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Risk Factors and Triggers That May Result in Patient-Initiated Violence on Inpatient Psychiatric Units: An Integrative Review
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.ORCID iD: 0000-0002-2610-8998
Danderyds Hospital, Sweden.
2019 (English)In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of the present integrative review is to identify and describe risk factors and triggers that may result in patient-initiated violence on inpatient psychiatric units. Original studies were searched for in PubMed, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature. From the 826 identified publications, 18 were included for a synthesis. The results are presented in three themes, which demonstrate that patient characteristics, staff approach, and the ward environment are influencers that may trigger the emergence of violent incidents. Incidents are discussed from the theoretical framework of complexity science as dynamic, highly variable in manifestation, and adaptive, in that the forthcoming process and outcomes are highly dependent on how the surrounding environment responds. Our recommendation is that staff on inpatient wards recognize the myriad influencers that may trigger inpatient violence in a context of highly complex interactions. © The Author(s) 2019.

Place, publisher, year, edition, pages
Sage Publications, 2019.
Keywords [en]
aggression, complexity theory, emergency service, psychiatric, risk assessment, violence, adult, article, Cinahl, conceptual framework, emergency health service, female, human, male, Medline, psychiatric department, PsycINFO, publication, risk factor, synthesis, systematic review
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Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-31106DOI: 10.1177/1054773818823333Scopus ID: 2-s2.0-85060608026OAI: oai:DiVA.org:hig-31106DiVA, id: diva2:1373476
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2019-11-28Bibliographically approved

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Salzmann-Erikson, Martin

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CiteExportLink to record
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Citation style
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  • sv-SE
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  • nn-NB
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