Model of therapeutic and non-therapeutic responses to patient aggression.

Full Abstract

The primary purpose of this qualitative meta-synthesis was to explicate a framework of therapeutic nursing management of patient aggression in psychiatric settings. Findings from 15 qualitative research reports were placed into an electronic matrix, analyzed, and interpreted using content analysis, memoing, and diagramming. Nurses therapeutically respond to patient aggression using one of two response styles, intuitive or emergent. Authentic engagement characterizes both of these styles and involves grounding the opportunity for interaction in the context at hand, reciprocity between the nurse and patient, limit setting, and teamwork. Conversely, two non-therapeutic response styles (inflexibility and disengagement) lead to non-therapeutic outcomes.

Author information

Author/s: Finfgeld-Connett, Deborah (D);

Affiliation: Sinclair School of Nursing, University of Missouri, Columbia, Missouri 65211, USA. finfgeldd(-atsign-)missouri.edu

Journal and publication information

Publication Type: Journal Article; Meta-Analysis; Review

Journal: Issues in mental health nursing (Issues Ment Health Nurs), published in England. (Language: eng)

Reference: 2009-Sep; vol 30 (issue 9) : pp 530-7

Dates: Created 2009/08/06; Completed 2009/10/29;

PMID: 19657866, status: MEDLINE (last retrieval date: 10/29/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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