Patient Violence and Verbal Abuse: Issues of Nursing in Psychiatric Ward

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Some jobs represent a greater risk of employment than others. Working in a psychiatric ward is one of them. Nurses assigned to the psychiatric unit are well aware of the threats that can occur on a daily basis, including abuse, violent attacks and emotional outbursts. However, his desire to care for and recover his patients with mental illness is essential. Work-related risks are much more important for psychiatric nurses. According to Marian Villanueva and John Bernardo, experienced psychiatric nurses at a public health center in the Philippines, it is not clear when a patient will attack with a mental illness. A study in Victoria, Australia, found that mental health nurses were more exposed to violence in the workplace than police officers; 80% of mental health nurses suffered violence, which translates into more than one in three nurses. Although there are no exact comparative studies in the Philippines, this proportion is probably not too far apart. Kaori Fujishiro, Gilbert Cee and A. B. De examined the aggression of nurses in the Philippines. The team found that the health system was in good physical condition and that there was verbal aggression: one in 14 nurses reported having suffered physical abuse while one-third admitted being a victim of physical abuse. Verbal abuse to prove this, Marian and John carry the two 'fighting scars,' acquired through nails that extend over the hands and forearms, over many years of working in a psychiatric ward where patients are often unpredictable. They told MIMS that the three main threats to a nurse to protect the psychiatric space are violence, verbal abuse, and emotionally demanding situations.

Patient violence

In a potentially violent situation, a psychiatric nurse often struggles with functional conflicts: she fulfills the obligation to care for a patient or to protect herself. Long-term care professionals assigned to psychiatric services consider patient abuse as part of their work and have learned to apply a variety of strategies to prevent and manage abuse. Violence is a person's energy attack. Violence, which is led by health workers in the short and long term, often affects nurses and the organization itself.

Results on the employee and the organization.

For the nurse, this can have physical and psychological consequences. The psychological consequences include post-traumatic stress disorder, anxiety, anger, anxiety, guilt and shame. It can also result in temporary or permanent injuries. This could lead to a reduction in job satisfaction, decreased quality of life, and ultimately the intention to leave the organization. Organizationally, workplace violence has long-term consequences that affect a larger group of workers. On the one hand, it could increase staff turnover and make nursing more difficult. According to a study published in Biomed Central, this could also reduce the morale of workplaces and give way to a hostile work environment where more errors and medical claims could occur.

Better for the patient

Sister John shared two cases in which he was a violent patient. The first was a patient ready to beat him, but he managed to remove it. Finally, the patient had to be restricted. The second incident was a patient six meters tall. Sister John recalled the support of five hospital security officials to maintain patient limitations.

With regard to patients with unstable mental health, he emphasized that the most important principle for psychiatric nursing is to determine what is best for them. This includes transferring care to other caregivers when the relationship is no longer therapeutic. Ausmed, an Australian technology and nursing company, pointed out that a direct attack on a nurse can affect the patient and other patients. It is suggested that you take action after an attack.

The Southern Nursing Research Society (SNR), a verbally abusive patient, defined verbal abuse in terms of mental health as communicating through behavior, tone and words that serve to humiliate a person to the individual.

The NSS explains that verbal abuse is a significant problem that puts the patient's attention at risk. Its impact on nurses is similar to physical violence, less physical injury. However, verbal abuse leads to more sales, negative emotions, reduced productivity and negative impacts on care. Nurses also report stress after combating constant verbal abuse. A Japanese study conducted in 2006 found that severely abused psychiatric nurses had serious mental effects. Researchers have suggested that nurses working in the psychiatric ward should have adequate medical equipment.

The Marian Sister shared her experiences with a terrible patient. The illusion that the patient was focusing on him he did it every time he walked into the room, not realizing the verbal abuse before beginning the treatment of patients. In that case, Nurse John used the same strategy used to do the best for the patient: he transferred his patients to another nurse.

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As most nurses say, it is best that they never include a patient who is currently verbally abusive. If the situation increases when a family authorizes the patient's anger, a nurse or supervisor is used to intervene. The University of Jacksonville also emphasized that nurses should not take offensive comments from the patient and should remember that they have proven this, regardless of the staff employed.

Emotionally exhausting

One of the most difficult aspects of mental health care is to absorb all the emotional wounds and psychological states of each patient. The Marian nurse pointed out that the Marian sister had indicated a station with more patients who needed to listen to each other for a long time of several tens, which was a disadvantage. In fact, Gail Stuart has observed (2013) that mental health nurses are disconcerting when patients express emotions such as sadness, despair or anger, longer and more intense. It is interesting to note that psychiatric nurses for the emotional effort that has to go through each layer have a greater 'emotional intelligence,' according to a study by a Dutch mental health nurse. It means the ability to perceive, control and expresses emotions. The collective assessment of the emotional intelligence of the participating nurses is statistically significant in relation to the general population. This does not mean that nurses are not 'emotionally exhausted' by their mental health or affected 'by the patient's emotions.' Emotional work (emotional work) refers to how professionals manage their feelings according to the rules and policies of the organization. It can be a superficial action or a deep action of the self It goes without saying that breastfeeding requires a lot of emotional work. According to a study by Cowburn (2005) and the man, mental health needs nurses; deep interpretations use a more 'emotional' exercise.

These workers, probably unqualified, dominate complex situations every day. They convince a paranoid man to take drugs that they consider toxic, or motivate a depressed woman in the shower for the first time in weeks. They respond to hostilities and frequent abuse with courage, patience and empathy.

When they recover, many become qualified teachers, buyers, lawyers or parents staying at home. However, with increasing pressure on the beds, service users become much sicker when they enter the hospital, much less when they leave the hospital. The patient's rotation is more important so that the work we do while filming is faster. This creates a stressful environment and the turnover and illness are high. As a result, we rely on agency staff that do not know our patients and cannot deal with the aggression.

Unlike the police, we cannot justify the use of molds, wives, clubs or acorns, and we cannot inflict pain. This is often our relationship with service users between security and disaster. With less time, we often miss the opportunity to intervene. When people are upset or frightened, they cannot argue in the same way. Combined with acute illness, his indignation reflects the injustice of a system that removes all freedom but is not sufficiently equipped to meet his needs. Our rooms are like ovens and our employees are most affected by this frustration.

When a service user cuts an artery, lights a fire or attacks another patient, it is up to me to control the situation.

The real tragedy of reducing psychosocial services rests with the users themselves: the pressure on the beds gives us hope that the worst will happen before we can justify admission. Some people who were previously treated at an early stage of mania now stay so long that they spend thousands of pounds attacking their partner or stripped off the street before being admitted. It costs them work or marriage or gives them uncontrollable debt. When we finally treat them, they collapse to recognize the path of destruction and remain in deep depression.

Some people are so paranoid that they cannot leave their homes and deteriorate in the misery of abandonment and social isolation. Easier to deal with at first, your disappointments are fixed and consolidated. Either they survived trauma that hurt them, put their lives at risk because they struggle and are unable to get the psychological treatment they need.

People with long-term mental illness are ideal victims: they are often too sick to defend their rights or stigmatized to call attention to their illness. The most serious patients are those who are less likely to need treatment and even less to pay for private health insurance.

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Patient Violence and Verbal Abuse: Issues of Nursing in Psychiatric Ward. (2022, August 12). Edubirdie. Retrieved April 13, 2024, from
“Patient Violence and Verbal Abuse: Issues of Nursing in Psychiatric Ward.” Edubirdie, 12 Aug. 2022,
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