dc.contributor.author | Jones, Julia | |
dc.contributor.author | Nijman, Henk | |
dc.contributor.author | Ross, Jamie | |
dc.contributor.author | Ashman, Neil | |
dc.contributor.author | Callaghan, Patrick | |
dc.date.accessioned | 2018-02-06T17:29:42Z | |
dc.date.available | 2018-02-06T17:29:42Z | |
dc.date.issued | 2014-08-15 | |
dc.identifier.citation | Jones , J , Nijman , H , Ross , J , Ashman , N & Callaghan , P 2014 , ' Aggression on haemodialysis units : a mixed method study ' , Journal of Renal Care , vol. 40 , no. 3 , pp. 180-93 . https://doi.org/10.1111/jorc.12068 | |
dc.identifier.issn | 1755-6678 | |
dc.identifier.other | ORCID: /0000-0003-3221-7362/work/32384021 | |
dc.identifier.uri | http://hdl.handle.net/2299/19737 | |
dc.description | This is the peer reviewed version of the following article: Julia Jones, Henk Nijman, Jamie Ross, Neil Ashman, and Patrick Callaghan, ‘AGGRESSION ON HAEMODIALYSIS UNITS: A MIXED METHOD STUDY’, Journal of Renal Care, Vol. 40 (3): 180-193, September 2014, which has been published in final form at https://doi.org/10.1111/jorc.12068 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. | |
dc.description.abstract | BACKGROUND: Aggression on haemodialysis units is a growing problem internationally that has received little research attention to date. Aggressive behaviour by patients or their relatives can compromise the safety and well-being of staff and other patients sharing a haemodialysis session. OBJECTIVES: The objectives of the study were twofold: First, to identify the prevalance and nature of aggression on haemodialysis units; and second, to investigate factors that contribute to aggressive behaviour on haemodialysis units. DESIGN AND METHODS: A cross-sectional, sequential mixed method research design was adopted, with two research methods utilised. Incidents of aggressive behaviour were recorded over a 12-month period, using a renal version of the Staff Observation Aggression Scale. Six months after the incident data collection had commenced, semi-structured qualitative interviews were conducted with 29 multidisciplinary members of staff. RESULTS: Over 12 months, 74 aggressive incidents were recorded. The majority of incidents involved verbal aggression, and the perpetrators were a minority of patients, relatives and staff. Two patients were responsible for 38% of all incidents; both patients had mental health problems. Distinct temporal patterns to the aggressive behaviour were observed according to the day of the week and time of day. CONCLUSION: This study demonstrates that aggression is a significant problem on haemodialysis units, with verbal aggression most prevalent. The temporal patterns to aggression observed are related to the uniqueness of the haemodialysis setting, with a distinctly different treatment environment compared with other healthcare settings. | en |
dc.format.extent | 14 | |
dc.format.extent | 602747 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Renal Care | |
dc.subject | Adult | |
dc.subject | Aggression | |
dc.subject | Attitude of Health Personnel | |
dc.subject | Cooperative Behavior | |
dc.subject | Cross-Sectional Studies | |
dc.subject | Female | |
dc.subject | Hemodialysis Units, Hospital | |
dc.subject | Humans | |
dc.subject | Interdisciplinary Communication | |
dc.subject | Interview, Psychological | |
dc.subject | Kidney Failure, Chronic | |
dc.subject | London | |
dc.subject | Male | |
dc.subject | Mentally Ill Persons | |
dc.subject | Middle Aged | |
dc.subject | Nurse-Patient Relations | |
dc.subject | Patient Satisfaction | |
dc.subject | Professional-Family Relations | |
dc.subject | Qualitative Research | |
dc.subject | Renal Dialysis | |
dc.subject | Safety Management | |
dc.subject | Journal Article | |
dc.subject | Research Support, Non-U.S. Gov't | |
dc.title | Aggression on haemodialysis units : a mixed method study | en |
dc.contributor.institution | School of Health and Social Work | |
dc.contributor.institution | Patient Experience and Public Involvement | |
dc.contributor.institution | Centre for Applied Clinical, Health and Care Research (CACHE) | |
dc.contributor.institution | Centre for Research in Public Health and Community Care | |
dc.description.status | Peer reviewed | |
dc.date.embargoedUntil | 2015-07-16 | |
rioxxterms.versionofrecord | 10.1111/jorc.12068 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |