A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff

Journal article

Edward, Karen-Leigh, Stephenson, John, Ousey, Karen, Lui, Steve, Warelow, Philip and Giandinoto, Jo-Ann Michelle. (2016). A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff. Journal of Clinical Nursing. 25(3-4), pp. 289 - 299. https://doi.org/10.1111/jocn.13019
AuthorsEdward, Karen-Leigh, Stephenson, John, Ousey, Karen, Lui, Steve, Warelow, Philip and Giandinoto, Jo-Ann Michelle
Abstract

Aims and objectives: The aim of this meta-analysis was to identify the factors that related to aggression (verbal abuse or physical abuse/assault) perpetrated against the nurse or other health professionals by patients/relatives or staff. In the light of the paucity of systematic reviews on this common issue in nursing, the objective was to present a comprehensive systematic review and meta-analysis of these papers. Background: Aggression towards nurses is common around the world and can be the impetus for nurses leaving the profession or developing anxiety when working in particular settings. Design: Systematic review with meta-analysis. Methods: Meta-analyses were conducted to assess the effect of the factors of gender and context (dichotomised as mental health/psychiatric or nonmental health/psychiatric). The databases of Medline (1966–2015), CINAHL (1982–2015) and PsychInfo (1920–2015). Results: A total of 1571 papers were screened by two reviewers. At the final decision 14 were selected for analysis. A higher proportion of female nurses than male nurses were reported to be the victims of verbal abuse, with the difference in proportions being statistically significant. A statistically significant higher proportion of male nurses than female nurses were reported to be the victims of physical abuse. There was a significantly higher proportion of mental health nurses reported experiencing physical abuse as compared to nonmental health nurses. Conclusions: The analysis reveal female nurses have greater odds of verbal abuse than male nurses and male nurses have greater odds of physical abuse than female nurses. Overall mental health nurses had three times higher odds of physical assault than other nurses. Relevance to clinical practice: In the light of the findings it is recommended organisational support improve in high aggression potential clinical areas and for nursing curriculums to incorporate education about the management of challenging behaviours in undergraduate programmes.

