Spiby, Alice Rose Kays (2020) Nursing: violence, aggression, and containment measures. DClinPsych thesis, University of Warwick.

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Abstract

This thesis focuses on nurses and their experience of violence and aggression and perceptions of containment measures.

Chapter one includes a meta-ethnographic review of qualitative research concerning general nurses’ experiences of violence and aggression in the emergency department. Four meta-themes are identified and mapped onto Bronfenbrenner’s (1979) ecological model to illustrate the complex relationship between nurses, their aggressors, and the interconnected societal factors perpetuating this relationship. Clinical implications and areas of potential intervention are discussed.

Chapter two details an empirical qualitative study capturing the perceptions that student mental health nurses (SMHNs) have about control and restraint (C&R). These interventions can be used in acute and secure mental health settings as a last resort to manage challenging situations. The interventions are known to be (re)-traumatising for all involved and cause internal conflicts for nurses who employ them. Currently SMHNs are somewhat protected from this reality as they are not trained fully in this process. Using an applied thematic analysis approach, 15 SMHNs were interviewed. Three distinct codebooks were identified, specifically highlighting 1) the Context in which SMHNs develop an understanding of C&R, how that relates to their career trajectory and the consolidation of their personal and professional identities, 2) perceived Moral Dilemma of engaging in C&R, and 3) perceptions of The Aftermath of engaging in C&R as a nurse. Recommendations for future practice are highlighted.

Chapter three is a reflective account (using Acceptance and Commitment Therapy [ACT] principles) of the research process undertaken to complete the presented thesis. It explores the lessons learnt as a practitioner, researcher, and individual.

Item Type:	Thesis or Dissertation (DClinPsych)
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RT Nursing
Library of Congress Subject Headings (LCSH):	Nursing, Nurse and patient, Nurses -- Violence against, Restraint of patients
Official Date:	May 2020
Dates:	Date Event May 2020 UNSPECIFIED
Institution:	University of Warwick
Theses Department:	Department of Psychology
Thesis Type:	DClinPsych
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Marczak, Magda ; Harrison, Lesley
Format of File:	pdf
Extent:	x, 237 leaves : illustrations
Language:	eng

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