title: Resistance to Care: contributing factors and associated behaviours in healthcare facilities.
abstract: OBJECTIVE
  This article reports results of a study of contributing factors and associated behaviours in specific clinical areas to resistance to care episodes.
  
  
  BACKGROUND
  Resistance to Care has previously been studied in aged care settings, and previous studies have reported patient behaviours and appropriate responses. Resistance to Care is a defensive response by patients towards healthcare staff and is demonstrated in various non-compliant behaviours.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A cross-sectional survey of a representative sample of nurses (n = 5044), who were members of the New South Wales Nurses' Association in Australia, was conducted in 2008-2009.
  
  
  RESULTS
  Resistance to Care episodes occur in various clinical settings and may be precipitated by a range of clinical diagnoses and symptoms. They may also be triggered during various nursing activities that nurses recognize as high-risk for these episodes.
  
  
  CONCLUSIONS
  The reported Resistance to Care behaviours are similar to those reported in studies of aggression and violence; however, they require a substantially different response by nurses in various clinical contexts.
authors.affiliation: Faculty of Health, University of Newcastle, New South Wales, Australia. Ashley.Kable@newcastle.edu.au
authors.forename: Ashley
authors.initials: A
authors.lastname: Kable
authors.forename: Maya
authors.initials: M
authors.lastname: Guest
authors.forename: Mary
authors.initials: M
authors.lastname: McLeod
mesh_terms: D003430:Cross-Sectional Studies; D019538:Health Care Surveys; D006801:Humans; D009517:New South Wales; D009723:Nurse-Patient Relations; D010349:Patient Compliance; D012307:Risk Factors; D012308:Risk Management; D013647:Task Performance and Analysis; D014754:Violence
keywords: Resistance to Care; behaviour; contributing factors; nurses