Effect of aggression management training program on knowledge and attitudes of nurses working at psychiatric clinics

Amaç: Bu çalışmanın amacı, Agresyon Yönetimi Eğitim Programının (AYEP) Kayseri’de psikiyatri kliniklerinde çalışan hemşirelerin bilgi düzeyleri ve agresyon algıları üzerine etkisini belirlemektir. Yöntem: Bu araştırma AYEP’e katılan 27 hemşire ile tek grup ön test- son test deneysel desende gerçekleştirilmiştir. Veriler Kişisel Bilgi Formu, Agresyon Algılamaları Ölçeği, Hemşirelerin Agresyon Yönetimi Konusunda Bilgi Düzeylerini Değerlendirme Formu ile toplanmıştır. AYEP interaktif şekilde 10’ar kişilik iki grup, yedi kişilik bir grup olmak üzere üç grup halinde gerçek- leştirilmiştir. Eğitimden önce, sonra ve üç ay sonra hemşirelerin bilgi düzeyleri ve agresyon algıları değerlen- dirilmiştir. Bulgular: Bu çalışmada, AYEP’ in hemşirelerin bilgi düzeyini arttırdığı ve agresyon algılamalarında istatis- tiksel olarak anlamlı değişikliklere yol açtığı bulunmuştur. Sonuç: Sonuç olarak, AYEP’ in psikiyatri kliniklerinde çalışan hemşirelerin bilgi düzeyini artırdığı, agresyon algılamalarında olumlu değişiklikler sağladığı görülmüştür. Agresyon yönetimi konusunda verilen eğitime düzenli aralıklarla devam edilmesi önerilebilir. (Anadolu Psikiyatri Derg 2015; 16(5):323-328)

Agresyon yönetimi eğitim programının psikiyatri kliniklerinde çalışan hemşirelerin bilgi ve tutumlarına etkisi

Objective: The purpose of this study was to determine the effect of Aggression Management Training Program (AMTP) on knowledge levels and aggression perceptions of nurses working at psychiatric inpatient clinics in Kayseri/Turkey. Methods: This study was conducted with 27 nurses who participated to the AMTP as the one group pretest- posttest experimental design. Data were collected by using Personal Information Form, Perception of Aggression Scale, and Assessment Form of Knowledge Levels of Nurses Regarding Aggression Management. AMTP was carried out interactively with totally 3 groups including 2 groups (10 participants in each group) and 1 group of 7 participants. Knowledge levels and perceptions of aggression of nurses were evaluated before, after and three months after AMTP. Results: In this study, AMTP was found to increase knowledge level of nurses and led to positive changes at their aggression perceptions. Conclusion: Consequently, it was determined that AMTP increased knowledge levels of nurses working at psychiatric clinics and provided positive changes at their aggression perceptions. It could be recommended to continue training on aggression management with regular intervals. (Anatolian Journal of Psychiatry 2015; 16(5):3 23-328)

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  • 1. Livingston JD, Verdun-Jones S, Brink J, Lussier P, Nicholls T. A narrative review of the effectiveness of aggression management training programs for psychiatric hospital staff. J Forensic Nurs 2010; 6:15-28.
  • 2. Needham I, Abderhalden C, Halfens RJG, Fischer JE, Dassen T. Non-somatic effects of patient ag- gression on nurses: a systematic review. J Adv Nurs 2005; 49:283-296.
  • 3. Merecz D, Drabek M, Mościcka A. Aggression at the workplace-psychological consequences of abusive encounter with coworkers and clients. Int J Occup Med Environ Health 2009; 2:243-260.
  • 4. Oostrom JK, van Mierlo H. An evaluation of an aggression management training program to cope with workplace violence in the healthcare sector. Res Nurs Health 2008; 31:320-328.
  • 5. B ilgin H. The Interpersonal Relationship Styles of Nurses Working on Psychiatry Wards and Their Attitudes towards Aggressive Behaviors of Pa- tient/Patient’s Relative.Unpublished Doctorate Thesis, Istanbul University, Institute of Health Sciences, Istanbul, 2002.
  • 6.Pekriz Ş. The Determination of Factors Related to Perceptions of Aggression Among Psychiatric Nurses. Unpublished Master Thesis, Istanbul University, Institute of Health Sciences, Istanbul, 2009.
  • 7. Jansen GJ, Dassen TWN, Burgerhof JGM, Middel B. Psychiatric nurses' attitudes towards inpatient aggression: preliminary report of the development of attitude towards aggression scale (ATAS). Aggressive Behavior 2006; 32:44-53.
  • 8. Nijman H, Acampo J, Ravelli D, Merckelbach H. A tentative model of aggression on inpatient psychi- atric wards. PsychiatrServ 1999; 50(6):832-834.
  • 9.Pazvantoğlu O, Gümüş K, Böke Ö, Yıldız İ, Şahin AR. Perception of patient aggression among nurses working in a university hospital in Turkey. Int J Nurs Pract 2011; 17:495-501.
  • 10. Ilkiw- Lavalle O, Grenyer BF, Graham L.Does prior training and staff occupation influence knowledge acquisition from an aggression management training program?Int J Ment Health Nurs 2002; 11:233-239.
  • 11. Nau J, Dassen T, Needham I, Halfens R. The development and testing of a training course in aggression for nursing students: A pre- and post- test study. Nurse Educ Today 2009; 29:196-207.
  • 12. Jansen G, Dassen T, Moorer P. The perception of aggression.Scand J Caring Sci 1997; 11:51-55.
  • 13.Bilgin H, Tülek Z, Özcan N. Psychometric proper- ties of the Turkish version of the perception of aggression scale. J Psychiatr Ment Health Nurs 2011; 18:878-883.
  • 14.Poster EC. A multinational study of psychiatric nursing staffs’ beliefs and concerns about work safety and patient assault. Arch PsychiatrNurs 1996; 10:365-373.
  • 15.Schwartz TL, Park TL. Assaults by patients on psychiatric residents: a survey and training recom- mendations. Psychiatr Serv 1999; 50:381-383.
  • 16. Morrison EF. An evaluation of four programs for the management of aggression in psychiatric settings. Arch PsychiatrNurs 2003; 17:146-155.
  • 17.Sullivan AM, Bezmen J, Barron CT, Rivera J, Curley- Casey L, Marino D. Reducing restraints: Alternatives to restraints on an inpatient psychiat- ric service: Utilizing safe and effective methods to evaluate and treat the violent patient. Psychiatr Q 2005; 76:51-65.
  • 18. Needham I, Abderhalden C, Meer R, Dassen T, Haug HJ, Halfens, RJG, et al. The effectiveness of two interventions in the management of patient violence in acute mental inpatient settings: report on a pilot study. J PsychiatrMent Health Nurs 2004; 11:595-601.
  • 19. Hahn S, Needham I, Abderhalden C, Duxbury JAD, Halfens RJG. The effect of a training course on mental health nurses’ attitudes on the reason of patient aggression and its management. J Psychiatr Ment Health Nurs 2006; 13:197-204.
  • 20.Bloor R, McHugh A, Pearson D, Wain I. A Training course for psychiatric nurses in Russia. Nurs Stand 2004; 18:39-41.