Violence Psychiatric Departments Proposed †Myassignmenthelp.Com

Question: Discuss About The Violence In Psychiatric Departments Proposed? Answer: Introducation Nurses working in the psychiatric departments have to face a large number of issues in their workplace because of the aggression of the patients. Often in many cases, nurses have complained of physical abuse, emotional abuse, sexual abuse as well as verbal abuse from the patients. All of these create stress which leads to degradation of nurses physical health and also emotional stability. Not only physical harm, such nurses also has to go through various mental harassments which result in emotional turmoil. They suffer from anxiety disorders, depression and many other mental disorders. Stevenson et al. (2015) has stated that more than 55% of the nurses are victims of verbal or emotional abuse, 19.5% experienced sexual abuse and 20.3% reported physical abuse in their shifts. Latta et al. (2016) has stated that a high prevalence of the different violent events have a very negative impact on the well being of the different nurses which in turn result in the overall impairment of the war d climate. They are also of the operations that nurse use very limited techniques for prevention of such violent incidences. (Maguire, Daffren Martin 2014). Different recommendations have been put forward by researchers which they believe can bring out techniques for preventions of such violence on patients. Yang et al., (2017) has stated in his study that such violence can be prevented by development of de-escalating skills and effective coping strategies. They also suggest that communication skills are also important for the prevention of the violence. Gaynes, Brown and Lux et al., (2016) have stated that reduction of the use of medical restraints and seclusion and increasing the alternative methods like proper leadership towards organization changes, proper use of data for informing changes, development of workforce , debriefing techniques and other can also reduce aggression. Although various researchers have given forward different prevention techniques but very few papers have actually researched over the efficiency of the techniques. Moreover no papers are present which have provided importance to what the nurses think about the techniques. As the nurses are the one who would be mainly using the techniques, it becomes extremely important to know whether they perceive the techniques to be helpful or not. It is also important to know whether the techniques are difficult for them to adopt or not. Moreover there should be also researches to know whether nurses themselves have any recommendations which would help them in preventing such violence. Therefore a research needs to be conducted which would help to know about the perceptions of nurses regarding the credibility and success rates of the prevention techniques. It would also want their recommendations that whether they find these techniques easier to adopt than said. Once the research gap identified i s properly researched and nurses perceptions about the different techniques are identified, it would become easier for the organization to introduce such techniques for the new nurses entering the mental health department. This would prevent them from development of any physical or mental impact and can take active prevention steps against aggression and violence displayed by patients. The aim of the study would be to discuss the nurses perception of the different prevention techniques of aggression and violence from the patients at workplace developed by different researchers and also explores their recommendations about the correct procedures which they think would be helpful for them in protecting themselves from aggression. Study objective: To discuss the different prevention techniques with the mental healthcare nurses. To explore their perceptions about the success rates of the different techniques with the nurses To explore their perceptions about which techniques they found to be fruitful. To understand how difficult they perceive each technique to be accustomed with or to practice them. To understand what they recommend the organization to implement for helping them as well as the nee nurses who would be entering the ward. Research question: What are the different perceptions that the nurses have about the different recommended prevention techniques for aggression and violence put forwarded by researchers over the years and whether they have any of their own suggested technique that they feel would act as successful preventive strategy for aggression? Research design and rationale: An interpretive descriptive approach is adopted for the research in the form of an inductive method of qualitative research style. This research would mainly involve development of a descriptive process and would further help to discover the potential associations of the nurses perceptions of aggression and the recommended preventive strategies which had been suggested by researchers over the years. For example, this method is helpful as it would help in forming a connecting link between the potential associations of work stress of the nurses with the aggression of the patients and will also state the effects of the different recommended techniques. They would also suggest their own recommendations for prevention of aggression which in the long run will help to develop the quality of care provided by them. Including their perspectives would make them feel respected and they would feel that the organization cares for them. Hence, a descriptive qualitative method would best suit to mee t the goals and objectives of the research by the following procedures mentioned (Guay, Goncalves Boyer 2016). Therefore an extensive interview would be taken after proper selection of participants. The data would be coded with proper procedures and the transcripts will be judged on the basis of grounded theory. Ultimately, codes which are repeated frequently will be analyzed before reaching a conclusion. Research methodology: The participants were selected from 4 mental healthcare settings from their psychiatric departmental wards. 