The study I carried out focused on the frequency and severity of nurse assault by psychiatric patients. The readings I came across argues that consistent with the goal of restraint elimination, reduction in the use of restraint over the last ten years has been documented. I also found from the readings that the assault and injury of mental health care workers has increased and the violence against workers in acute psychiatry is a serious global issue. My study focused to examine the frequency of assault and severity of injury to nurses working in acute psychiatry using quantitative methods and the specific injuries the nurses have sustained. My study was to find out if the nurses having a history of assault will make an earlier decision to retrain in the progression of aggression than nurses without aggression history. I wanted to find out if nurses who have a history of injury will make an earlier decision to restrain in the progression of aggression than nurses who do not have history of injury.
My study also wanted to compare data from the current study with data obtained from a prior study before the introduction of more restrictive restraint policies to determine if there has been a significant increase in assault and injury of psychiatric nurses. To understand the frequency of assault and severity of injury to nurses, I took a sample of 125 targets across 9 institutions located on Long Island, NY. The institutions provided acute care psychiatric services. 5 of the institutions agreed to participate. I used my experience in research by using mixed methods in this study. From my readings, I found out that using mixed methods frequently results in superior research whereas deduction, induction and abduction provide a set of explanations for understudy results.
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"Frequency and Severity of Nurse Assault by Psychiatric Patients".
From the quantitative study, I found out that there was no significant differences between assaulted and non-assaulted nursed in their decision to restrain although there was a trend in the opposite direction of the prediction and a significant difference found between injured and non-injured nurses in their decision to restrain. I found out that assault and injury of psychiatric nurses continues to be a serious problem. Over the last 15 years, the rate and severity of injury has increased significantly. From the qualitative study, I found out that assault and injury are seriously under-reported.
My second study focused on nurses’ perception of an assault experience in Acute Care Psychiatric involving a supplemental findings from a multisite, multiphase, mixed methodology. I carried the study to explore the perceptions and response of psychiatric nurses in relation to their assault experience using qualitative methods. Using a sample of 110 nurses and 5 institutions, I collected narrative assault experiences provided by the nurses. I also got the opportunity to discuss their experiences with them and then coming up with field notes.
Information obtained from the nurses indicated that assault is to be expected, they fear to report incidents to the administration because of reprisal, the management and the colleagues blaming the nurses, assault often questioning their competency and their psychological and emotional trauma is often more lasting than physical effects. A comparison of this study and the previous study indicated that men did not question their own competency. Men did not feel blamed by the management or colleagues. In conclusion, I found out that the perceptions of women feeling blamed may be accurate.
