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dc.contributor.authorJones, Julia
dc.contributor.authorNijman, Henk
dc.contributor.authorRoss, Jamie
dc.contributor.authorAshman, Neil
dc.contributor.authorCallaghan, Patrick
dc.date.accessioned2018-02-06T17:29:42Z
dc.date.available2018-02-06T17:29:42Z
dc.date.issued2014-08-15
dc.identifier.citationJones , 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.issn1755-6678
dc.identifier.otherORCID: /0000-0003-3221-7362/work/32384021
dc.identifier.urihttp://hdl.handle.net/2299/19737
dc.descriptionThis 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.abstractBACKGROUND: 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.extent14
dc.format.extent602747
dc.language.isoeng
dc.relation.ispartofJournal of Renal Care
dc.subjectAdult
dc.subjectAggression
dc.subjectAttitude of Health Personnel
dc.subjectCooperative Behavior
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHemodialysis Units, Hospital
dc.subjectHumans
dc.subjectInterdisciplinary Communication
dc.subjectInterview, Psychological
dc.subjectKidney Failure, Chronic
dc.subjectLondon
dc.subjectMale
dc.subjectMentally Ill Persons
dc.subjectMiddle Aged
dc.subjectNurse-Patient Relations
dc.subjectPatient Satisfaction
dc.subjectProfessional-Family Relations
dc.subjectQualitative Research
dc.subjectRenal Dialysis
dc.subjectSafety Management
dc.subjectJournal Article
dc.subjectResearch Support, Non-U.S. Gov't
dc.titleAggression on haemodialysis units : a mixed method studyen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionPatient Experience and Public Involvement
dc.contributor.institutionCentre for Applied Clinical, Health and Care Research (CACHE)
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.description.statusPeer reviewed
dc.date.embargoedUntil2015-07-16
rioxxterms.versionofrecord10.1111/jorc.12068
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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