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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]
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]
The Buss–Perry Aggression Questionnaire (also known as the Aggression Questionnaire and sometimes referred to as the AGQ or AQ) was designed by Arnold H. Buss and Mark Perry, professors from the University of Texas at Austin in a 1992 article for the Journal of Personality and Social Psychology. [1]
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]
The second two levels form a taxonomy in which each intervention is grouped into 27 classes, and each class is grouped into six domains. An intent of this structure is to make it easier for a nurse to select an intervention for the situation, and to use a computer to describe the intervention in terms of standardized labels for classes and domains.
An insufficient or overdue intervention may leave staff needing to use coercive measures to manage an aggressive or violent client. Coercive measures, such as chemical or mechanical restraints , or seclusion , are damaging to the therapeutic relationship and harmful to clients and staff.
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]
Judgement- Taking the provocative facts of the client's situation and organizing them in a way that makes sense and adds meaning to the patient's circumstances, in order to decide patient needs and possible nursing interventions. Using these judgments to decide about a patient's needs is referred to as trophicognosis. [6] [7]