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Psychiatric nurses' experiences and the emotional and psychological sequelae after being psychologically or physically assaulted in psychiatric units: A phenomenological study

      Highlights

      • Assaulted psychiatric nurses' perspectives remain a broad research domain needing further study in Jordan.
      • A phenomenological approach gives voice to psychiatric nurses to understand workplace violence and its emotional and psychosocial sequelae.
      • Assaulted psychiatric nurses provide unique perspectives that help shape psychosocial and emotional support programs that reduce cumulative psychological distress associated with violence.

      Abstract

      Aim

      This study aimed to describe psychiatric nurses' experiences and the emotional and psychological sequelae after being psychologically or physically assaulted in inpatient psychiatric units.

      Method

      The study employed a descriptive, phenomenological research approach. A purposive sample of 27 psychiatric nurses participated in in-depth one-on-one interviews. The collected data were transcribed and analyzed using ​Colaizzi's (1978) seven-step method.

      Results

      Three themes and ten sub-themes emerged: A Fertile Environment for Physical and Psychological Workplace Violence, Psycho-Emotional Sequelae Aftermath of Assault, and Proactive Strategies for Combating Violence.

      Discussion

      A thorough understanding of workplace violence aids in the development of strategies for preventing and addressing this phenomenon and its psychological and emotional consequences.

      Implications for practice

      The current study provides new insights on the importance of offering mental health and emotional support to assaulted nurses, especially those with accumulated exposure to violence.

