TY - JOUR
T1 - Aggression on haemodialysis units
T2 - a mixed method study
AU - Jones, Julia
AU - Nijman, Henk
AU - Ross, Jamie
AU - Ashman, Neil
AU - Callaghan, Patrick
N1 - This is the peer reviewed version of the following article: Julia Jones, Henk Nijman, Jamie Ross, Neil Ashman, and Patrick Callaghan, ‘AGGRESSION ON HAEMODIALYSIS UNITS: A MIXED METHOD STUDY’, Journal of Renal Care, Vol. 40 (3): 180-193, September 2014, which has been published in final form at https://doi.org/10.1111/jorc.12068 .
This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
PY - 2014/8/15
Y1 - 2014/8/15
N2 - BACKGROUND: Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session.OBJECTIVES: The objectives of the study were twofold: First, to identify the prevalance and nature of aggression on haemodialysis units; and second, to investigate factors that contribute to aggressive behaviour on haemodialysis units.DESIGN AND METHODS: A cross-sectional, sequential mixed method research design was adopted, with two research methods utilised. Incidents of aggressive behaviour were recorded over a 12-month period, using a renal version of the Staff Observation Aggression Scale. Six months after the incident data collection had commenced, semi-structured qualitative interviews were conducted with 29 multidisciplinary members of staff.RESULTS: Over 12 months, 74 aggressive incidents were recorded. The majority of incidents involved verbal aggression, and the perpetrators were a minority of patients, relatives and staff. Two patients were responsible for 38% of all incidents; both patients had mental health problems. Distinct temporal patterns to the aggressive behaviour were observed according to the day of the week and time of day.CONCLUSION: This study demonstrates that aggression is a significant problem on haemodialysis units, with verbal aggression most prevalent. The temporal patterns to aggression observed are related to the uniqueness of the haemodialysis setting, with a distinctly different treatment environment compared with other healthcare settings.
AB - BACKGROUND: Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session.OBJECTIVES: The objectives of the study were twofold: First, to identify the prevalance and nature of aggression on haemodialysis units; and second, to investigate factors that contribute to aggressive behaviour on haemodialysis units.DESIGN AND METHODS: A cross-sectional, sequential mixed method research design was adopted, with two research methods utilised. Incidents of aggressive behaviour were recorded over a 12-month period, using a renal version of the Staff Observation Aggression Scale. Six months after the incident data collection had commenced, semi-structured qualitative interviews were conducted with 29 multidisciplinary members of staff.RESULTS: Over 12 months, 74 aggressive incidents were recorded. The majority of incidents involved verbal aggression, and the perpetrators were a minority of patients, relatives and staff. Two patients were responsible for 38% of all incidents; both patients had mental health problems. Distinct temporal patterns to the aggressive behaviour were observed according to the day of the week and time of day.CONCLUSION: This study demonstrates that aggression is a significant problem on haemodialysis units, with verbal aggression most prevalent. The temporal patterns to aggression observed are related to the uniqueness of the haemodialysis setting, with a distinctly different treatment environment compared with other healthcare settings.
KW - Adult
KW - Aggression
KW - Attitude of Health Personnel
KW - Cooperative Behavior
KW - Cross-Sectional Studies
KW - Female
KW - Hemodialysis Units, Hospital
KW - Humans
KW - Interdisciplinary Communication
KW - Interview, Psychological
KW - Kidney Failure, Chronic
KW - London
KW - Male
KW - Mentally Ill Persons
KW - Middle Aged
KW - Nurse-Patient Relations
KW - Patient Satisfaction
KW - Professional-Family Relations
KW - Qualitative Research
KW - Renal Dialysis
KW - Safety Management
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1111/jorc.12068
DO - 10.1111/jorc.12068
M3 - Article
C2 - 25042357
SN - 1755-6678
VL - 40
SP - 180
EP - 193
JO - Journal of Renal Care
JF - Journal of Renal Care
IS - 3
ER -