title: Student psychiatric nurses' approval of containment measures: relationship to perception of aggression and attitudes to personality disorder.
abstract: Difficult and challenging behaviour by inpatients is a feature of acute psychiatric ward life. Different methods are used to contain these behaviours, and there is international variation in which are approved of or used. Previous research suggests that staff attitudes to patients may affect their willingness to use, or choice of, method. The aim of this study was to explore the relationship between approval of containment measures, perception of aggression and attitude to personality disorder. A survey of student psychiatric nurses was conducted, and using three attitudinal questionnaires related to aggression and containment. An association was found between positive attitude to patients and the approval of containment methods that involved nurses being in personal contact with patients. There was evidence that students' attitudes to patients deteriorated over time. The results highlighted the importance of (and linkage between) staffs' feelings of anger and fear towards patients, and their preparedness to use containment measures.
authors.affiliation: St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London, UK. l.bowers@city.ac.uk
authors.forename: Len
authors.initials: L
authors.lastname: Bowers
authors.forename: Jane
authors.initials: J
authors.lastname: Alexander
authors.forename: Alan
authors.initials: A
authors.lastname: Simpson
authors.forename: Carl
authors.initials: C
authors.lastname: Ryan
authors.forename: Paola
authors.initials: P
authors.lastname: Carr-Walker
mesh_terms: D000208:Acute Disease; D000374:Aggression / Q000523:psychology; D000704:Analysis of Variance; D000786:Anger; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005163:Factor Analysis, Statistical; D005239:Fear; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008297:Male; D009723:Nurse-Patient Relations; D009730:Nursing Assessment / Q000379:methods; D015404:Nursing Methodology Research; D010356:Patient Isolation / Q000379:methods; D010554:Personality Disorders / Q000451:nursing* / Q000523:psychology; D011568:Psychiatric Nursing / Q000193:education / Q000379:methods*; D012149:Restraint, Physical / Q000379:methods; D017751:Safety Management / Q000379:methods*; D020377:Self Efficacy; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D006113:United Kingdom
chemical_list: D006993:Hypnotics and Sedatives