https://doi.org/10.4081/scenario.2017.26
Gli infermieri del pronto soccorso di fronte alla violenza del paziente psichiatrico: percezione e gestione dell’evento: una ricerca qualitativa.
Submitted: 3 January 2018
Accepted: 3 January 2018
Published: 1 April 2017
Accepted: 3 January 2018
Abstract Views: 487
PDF (Italiano): 142
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Authors
Scopo: Analizzare la percezione degli infermieri di pronto soccorso che assistono i pazienti psichiatrici con atteggiamento aggressivo,per comprendere come strutturano la gestione dell’evento violento.
Materiali e Metodi: Disegno di ricerca: studio qualitativo fenomenologico. Campione: 18 infermieri di due dipartimenti di emergenza. Intervista semi strutturata e trascrizione integrale delle interviste. Le interviste si sono svolte tra il 28 giugno e il 2 agosto 2016. L’analisi del contenuto: metodoVan Kaam.
Risultati: L’assistenza ai pazienti psichiatrici aggressivi causa negli infermieri emozioni quali: paura, tristezza, sofferenza, rabbia, disagio e la sfiducia nel paziente stesso a causa della sua imprevedibilità . Sono stati identificati sei temi: definizione e idea della violenza; segni che preannunciano i comportamenti violenti; vissuto degli infermieri nella gestione dei pazienti psichiatrici aggressivi; esperienze di violenza; reazioni emotive degli infermieri dopo un evento di violenza; aspetti di assistenza infermieristica del paziente psichiatrico aggressivo. Emerge l’importanza di mantenere un atteggiamento accogliente e calmo, di utilizzare uno stile comunicativo appropriato di fronte all’escalation di un paziente aggressivo e ciò favorisce la de-escalation del paziente. La maggioranza avverte necessaria la partecipazione a corsi di formazione relativi all’aggressività del paziente psichiatrico.
Conclusioni: Gli stati d’animo dell’infermiere che si trova ad assistere questa tipologia di paziente possono contribuire a una gestione inefficace sia dei pazienti che degli eventi. L’insicurezza o l’incapacità nel prendersi cura di un paziente psichiatrico possono dipendere sia da una mancata preparazione professionale, sia dall’iniziale approccio che ogni operatore instaura con il paziente aggressivo che, se non adeguato, può implementare l’escalation del paziente.
vArcAroliS Em. Essentials of psychiatric mental health nursing: a communication approach to evidence-based care. Third Edition. Amsterdam: Elsevier; 2013.
gormAn lm, SultAn DF. Psycosocial Nursing for general patient care. Third Edition. Philadelphia: F.A. Davis Company; 2008.
SAinES Jc. Violence and aggression in A & E: recommendations for action. Accid Emerg Nurs. gennaio 1999;7(1):8–12.
cAShmorE AW, inDig D, hAmPton SE, hEgnEy Dg, JAlAluDin BB. Workplace violence in a large correctional health service in New South Wales, Australia: a retrospec- tive review of incident management re- cords. BMC Health Serv Res. dicembre 2012;12(1).
rAmAcciAti n, cEccAgnoli A, ADDEy B. Violence against nurses in the triage area: An Italian qualitative study. Int Emerg Nurs. ottobre 2015;23(4):274–80.
EDWArD k, ouSEy k, WArEloW P, lui S. Nursing and aggression in the workplace: a systematic review. Br J Nurs Mark Allen Publ. 26 luglio 2014;23(12):653–4, 656–9.
mAgnAvitA n, hEPoniEmi t. Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross- sectional study. BMC Health Serv Res. dicembre 2012;12(1).
tAylor Jl, rEW l. A systematic review of the literature: workplace violence in the emergency department: Workplace violence in the ED lit review. J Clin Nurs. aprile 2011;20(7-8):1072–85.
nAtionAl collABorAting cEntrE For mEntAl hEAlth (uk). Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings: Updated edition. London: British Psychological Society; 2015. (National Institute for Health and Care Excellence: Clinical Guidelines).
WinStAnlEy S, Whittington r. Aggression towards health care staff in a UK general hospital: variation among professions and departments. J Clin Nurs. gennaio 2004;13(1):3–10.
cAShmorE AW, inDig D, hAmPton SE, hEgnEy Dg, JAlAluDin BB. Workplace violence in a large correctional health service in New South Wales, Australia: a retrospec- tive review of incident management re- cords. BMC Health Serv Res. dicembre 2012;12(1).
yoDEr-WiSE PS. Leading and Managing in Nursing - Revised Reprint. London: Elsevier Health Sciences; 2013.
ogunDiPE ko, EtonyEAku Ac, ADigun i, oJo Eo, AlADESAnmi t, tAiWo Jo, Et Al. Violence in the emergency department: a multicentre survey of nurses’ perceptions in Nigeria. Emerg Med J. settembre 2013;30(9):758–62.
AnglAnD S, DoWling m, cASEy D. Nurses’ perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study. Int Emerg Nurs. luglio 2014;22(3):134–9.
gAcki-Smith J, JuArEz Am, BoyEtt l, homEyEr c, roBinSon l, mAclEAn Sl. Violence against nurses working in US emergency departments. J Nurs Adm. agosto 2009;39(7-8):340–9.
AttEnASio l, ciAni m, Di gEnnAro A. Chi ha paura della follia?: La 180 nella scuola : roba da matti! Roma: Armando; 2009.
WorlD PSychiAtric ASSociAtion, Pioli r, cASAcchiA m, roSSi g. Schizofrenia e cittadinanza: manuale operativo per la riduzione dello stigma e della discriminazione. Roma: Il pensiero scienti co; 2001.