      Keywords

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      References

        • Al-Azzam M.
        • AL-Sagarat A.Y.
        • Tawalbeh L.
        • Poedel R.J.
        Mental health nurses’ perspective of workplace violence in Jordanian mental health hospitals.
        Perspectives in Psychiatric Care. 2017; 54: 477-487https://doi.org/10.1111/ppc.12250
        • ALBashtawy M.
        • Al-Azzam M.
        • Rawashda A.
        • Batiha A.
        • Bashaireh I.
        • Sulaiman M.
        Workplace violence toward emergency department staff in Jordanian hospitals.
        Journal of Nursing Research. 2015; 23: 75-81https://doi.org/10.1097/jnr.0000000000000075
        • ALBashtawy M.
        • Aljezawi M.
        Emergency nurses' perspective of workplace violence in Jordanian hospitals: A national survey.
        International Emergency Nursing. 2016; 24: 61-65
        • Alhadidi M.M.
        • Abdalrahim M.S.
        • Al-Hussami M.
        Nurses' caring and empathy in Jordanian psychiatric hospitals: A national survey.
        International Journal of Mental Health Nursing. 2016; 25: 337-345https://doi.org/10.1111/inm.12198
        • Alhassan R.K.
        • Poku K.A.
        Experiences of frontline nursing staff on workplace safety and occupational health hazards in two psychiatric hospitals in Ghana.
        Occupational Medicine & Health Affairs. 2018; 06https://doi.org/10.4172/2329-6879.1000274
        • Al-Omari H.
        • Abu Khait A.
        • Al-Modallal H.
        • Al-Awabdeh E.
        • Hamaideh S.
        Workplace violence against nurses working in psychiatric hospitals in Jordan.
        Archives of Psychiatric Nursing. 2019; 33: 58-62https://doi.org/10.1016/j.apnu.2019.08.002
        • AL-Sagarat A.
        • Qan'ir Y.
        • AL-Azzam M.
        • Obeidat H.
        • Khalifeh A.
        Assessing the impact of workplace bullying on nursing competences among registered nurses in Jordanian public hospitals.
        Nursing Forum. 2018; 53: 304-313https://doi.org/10.1111/nuf.12253
        • Araya T.
        • Ebnemelek E.
        • Getachew R.
        Prevalence and associated factors of aggressive behavior among patients with schizophrenia at ayder comprehensive specialized hospital, Ethiopia.
        BioMed Research International. 2020; 2020: 1-8https://doi.org/10.1155/2020/7571939
        • Baby M.
        • Glue P.
        • Carlyle D.
        ‘Violence is not part of our job’: A thematic analysis of psychiatric mental health nurses’ experiences of patient assaults from a New Zealand perspective.
        Issues in Mental Health Nursing. 2015; 35: 647-655https://doi.org/10.3109/01612840.2014.892552
        • Beaton D.E.
        • Bombardier C.
        • Guillemin F.
        • Ferraz M.B.
        Guidelines for the process of cross-cultural adaptation of self-report measures.
        Spine. 2000; 25: 3186-3191https://doi.org/10.1097/00007632-200012150-00014
        • Cha S.
        • Moon H.
        • Park E.
        Korean nursing students’ first experiences of clinical practice in psychiatric nursing: A phenomenological study.
        Healthcare. 2020; 8: 215https://doi.org/10.3390/healthcare8030215
        • Chen X.
        • Lv M.
        • Wang M.
        • Wang X.
        • Liu J.
        • Zheng N.
        • Liu C.
        Incidence and risk factors of workplace violence against nurses in a Chinese top-level teaching hospital: A cross-sectional study.
        Applied Nursing Research. 2018; 40: 122-128https://doi.org/10.1016/j.apnr.2018.01.003
        • Child R.J.
        • Mentes J.C.
        Violence against women: The phenomenon of workplace violence against nurses.
        Issues in Mental Health Nursing. 2010; 31: 89-95https://doi.org/10.3109/01612840903267638
        • Colaizzi P.F.
        Psychological research as the phenomenologist views it.
        in: Valle R. King M. Existential-phenomenological alternatives for psychology. Oxford University Press, New York1978: 48-71
        • Dadashzadeh A.
        • Rahmani A.
        • Hassankhani H.
        • Boyle M.
        • Mohammadi E.
        • Campbell S.
        Iranian pre-hospital emergency care nurses' strategies to manage workplace violence: A descriptive qualitative study.
        Journal of Nursing Management. 2019; 27: 1190-1199https://doi.org/10.1111/jonm.12791
        • Dafny H.A.
        • Beccaria G.
        I do not even tell my partner: Nurses' perceptions of verbal and physical violence against nurses working in a regional hospital.
        Journal of Clinical Nursing. 2020; 29: 3336-3348https://doi.org/10.1111/jocn.15362
        • Darrell-Berry H.
        • Berry K.
        • Bucci S.
