Experience of violence, coping and support for nurses working in acute psychiatric wards

South African Journal of Psychiatry

 
 
Field Value
 
Title Experience of violence, coping and support for nurses working in acute psychiatric wards
 
Creator Bekelepi, Ntombiyakhe Martin, Penelope
 
Subject psychiatry acute ward; coping; experience; nurse; support; violence
Description Background: Acute psychiatric wards are stressful working environments because of the nature of the mental illness of patients admitted. These patients present with a variety of complex psychiatric problems and social control that require skilled and competent nurses to manage them. The shortage of nurses, especially with advanced psychiatric qualifications or necessary experience, may create challenges for nurses as they navigate this stressful working environment.Aim: The aim of this study was to explore and describe nurses’ experience of patient violence, coping strategies and received support whilst working in acute wards in psychiatric hospitals.Setting: This study was conducted in six acute wards of the three psychiatric hospitals in Cape Town, South Africa.Methods: A qualitative, explorative, descriptive design was conducted using semi-structured interviews to obtain data from 14 nurses working in acute wards in three psychiatric hospitals in the Western Cape.Results: Five themes were generated using thematic analysis: violence perceived to be ‘part of the job’, contributing factors to patient violence, physical and psychological effects on nurses, adaptive and maladaptive coping strategies and perceived support from stakeholders.Conclusion: Participants normalised patient violent behaviour as being part of the job to minimise the physical and psychological effects of the traumatic experience. Adaptive and maladaptive coping strategies were used to cope with the traumatic experiences of being assaulted by patients. Recommendations allude to practising self-care and attendance of training in the management of aggressive patients for nurses, to enhance a variety of adaptive coping strategies.
 
Publisher AOSIS
 
Contributor
Date 2022-05-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative Research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v28i0.1700
 
Source South African Journal of Psychiatry; Vol 28 (2022); 7 pages 2078-6786 1608-9685
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/1700/2656 https://sajp.org.za/index.php/sajp/article/view/1700/2657 https://sajp.org.za/index.php/sajp/article/view/1700/2658 https://sajp.org.za/index.php/sajp/article/view/1700/2659
 
Coverage Western Cape August 2019-October 2019 psychiatric nurses; males and females
Rights Copyright (c) 2022 Ntombiyakhe Bekelepi, Penelope Martin https://creativecommons.org/licenses/by/4.0
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