SAnDS n, ElSom S, gErDtz m, khAW D. Mental health-related risk factors for violence: us- ing the evidence to guide mental health triage decision making: Violence risk in mental health triage. J Psychiatr Ment He- alth Nurs. ottobre 2012;19(8):690–701.
luSEtti v. Pericolosità del malato di mente. Roma: EUR; 2013.
WooDS P, AShlEy c, kAyto D, hEuSDEnS c. Piloting violence and incident reporting measures on one acute mental health inpatient unit. Issues Ment Health Nurs. maggio 2008;29(5):455–69.
o’rEilly k, DonohoE g, coylE c, o’SullivAn D, roWE A, loSty m, Et Al. Prospective cohort study of the relationship between neuro- cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder. BMC Psychiatry. 10 luglio 2015;15:155.
lEE Bx, DonnElly PD, cohEn l, gArg S. Violence, health, and the 2030 agenda: Merging evidence and implementation. J Public Health Policy. settembre 2016;37 Suppl 1:1–12.
StEADmAn hJ, cocozzA JJ, mElick mE. Explaining the increased arrest rate among mental patients: the changing clientele of state hospitals. Am J Psychiatry. luglio 1978;135(7):816–20.
ElBogEn EB, JohnSon Sc. The intricate link between violence and mental disorder: results from the National Epidemiologic Survey on Alcohol and Related Con- ditions. Arch Gen Psychiatry. febbraio 2009;66(2):152–61.
PEttit gS, lAnSForD JE, mAlonE PS, DoDgE kA, BAtES JE. Domain speci city in relationship history, social-information processing, and violent behavior in early adulthood. J Pers Soc Psychol. 2010;98(2):190–200.
SinghJP,volAvkAJ,czoBorP,vAnDornrA.
A meta-analysis of the Val158Met COMT polymorphism and violent behavior in schizophrenia. PloS One. 2012;7(8):e43423.
Flynn S, gASk l, APPlEBy l, ShAW J. Homicide– suicide and the role of mental disorder: a national consecutive case series. Soc Psychiatry Psychiatr Epidemiol. giugno 2016;51(6):877–84.
volAvkA J. Neurobiology of violence. Washington, DC: American Psychiatric Pub.; 2002.
NATO Advanced Study Institute on Effective Prevention of Crime and Violence among Persons with Major Mental Disorders, Hodgins S. Violence among the mentally ill: effective treatments and management strategies. 2000.
roSnEr r, curatore. Principles and practice of forensic psychiatry. 2nd ed. London : New York: Arnold ; Distributed in the USA by Oxford University Press; 2003. 906 pag.
millEr l. Criminal psychology: nature, nur- ture, culture: a textbook and practical reference guide for students and working professionals in the elds of law enforce- ment, criminal justice, mental health, and forensic psychology. Spring eld, Ill: Char- les C. Thomas; 2012. 784 pag.
Djokić-Pjescić k, Ristić-DimitRijević R,
NeNaDović m, jovicić s, Nesić s, Rajcić t, et al.
Hetero-aggressive outbursts in patients’ behaviour in emergency psychiatry. Srp Arh Celok Lek. dicembre 2011;139 Suppl 1:57–60.
tiShlEr cl, gorDon lB, lAnDry-mEyEr l. Managing the violent patient: A guide for psychologists and other mental health professionals. Prof Psychol Res Pract. 2000;31(1):34–41.
ADDEo F, montESPErElli P. Esperienze di analisi di interviste non direttive. Roma: Aracne; 2007.
vAn kAAm A. Phenomenal Analysis: Exempli ed by a Study of the Experience of «Really Feeling Understood». J Individ Psycology. 1959;15(1):66–71.
Polit DF, tAtAno BEck c, PAlESE A. Fondamenti di ricerca infermieristica. Milano: McGraw-Hill; 2014.
tongA,SAinSBuryP,crAigJ.Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for inter- views and focus groups. Int J Qual Health Care. 16 settembre 2007;19(6):349–57.
tAn mF, loPEz v, clEAry m. Nursing manage- ment of aggression in a Singapore emer- gency department: A qualitative study: Nursing management of aggression. Nurs Health Sci. settembre 2015;17(3):307–12.
EDWArD k, ouSEy k, WArEloW P, lui S. Nursing and aggression in the workplace: a systematic review. Br J Nurs Mark Allen Publ. 26 luglio 2014;23(12):653–4, 656–9.
JonkEr EJ, gooSSEnS PJJ, StEEnhuiS ihm, ouD nE. Patient aggression in clinical psychiatry: perceptions of mental health nurses. J Psychiatr Ment Health Nurs. agosto 2008;15(6):492–9.
tAn mF, loPEz v, clEAry m. Nursing manage- ment of aggression in a Singapore emer- gency department: A qualitative study. Nurs Health Sci. settembre 2015;17(3):307–12.
AttEnASio l. La cura degli altri: seminari di etnopsichiatria. Roma: Armando; 2005.
hErSEn m, BEiDEl Dc. Adult psychopathology and diagnosis. Hoboken, N.J.: John Wiley & Sons; 2012.
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How to Cite
Cacciatore, G., Rosa, D., & Trabucchi, C. (2017). Gli infermieri del pronto soccorso di fronte alla violenza del paziente psichiatrico: percezione e gestione dell’evento: una ricerca qualitativa. Scenario® - Il Nursing Nella Sopravvivenza, 34(2), 15–20. https://doi.org/10.4081/scenario.2017.26
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