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The nursing organization workplace has been identified as one in which workplace bullying occurs quite frequently. [1] [2] It is thought that relational aggression (psychological aspects of bullying such as gossiping and intimidation) are relevant. Relational aggression has been studied amongst girls but rarely amongst adult women. [3]
That situation is very stressful and scary for most people, so it may lead to emotions that are not truly meant, including aggressive emotions. Nurses' reports of patient aggression is not always taken seriously, which can make nurses less likely to report, ultimately leading to mental health issues. [14]
In 2014, a survey by the American Nurses Association of 3,765 nurses and nursing students found that 21% reported physical abuse, and over 50% reported verbal abuse within a 12-month period. [3] Causes for patient outbursts vary, including psychiatric diagnosis, under the influence of drugs or alcohol, [4] or subject to a long wait time. [5]
Patient abuse and neglect may occur in settings such as hospitals, [4] nursing homes, [5] clinics [6] and during home-based care. [7] Health professionals who abuse patients may be deemed unfit to practice and have their medical license removed [ 8 ] : 20 as well as facing criminal charges as well as civil cases .
According to the widely used definition from Olweus, [8] "[Workplace bullying is] a situation in which one or more persons systematically and over a long period of time perceive themselves to be on the receiving end of negative treatment on the part of one or more persons, in a situation in which the person(s) exposed to the treatment has ...
A chemical restraint is a form of medical restraint in which a drug is used to restrict the freedom or movement of a patient or in some cases to sedate the patient. Chemical restraint is used in emergency, acute, and psychiatric settings to perform surgery or to reduce agitation, aggression or violent behaviours; [a] it may also be used to control or punish unruly behaviours. [2]
The rating scale is made up of four categories; verbal aggression, aggression against objects, aggression against self, and aggression against others. [1] Each category consists of five responses, which over time can track the patient's aggressive behavior. The MOAS is one of the most widely used measures for violence and aggression. [2]
Depending on the relationship between a patient and their loved one, the loved one can support or undermine the patient and can even do both within the same interaction, which can increase the depressive symptoms. Creating more social support can improve treatment outcomes of a patient depending on the type of stress level the person is enduring.