Keywordsaggression; meta-analysis; nurse; physical assault; verbal abuse; workplace violence
Year2016
JournalJournal of Clinical Nursing
Journal citation25 (3-4), pp. 289 - 299
PublisherJohn Wiley & Sons Lts / Blackwell Publishig Inc.
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.13019
Page range289 - 299
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
EditorsD. Jackson
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Edward, Karen-Leigh, Rasmussen, Bodil and Munro, Ian. (2010). Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes. Archives of Psychiatric Nursing. 24(1), pp. 46 - 53. https://doi.org/10.1016/j.apnu.2009.04.009
The information and support needs of Faroese women hospitalised with an acute coronary syndrome
Askham, Jorun, Kuhn, Lisa, Frederiksen, Kirsten, Davidson, Patricia, Edward, Karen-Leigh and Worrall-Carter, Linda. (2010). The information and support needs of Faroese women hospitalised with an acute coronary syndrome. Journal of Clinical Nursing. 19(October), pp. 1352 - 1361. https://doi.org/10.1111/j.1365-2702.2009.03013.x
Getting that piece of paper: Mental health nurses' experience of undertaking doctoral studies in Victoria, Australia
Welch, Anthony, Happell, Brenda and Edward, Karen-Leigh. (2010). Getting that piece of paper: Mental health nurses' experience of undertaking doctoral studies in Victoria, Australia. Archives of Psychiatric Nursing. 24(3), pp. 145 - 154. https://doi.org/10.1016/j.apnu.2009.04.005
Recovering from an acute cardiac event- the relationship between the depression and life satisfaction.
Page, Karen, Davidson, Patricia, Edward, Karen-Leigh, Allen, Josh, Cummins, Robert, Thompson, David and Worrall-Carter, Linda. (2010). Recovering from an acute cardiac event- the relationship between the depression and life satisfaction. Journal of Clinical Nursing. 19(June), pp. 736 - 743. https://doi.org/10.1111/j.1365-2702.2009.03106.x
The phenomenon of resilience as described by adults who have experienced mental illness
Edward, Karen-Leigh, Welch, Anthony and Chater, Keri. (2009). The phenomenon of resilience as described by adults who have experienced mental illness. Journal of Advanced Nursing. 65(3), pp. 587 - 595. https://doi.org/10.1111/j.1365-2648.2008.04912.x
Australian nursing curricula and mental health recruitment
Warelow, Philip and Edward, Karen-Leigh. (2009). Australian nursing curricula and mental health recruitment. International Journal of Nursing Practice. 15(4), pp. 250 - 256. https://doi.org/10.1111/j.1440-172X.2009.01751.x
Nursing considerations for dual diagnosis in mental health
Edward, Karen-Leigh and Munro, Ian. (2009). Nursing considerations for dual diagnosis in mental health. International Journal of Nursing Practice. 15(2), pp. 74 - 79. https://doi.org/10.1111/j.1440-172X.2009.01731.x
The lived experience of gay men caring for others with HIV/AIDS: Resilient coping skills
Munro, Ian and Edward, Karen-Leigh. (2008). The lived experience of gay men caring for others with HIV/AIDS: Resilient coping skills. International Journal of Nursing Practice. 14(2), pp. 122 - 128. https://doi.org/10.1111/j.1440-172X.2008.00675.x
Mental illness and substance use: An Australian perspective
Munro, Ian and Edward, Karen-Leigh. (2008). Mental illness and substance use: An Australian perspective. International Journal of Mental Health Nursing. 17(4), pp. 255 - 260. https://doi.org/10.1111/j.1447-0349.2008.00541.x
Depression and other mental illnesses in the context of workplace efficacy
Edward, Karen-Leigh and Munro, Ian. (2008). Depression and other mental illnesses in the context of workplace efficacy. Journal of Psychiatric and Mental Health Nursing. 15(7), pp. 605 - 611. https://doi.org/10.1111/j.1365-2850.2008.01253.x
Care: What nurses say and what nurses do
Warelow, Philip, Edward, Karen-Leigh and Vinek, J.. (2008). Care: What nurses say and what nurses do. Holistic Nursing Practice. 22(3), pp. 146 - 153. https://doi.org/10.1097/01.HNP.0000318023.53151.33
The recovery journey - employment support for people with depression and other mental illnesses
Munro, Ian and Edward, Karen-Leigh. (2008). The recovery journey - employment support for people with depression and other mental illnesses. Advances in Mental Health. 7, pp. 1 - 8.
Doctoral graduates in mental health nursing in Victoria, Australia: The doctoral experience and contribution to scholarship
Happell, Brenda, Edward, Karen-Leigh and Welch, Anthony. (2008). Doctoral graduates in mental health nursing in Victoria, Australia: The doctoral experience and contribution to scholarship. International Journal of Mental Health Nursing. 17(4), pp. 270 - 278. https://doi.org/10.1111/j.1447-0349.2008.00543.x
Simulation to Practice: Developing Nursing Skills in Mental Health: An Australian Perspective
Edward, Karen-Leigh, Hercelinskyj, Gylo, Warelow, Philip and Munro, Ian. (2007). Simulation to Practice: Developing Nursing Skills in Mental Health: An Australian Perspective. The International Electronic Journal of Health Education. 10, pp. 60 - 64.
Caring as a resilient practice in mental health nursing
Warelow, Philip and Edward, Karen-Leigh. (2007). Caring as a resilient practice in mental health nursing. International Journal of Mental Health Nursing. 16(2), pp. 132 - 135. https://doi.org/10.1111/j.1447-0349.2007.00456.x
Burnout in the caring nurse: Learning resilient behaviours.
Edward, Karen-Leigh and Hercelinskyj, Gylo. (2007). Burnout in the caring nurse: Learning resilient behaviours. British Journal of Nursing. 16(4), pp. 240 - 242. https://doi.org/10.12968/bjon.2007.16.4.22987
Evidence-based mental health nursing in Australia: Our history and our future
Warelow, Philip and Edward, Karen-Leigh. (2007). Evidence-based mental health nursing in Australia: Our history and our future. International Journal of Mental Health Nursing. 16(1), pp. 57 - 61. https://doi.org/10.1111/j.1447-0349.2006.00445.x
A theoretical discussion about the clinical value of phenomenology for nurses
Edward, Karen-Leigh. (2006). A theoretical discussion about the clinical value of phenomenology for nurses. Holistic Nursing Practice. 20(5), pp. 235 - 238.
Resilience: A protector from depression
Edward, Karen-Leigh. (2005). Resilience: A protector from depression. Journal of the American Psychiatric Nurses Association. 11(4), pp. 241 - 243. https://doi.org/10.1177/1078390305281177
Resilience: When coping is emotionally intelligent
Edward, Karen-Leigh and Warelow, Philip. (2005). Resilience: When coping is emotionally intelligent. Journal of the American Psychiatric Nurses Association. 11(2), pp. 101 - 102. https://doi.org/10.1177/1078390305277526
The phenomenon of resilience in crisis care mental health clinicians
Edward, Karen-Leigh. (2005). The phenomenon of resilience in crisis care mental health clinicians. International Journal of Mental Health Nursing. 14(2), pp. 142 - 148. https://doi.org/10.1111/j.1440-0979.2005.00371.x