QUT ePrints

Interventions for preventing and managing aggressive patients admitted to an acute hospital setting: A systematic review

Kynoch, Kate, Wu, Chiung-Jung, & Chang, Anne M. (2011) Interventions for preventing and managing aggressive patients admitted to an acute hospital setting: A systematic review. Worldviews on Evidence-Based Nursing, 8(8), pp. 76-86.

View at publisher

Abstract

Background: Violence in health care has been widely reported and health care workers, particularly nurses in acute care settings, are ill-equipped to manage patients who exhibit aggressive traits. Aim: The aim of this systematic review was to establish best practice in the prevention and management of aggressive behaviours in patients admitted to acute hospital settings. Data Sources: An extensive search of the major databases was conducted from 1990 to 2007. The search included published and unpublished studies and papers in English. Review Methods: This review considered any quantitative research study design that evaluated the effectiveness of interventions in the prevention and management of patients who exhibit aggressive behaviours in an acute hospital setting. Each included study was quality assessed by two independent reviewers and data were extracted using the relevant tools developed by the Joanna Briggs Institute. Results: Ten studies met the inclusion criteria and were included in the review. The evidence identified from the studies includes: the benefit of education and training of acute care nurses in aggression management techniques; use of “as required” medications is effective in minimising harm to patients and staff; and that specific interventions such as physical restraint may play a role in managing aggressive behaviours from patients in the acute care setting. Conclusions: This review makes several recommendations for the prevention and management of aggressive behaviours in acute hospital patients. However, due to the lack of high-quality studies conducted in the acute care setting there is huge scope for future research in this area. KEYWORDS violence, patient assault, workplace violence, aggression, abuse, systematic review, literature review.

Impact and interest:

3 citations in Scopus
Search Google Scholar™
3 citations in Web of Science®

Citation countsare sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

1,142 since deposited on 15 Dec 2010
389 in the past twelve months

Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

ID Code: 39207
Item Type: Journal Article
Keywords: Violence, Patient Assault, Workplace Violence, Aggression, Abuse, Systematic Review, Literature Review
DOI: 10.1111/j.1741-6787.2010.00206.x
ISSN: 1741-6787 (print) 1545-102X (online)
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 Sigma Theta Tau International
Deposited On: 15 Dec 2010 12:09
Last Modified: 01 Mar 2012 00:24

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page