Portal de Periódicos da CAPES

Managing violence without coercion

1995; Elsevier BV; Volume: 9; Issue: 4 Linguagem: Inglês

10.1016/s0883-9417(95)80025-5

1532-8228

Anne Harris, Eileen F. Morrison,

Medical Malpractice and Liability Issues

Managing violence has become a priority for nurses working in health care settings ( AAN Expert Panel on Violence, 1993 AAN Expert Panel on Violence Violence as a nursing priority: Policy implications. Nursing Outlook. 1993; 41: 83-92 PubMed Google Scholar ; Violence in the workplace, 1992 Violence in the workplace. Journal of the American Association of Occupational Health Nursing. 1992; 40 (Editorial): 212-213 Google Scholar ; Lipscomb & Love, 1992 Lipscomb J. Love C.C. Violence towards health care workers: An emerging occupational hazard. Journal of the American Association of Occupational Health Nursing. 1992; 40: 219-228 PubMed Google Scholar ). Although psychiatric nurses have a long history of dealing with and managing violent situations, very little attention has been given to a critical analysis of our traditional methods of managing violence. The purpose of this paper is: (a) to present an interactional theory of aggression and violence that argues for the coercive nature of violence in persons with a mental illness ( Morrison, 1990b Morrison E.F. Violent psychiatric patients in a public hospital. Scholarly Inquiry for Nursing Practice: An International Journal. 1990; 4: 65-82 PubMed Google Scholar , Morrison, 1992b Morrison E.F. A hierarchy of aggressive and violent behavior in psychiatric inpatients. Hospital & Community Psychiatry. 1992; 43: 505-506 PubMed Google Scholar , Morrison, 1993b Morrison E.F. The culture of caregiving and aggression in psychiatric settings. in: Presented as part of a symposium titled Caregiving and Violence in Psychiatric Settings. ANA Council of Nurse Researchers Scientific Session, Beverly Hills1993 Google Scholar ), and (b) to propose a different approach to managing violent situations that emphasizes negotiation and collaboration, rather than control. Vignettes of violent situations provided by a clinical nurse specialist are used to highlight the presence of this coercive interactional style in patients, as well as to critically examine interventions for managing violence. It is hoped that an honest examination will assist nurses to re-evaluate current practices for managing potentially difficult situations. Managing violence has become a priority for nurses working in health care settings ( AAN Expert Panel on Violence, 1993 AAN Expert Panel on Violence Violence as a nursing priority: Policy implications. Nursing Outlook. 1993; 41: 83-92 PubMed Google Scholar ; Violence in the workplace, 1992 Violence in the workplace. Journal of the American Association of Occupational Health Nursing. 1992; 40 (Editorial): 212-213 Google Scholar ; Lipscomb & Love, 1992 Lipscomb J. Love C.C. Violence towards health care workers: An emerging occupational hazard. Journal of the American Association of Occupational Health Nursing. 1992; 40: 219-228 PubMed Google Scholar ). Although psychiatric nurses have a long history of dealing with and managing violent situations, very little attention has been given to a critical analysis of our traditional methods of managing violence. The purpose of this paper is: (a) to present an interactional theory of aggression and violence that argues for the coercive nature of violence in persons with a mental illness ( Morrison, 1990b Morrison E.F. Violent psychiatric patients in a public hospital. Scholarly Inquiry for Nursing Practice: An International Journal. 1990; 4: 65-82 PubMed Google Scholar , Morrison, 1992b Morrison E.F. A hierarchy of aggressive and violent behavior in psychiatric inpatients. Hospital & Community Psychiatry. 1992; 43: 505-506 PubMed Google Scholar , Morrison, 1993b Morrison E.F. The culture of caregiving and aggression in psychiatric settings. in: Presented as part of a symposium titled Caregiving and Violence in Psychiatric Settings. ANA Council of Nurse Researchers Scientific Session, Beverly Hills1993 Google Scholar ), and (b) to propose a different approach to managing violent situations that emphasizes negotiation and collaboration, rather than control. Vignettes of violent situations provided by a clinical nurse specialist are used to highlight the presence of this coercive interactional style in patients, as well as to critically examine interventions for managing violence. It is hoped that an honest examination will assist nurses to re-evaluate current practices for managing potentially difficult situations.