5 participants from each of the mental health care centers would be taken and will be purposively selected. The nurses will be selected as such that they would have four important inclusion criteria. They would be (1) fluent in English, (2)holder of license of registered nurses in their territory (3)employed for ongoing eight years as registered nurses in the department of psychiatry in acute cares, (4) experience any one type of aggression and abuses form patients (Stuart 2014). Those nurses who are engaged on any sort of legal proceeding would be excluded. This is because they are not allowed to participate themselves in any discussions of their alleged experiences. The strategies that would be incorporated would be convenience sampling of the nurses in each of the mental healthcare centers. The sample should be such that all the 20 nurses who would e selected would portray a t least each different types of abuses and violence they faced at the hands of the patients Conducting the interview: The interview will be conducted with the nurses in face to face interaction mode. Open ended questionnaires need to be prepared by the researchers. This mode of questionnaire would give scopes to the participants to discuss their feelings and perceptions about their work stress in details (Angland, Dowling Casey 2014). Care should be taken that the same questions should be used for every participants so that the interviews can develop an understanding about the perception of the nurses in each questions and thereby able to derive various views in every single questions. This will help to understand how each topic is variously looked upon by different nurses. Data collection: The primary data should be collected from the semi structured interviews in order to gain understanding about the views of the nurses regarding preventive strategies for violence at workplace. Secondary data collection would mainly involve defining the problems as well as conducting a needs analysis. The answers which will be provided by the nurses will be quickly jotted down in files (Marshall Rossman 2014). The data will be collected by writing as well as with the help of tape recorders so that even missed out points can be recollected. Two participants will be interviewed per day. Therefore 20 participants would require a total of 10 days to complete the interview sessions. Data analysis: The interviews would be audio taped as well as written. Subsequently, they would be imported into NVIVO 10 which is a software program for conducting qualitative data analysis (Houghton et al. 2013). Data would be mainly analyzed by inductively utilizing the conventional content analysis approach. In this, the data will be at first gathered. After that they would be coded in to emergent themes. The thematic data which would be obtained would then constantly undergo several revisions even after initial coding is done. When the coding process would be continued, a constant comparative process would be used. This would be done to compare each of the ideas they suggest about the prevention techniques and then identification of the overall conceptions of the use of such techniques in the working field. Interpretations of the data would then go through thoughtful clinical test in order to ensure that the findings are reviewed by other researchers as well as educators who are experts in psy chiatry (Dicenso, Guyatt Colliska 2014). This would help in determination of whether the results were plausible. Significance of the study: The successful completion of the research would help the researchers to get a detailed idea about how the different techniques introduced by the researchers like de-escalating techniques, development of effective communication, application of calm environments and many others are perceived by the nurses. As the nurses are those who are engaged directly with the patients, they would be the best judges to determine the success rates of the techniques. Therefore, their perceptions about the techniques matter a lot as their interview answers will be used by the policy makers of the organization to implement the techniques which they think would be helpful. In this way, the research would be helpful to derive the techniques which the nurses found easier to adapt and also those which can be implemented due to its increased success rates. These would prevent the nurses from developing physical and mental health issues and also at the same time, they would be able to help the new nurses to p rotect them from the harmful effects of aggression. Ethical considerations: Maintaining the ethics while conducting the research is very important and hence care should be taken by the interviewers that they have completed each of the ethical principles properly. The most important ethics is to maintain privacy and confidentiality of the interviews with the nurses so that the information and data do not get leaked (Lewis 2015). For this reason, all the recorded data would be kept in locker and properly locked so that they do not reach the hand of others. Secondly, the participants would be told the main motive of the study and the different procedures the researchers are adapting to (Elo et al. 2014). This would be written on paper and signed by the participants so that no legal obligations can rise later. The patients should not be kept in darkness regarding any fact. Thirdly, no participants would be forced to recall or discuss anything which they do not want to disclose to the researchers (Vaimorardi, Turunen Bondas 2013). They would only discuss their f eelings as long as they are comfortable and want to participate in the interview voluntarily. Timeframes: Task And Time 1st week (2nd-4th) week (5th-7th)Week (8th-10th) week (11th -16th) week (17th -20th)week (21th-23th) week 24th week 25th week 26th Week Background Literature Review Research Methodology Design of Data Collection and Methods Data Collection Data Analysis and Presentation Conclusion and Recommendations Proof- Reading Sending First Draft to Supervisor Printing, Binding and Submission Members Description Amount Space allocated for conducting research work Rent $5000 (If permitted within university, it would become free) Researchers working under the project, performing coding, categorisation Salary, supervision $10000 Education resources Log books, online article access, printing and photocopying $1000 Fund allocated for technicians helping in the software mediated processes of coding Salary $10000 Communication with the clinic and taking proper arrangement of the interview rooms Allocation of the resources, tape recorder, making rooms sound proof $1000 Equipments and stationeries Instruments for measurement, tracking system, pens, papers, $1500 Others $1000 Total $41500 References: Angland, S., Dowling, M., Casey, D. 2014. 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Marshall, C., Rossman, G. B. 2014.Designing qualitative research. Sage publications. Stevenson, K. N., Jack, S. M., OMara, L., LeGris, J. 2015. Registered nurses experiences of patient violence on acute care psychiatric inpatient units: an interpretive descriptive study.BMC nursing, Vol 14 No (1), pp-35. Stuart, G. W. 2014.Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health Sciences. Vaismoradi, M., Turunen, H., Bondas, T. 2013. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.Nursing health sciences,Vol 15 No (3), pp. 398-405. Yang, B. X., Stone, T. E., Petrini, M. A., Morris, D. L. 2017. Incidence, Type, Related Factors, and Effect of Workplace Violence on Mental Health Nurses: A Cross-sectional Survey.Archives of Psychiatric Nursing.