        The relationship between paranoia and aggression in psychosis: A systematic review.
        Schizophrenia Research. 2016; 172: 169-176https://doi.org/10.1016/j.schres.2016.02.009
        • Dikobe J.
        • Manyedi E.
        • Sehularo L.
        Experiences of professional nurses in caring for psychiatric patients with dual diagnosis.
        Africa Journal of Nursing and Midwifery. 2016; 18: 183-197https://doi.org/10.25159/2520-5293/809
        • Edward K.
        • Stephenson J.
        • Ousey K.
        • Lui S.
        • Warelow P.
        • Giandinoto J.
        A systematic review and meta-analysis of factors that relate to aggression perpetrated against nurses by patients/relatives or staff.
        Journal of Clinical Nursing. 2015; 25: 289-299https://doi.org/10.1111/jocn.13019
        • Foster K.
        • Roche M.
        • Giandinoto J.
        • Furness T.
        Workplace stressors, psychological well-being, resilience, and caring behaviours of mental health nurses: A descriptive correlational study.
        International Journal of Mental Health Nursing. 2019; 29: 56-68https://doi.org/10.1111/inm.12610
        • Fujimoto H.
        • Hirota M.
        • Kodama T.
        • Greiner C.
        • Hashimoto T.
        Violence exposure and resulting psychological effects suffered by psychiatric visiting nurses in Japan.
        Journal of Psychiatric and Mental Health Nursing. 2017; 24: 638-647https://doi.org/10.1111/jpm.12412
        • Hilton N.Z.
        • Addison S.
        • Ham E.
        • Rodrigues N.
        • Seto M.C.
        Workplace violence and risk factors for PTSD among psychiatric nurses: Systematic review and directions for future research and practice.
        Journal of Psychiatric and Mental Health Nursing. 2021; https://doi.org/10.1111/jpm.12781
        • Honarvar B.
        • Ghazanfari N.
        • Raeisi Shahraki H.
        • Rostami S.
        • Bagheri Lankarani K.
        Violence against nurses: A neglected and Healththreatening epidemic in the University affiliated public hospitals in Shiraz, Iran.
        The International Journal of Occupational and Environmental Medicine. 2019; 10: 111-123https://doi.org/10.15171/ijoem.2019.155
        • Hung B.
        • Huang X.
        • Cheng J.
        • Wei S.
        • Lin M.
        The working experiences of novice psychiatric nurses in Taiwanese culture: A phenomenological study.
        Journal of Psychiatric and Mental Health Nursing. 2014; 21: 536-543https://doi.org/10.1111/jpm.12121
        • ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in the Health Sector
        Framework guidelines for addressing workplace violence in the health sector.
        2002
        • Itzhaki M.
        • Peles-Bortz A.
        • Kostistky H.
        • Barnoy D.
        • Filshtinsky V.
        • Bluvstein I.
        Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth.
        International Journal of Mental Health Nursing. 2015; 24: 403-412https://doi.org/10.1111/inm.12151
        • Jankovic M.
        • Sijtsema J.
        • Reitz A.
        • Masthoff E.
        • Bogaerts S.
        Workplace violence, post-traumatic stress disorder symptoms, and personality.
        Personality and Individual Differences. 2021; 168110410https://doi.org/10.1016/j.paid.2020.110410
        • Karlin B.E.
        • Zeiss R.A.
        Best practices: Environmental and therapeutic issues in psychiatric hospital design: Toward best practices.
        Psychiatric Services. 2006; 57: 1376-1378https://doi.org/10.1176/ps.2006.57.10.1376
        • Kindy D.
        • Petersen S.
        • Parkhurst D.
        Perilous work: Nurses' experiences in psychiatric units with high risks of assault.
        Archives of Psychiatric Nursing. 2005; 19: 169-175
        • Kobayashi Y.
        • Oe M.
        • Ishida T.
        • Matsuoka M.
        • Chiba H.
        • Uchimura N.
        Workplace violence and its effects on burnout and secondary traumatic stress among mental healthcare nurses in Japan.
        International Journal of Environmental Research and Public Health. 2020; 17: 2747https://doi.org/10.3390/ijerph17082747
        • Konttila J.
        • Pesonen H.
        • Kyngäs H.
        Violence committed against nursing staff by patients in psychiatric outpatient settings.
        International Journal of Mental Health Nursing. 2018; 27: 1592-1605https://doi.org/10.1111/inm.12478
        • Lincoln Y.S.
        • Guba E.G.
        Naturalistic inquiry.
        Sage, Newbury Park, CA1985
        • Liu J.
        • Zheng J.
        • Liu K.
        • Liu X.
        • Wu Y.
        • Wang J.
        • You L.
        Workplace violence against nurses, job satisfaction, burnout, and patient safety in chinese hospitals.
