- Title
- Resistance to care and effects on nurses in New South Wales, Australia
- Creator
- Kable, Ashley; Guest, Maya; McLeod, Mary
- Relation
- Third International Conference on Violence in the Health Sector. Proceedings of the Third International Conference on Violence in the Health Sector (Vancouver, Canada 24-26 October 2012) p. 178-178
- Relation
- http://www.oudconsultancy.nl/oudsite/oudconsultancy-a.html
- Publisher
- KAVANAH
- Resource Type
- conference paper
- Date
- 2012
- Description
- Background and Context: Resistance to care (RTC) is a defensive patient response to nurses and associated behaviour ranges from minor irritation or non-compliance to aggression and violence resulting in injury to staff. Previous studies of RTC have been conducted in aged care settings on patient populations with dementia. Purpose: The purpose of this study was to assess the prevalence of RTC in several clinical environments and the effects of RTC episodes on nurses. Methodology: A cross sectional survey was conducted on a sample of 5,044 nurses from the NSW Nurses Association membership, representing five specialty areas of practice: emergency department, mental health, aged care and medical and surgical nursing. The response rate was 23.3%. Findings: RTC episodes were reported to occur 2-4 times per week by 80% of participants, and more frequently in emergency, mental health and aged care settings. Nursing activities associated with RTC episodes were: assisting patients with activities of daily living, moving patients, procedures and assisting mental health patients. The RTC behaviours were similar to those reported for patient initiated violence however the resultant injuries were less severe and less frequent (18%). The professional and personal impact of RTC on nurses included: considering leaving nursing, fear and anxiety, powerlessness and helplessness, burnout, depression, low mood/ sadness, reduced morale.
- Subject
- resistance to care; nursing; NSW; Australia; patient response
- Identifier
- http://hdl.handle.net/1959.13/1062401
- Identifier
- uon:17079
- Identifier
- ISBN:9789057401008
- Language
- eng
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