THE EFFECT OF PSYCHIATRIC PATIENTS AGGRESSION AND VIOLENCE ON PSYCHIATRIC NURSES: A STUDY FROM BETHLEHEM PSYCHIATRIC HOSPITAL OF PALESTINIAN TERRITORIES
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Date
2023-06-01
Authors
Saleh Ibrahim Abed Al Hadi Sayara
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Abstract
Abstract
The nature of psychiatric nursing work is demanding and can be stressful, in comparison to other professions, psychiatric nurses suffer greater levels of stress. Related research has revealed that psychiatric nurses in work have a higher incidence of aggression and violence. According to evidence, the psychiatric nursing staff is often subjected to violence and aggressiveness, resulting in the affected nurses physical and mental well-being harmed.
The aim of the study is to evaluate the effect of psychiatric patients aggression and violence on psychiatric nurses in Bethlehem Psychiatric Hospital in Palestinian.
A descriptive quantitative cross-sectional study design was conveyed during November-December 2021 at Bethlehem Psychiatric Hospital in Palestine. The data was collected by using a questionnaire containing two sections (Demographic data, Impact of Event Scale-Revised, Eysenck Personality Questionnaire-Revised). The Data was analyzed by using SPSS version 26.
The results showed the prevalence of diagnosed PTSD nurses was (14.7%), and among participants who had partial PTSD and some symptoms was (20.0%). Furthermore, the number of people who outlived post-traumatic stress (enough to suppress the immune system) was (42.7%). Furthermore, it was clear that the impact of post-traumatic stress disorder on the personality among the nurses involved in the study, as the prevalence of neuroticism among the participating nurses was (48.0%), this means that participants are characterized by sadness, mood swings, and emotional instability. In addition, individuals with a high score for this trait tend to experience mood swings, anxiety, speed, and sadness, while the extroverted ratio reached (85.3%), and this degree indicates that the person is social, loves parties, has many friends, needs many people around them, loves to talk a lot, does not like to read, and seeks excitement. They patient aims to do things thay are not supposed to do, acts quickly without thought, is generally impulsive, is fond of making pranks for others, answer is insightful and quick witted, loves change, takes things, prefers to be always active and moving, does different actions and tends to aggression. In addition to being impatient easily, the patient cannot control their feelings and gets irritated quickly.
The study concluded that the aggressive and violent behaviors of the psychiatric patient on the nurses have negative impact on the psychological state of the nurses, and most of the participants suffer from PTSD. Furthermore, participants who are diagnosed with PTSD are more likely to suppress their immune system. Moreover, post-traumatic stress disorder was reflected on the personality state or personality dimensions of the nursing participants in the study. This reflection led to the emergence of neuroticism that manifests in the form of anxiety, difficulty sleeping, headaches, digestive disorders, back pain, and mood swings.
The Palestinian Ministry of Health must be aware of the difficulty of the work provided by these psychiatric nurses as well as to providing psychological supervision and counseling programs for these nurses.
Keywords: Psychiatric Patient, Psychiatric Nurse, Aggression, Violence, Psychological State, Bethlehem Psychiatric Hospital.