a phase 2 trial evaluate preoperative capecitabine, oxaliplatin, therapy followed by surgery postoperative 5‐FU, leucovorin, (FOLFOX) locally advanced rectal cancer. METHODS: Fifty‐seven patients resectable T3/T4 adenocarcinoma...