Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study

Objectives To explore the type of education needed for nurses when dealing with aggression from patients and their families.Design A two-phase sequential mixed-methods study.Setting This study was conducted in Japan, with phase I from March to November 2016 and phase II in November 2018.Main outcome...

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Autores principales:	Kana Sato, Yoshimi Kodama
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/c2c303bf911d42a48c357f91fa7ff7cc
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spelling	oai:doaj.org-article:c2c303bf911d42a48c357f91fa7ff7cc2021-11-18T15:00:05ZNurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study10.1136/bmjopen-2020-0417112044-6055https://doaj.org/article/c2c303bf911d42a48c357f91fa7ff7cc2021-01-01T00:00:00Zhttps://bmjopen.bmj.com/content/11/1/e041711.fullhttps://doaj.org/toc/2044-6055Objectives To explore the type of education needed for nurses when dealing with aggression from patients and their families.Design A two-phase sequential mixed-methods study.Setting This study was conducted in Japan, with phase I from March to November 2016 and phase II in November 2018.Main outcome measures The challenges faced by nurses when dealing with incidents of aggression from the neutral perspective of neither nurse nor patient/family and perceptions of the educational contents developed in this study. Descriptive analyses were used to examine the data retrieved from both phases.Participants Phase I entailed semistructured interviews among 11 neutral-party participants who observed aggressive incidents between nurses and patients/families. Phase II consisted of a web survey conducted among 102 nursing students and 308 nursing professionals.Results Phase I resulted in the identification of the following five main educational components: understanding the mechanisms of anger and aggression, maintaining self-awareness, observant listening, managing the self-impression, and communicating based on specific disease characteristics. Each component was related to improved communication through self-awareness. The results of phase II indicated that participants positively perceived these educational contents as likely to be effective for dealing with aggression from patients/families.Conclusions This study clarified the type of education needed for nurses when dealing with aggression based on multiple viewpoints. Specifically, neutral-party interviews revealed that communication should be improved through self-awareness. A subsequent survey among nurses and nursing students showed that the identified educational contents were positively received.Kana SatoYoshimi KodamaBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 11, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Kana Sato Yoshimi Kodama Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
description	Objectives To explore the type of education needed for nurses when dealing with aggression from patients and their families.Design A two-phase sequential mixed-methods study.Setting This study was conducted in Japan, with phase I from March to November 2016 and phase II in November 2018.Main outcome measures The challenges faced by nurses when dealing with incidents of aggression from the neutral perspective of neither nurse nor patient/family and perceptions of the educational contents developed in this study. Descriptive analyses were used to examine the data retrieved from both phases.Participants Phase I entailed semistructured interviews among 11 neutral-party participants who observed aggressive incidents between nurses and patients/families. Phase II consisted of a web survey conducted among 102 nursing students and 308 nursing professionals.Results Phase I resulted in the identification of the following five main educational components: understanding the mechanisms of anger and aggression, maintaining self-awareness, observant listening, managing the self-impression, and communicating based on specific disease characteristics. Each component was related to improved communication through self-awareness. The results of phase II indicated that participants positively perceived these educational contents as likely to be effective for dealing with aggression from patients/families.Conclusions This study clarified the type of education needed for nurses when dealing with aggression based on multiple viewpoints. Specifically, neutral-party interviews revealed that communication should be improved through self-awareness. A subsequent survey among nurses and nursing students showed that the identified educational contents were positively received.
format	article
author	Kana Sato Yoshimi Kodama
author_facet	Kana Sato Yoshimi Kodama
author_sort	Kana Sato
title	Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
title_short	Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
title_full	Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
title_fullStr	Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
title_full_unstemmed	Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
title_sort	nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study
publisher	BMJ Publishing Group
publishDate	2021
url	https://doaj.org/article/c2c303bf911d42a48c357f91fa7ff7cc
work_keys_str_mv	AT kanasato nurseseducationalneedswhendealingwithaggressionfrompatientsandtheirfamiliesamixedmethodsstudy AT yoshimikodama nurseseducationalneedswhendealingwithaggressionfrompatientsandtheirfamiliesamixedmethodsstudy
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Nurses’ educational needs when dealing with aggression from patients and their families: a mixed-methods study

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