        Nursing Outlook. 2019; 67: 558-566https://doi.org/10.1016/j.outlook.2019.04.006
        • Mento C.
        • Silvestri M.C.
        • Bruno A.
        • Muscatello M.R.
        • Cedro C.
        • Pandolfo G.
        • Zoccali R.A.
        Workplace violence against healthcare professionals: A systematic review.
        Aggression and Violent Behavior. 2020; 51101381https://doi.org/10.1016/j.avb.2020.101381
        • Mitra B.
        • Nikathil S.
        • Gocentas R.
        • Symons E.
        • O'Reilly G.
        • Olaussen A.
        Security interventions for workplace violence in the emergency department.
        Emergency Medicine Australasia. 2018; 30: 802-807https://doi.org/10.1111/1742-6723.13093
        • Ose S.O.
        • Lilleeng S.
        • Pettersen I.
        • Ruud T.
        • Van Weeghel J.
        Risk of violence among patients in psychiatric treatment: Results from a national census.
        Nordic Journal of Psychiatry. 2017; 71: 551-560https://doi.org/10.1080/08039488.2017.1352024
        • Papoulias C.
        • Csipke E.
        • Rose D.
        • McKellar S.
        • Wykes T.
        The psychiatric ward as a therapeutic space: Systematic review.
        British Journal of Psychiatry. 2014; 205: 171-176https://doi.org/10.1192/bjp.bp.114.144873
        • Pazargadi M.
        • Fereidooni Moghadam M.
        • Fallahi Khoshknab M.
        • Alijani Renani H.
        • Molazem Z.
        The therapeutic relationship in the shadow: Nurses’ experiences of barriers to the nurse–patient relationship in the psychiatric ward.
        Issues in Mental Health Nursing. 2015; 36: 551-557https://doi.org/10.3109/01612840.2015.1014585
        • Pelto-Piri V.
        • Warg L.
        • Kjellin L.
        Violence and aggression in psychiatric inpatient care in Sweden: A critical incident technique analysis of staff descriptions.
        BMC Health Services Research. 2020; 20https://doi.org/10.1186/s12913-020-05239-w
        • Rahmani A.
        • Dadashzadeh A.
        • Hassankhani H.
        • Boyle M.
        • Mohammadi E.
        • Campbell S.
        Iranian nurses' experiences of workplace violence in prehospital emergency care.
        Advanced Emergency Nursing Journal. 2020; 42: 137-149https://doi.org/10.1097/tme.0000000000000292
        • Ramacciati N.
        • Bambi S.
        • Rasero L.
        Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention.
        Journal of Nursing Management. 2017; 26: 332-333https://doi.org/10.1111/jonm.12546
        • Rodrigues N.C.
        • Ham E.
        • Kirsh B.
        • Seto M.C.
        • Hilton N.Z.
        Mental health workers' experiences of support and help-seeking following workplace violence: A qualitative study.
        Nursing & Health Sciences. 2021; 23: 381-388https://doi.org/10.1111/nhs.12816
        • Rudkjoebing L.A.
        • Bungum A.B.
        • Flachs E.M.
        • Eller N.H.
        • Borritz M.
        • Aust B.
        • Rugulies R.
        • Rod N.H.
        • Biering K.
        • Bonde J.P.
        Work-related exposure to violence or threats and risk of mental disorders and symptoms: A systematic review and meta-analysis.
        Scandinavian Journal of Work, Environment & Health. 2020; 46: 339-349https://doi.org/10.5271/sjweh.3877
        • Sim J.H.
        • Tan C.P.L.
        Reflection.
        in: Sim J.H. Enhancing student learning in medical schools. UM Press, Kuala Lumpur, MY2018: 83-92
        • Sim I.O.
        • Ahn K.M.
        • Hwang E.J.
        Experiences of psychiatric nurses who care for patients with physical and psychological violence: A phenomenological study.
        International Journal of Environmental Research and Public Health. 2020; 17: 5159https://doi.org/10.3390/ijerph17145159
        • Stevenson K.N.
        • Jack S.M.
        • O’Mara L.
        • LeGris J.
        Registered nurses’ experiences of patient violence on acute care psychiatric inpatient units: An interpretive descriptive study.
        BMC Nursing. 2015; 14https://doi.org/10.1186/s12912-015-0079-5
        • Vahidi M.
        • Ebrahimi H.
        • Areshtanab H.N.
        • Jafarabadi M.A.
        • West S.
        • Foong A.
        • Cleary M.
        Providing a safe environment in a psychiatric ward: Nurses and vigilance in Iran.
        Issues in Mental Health Nursing. 2018; 40: 65-72https://doi.org/10.1080/01612840.2018.1463326
        • Whittington R.
        Attitudes toward patient aggression amongst mental health nurses in the zero toleranceTM era: Associations with burnout and length of experience.
        Journal of Clinical Nursing. 2002; 11: 819-825https://doi.org/10.1046/j.1365-2702.2002.00659.x